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Erin Ryan

Health reform

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Full-Text Articles in Law

Spending Power Bargaining After Sebelius, Erin Ryan Jan 2012

Spending Power Bargaining After Sebelius, Erin Ryan

Erin Ryan

In the wake of the Supreme Court’s Affordable Care Act (ACA) decision, it’s easy to get lost in debate over the Chief Justice’s stated theory of the commerce power, or what precedential effect it will have under the Marks doctrine (given that his only supporters wrote in dissent). Still, the practical implications for existing governance is likely to be small, at least in the foreseeable future. After all, much of the debate over the individual mandate focused on how unprecedented it was: despite months of trying, nobody produced a satisfying example of this particular Congressional tool used in previous health, …


Federalism And The Tug Of War Within, Erin Ryan Jan 2012

Federalism And The Tug Of War Within, Erin Ryan

Erin Ryan

This book explores how constitutional interpreters struggle to reconcile the competing values that undergird American federalism, with real consequences for governance that requires local and national collaboration. Drawing examples from the response to Hurricane Katrina, climate governance, health reform, nuclear waste, and other problems that implicate both state and federal authority, it shows how federalism theory can inhibit effective multijurisdictional governance by failing to navigate the tensions within federalism itself. The book argues that American federalism is best understood through the “tug of war” between the good-governance principles that dual sovereignty fosters—including checks and balances, accountable governance, local autonomy, and …


Negotiating Federalism Past The Zero Sum Game, Erin Ryan Dec 2011

Negotiating Federalism Past The Zero Sum Game, Erin Ryan

Erin Ryan

Countless instances of intergovernmental bargaining offer a means of understanding the relationship between state and federal power that differs from the stylized model of “zero-sum” federalism that has come to dominate political discourse. The zero-sum model sees winner-takes-all jurisdictional competition between the federal and state governments for power, emphasizing sovereign antagonism within the federal system. Yet real-world interjurisdictional governance show that the boundary between state and federal authority is really an ongoing project of negotiation, taking place on levels both large and small. Reconceptualizing the relationship between state and federal power as one heavily mediated by negotiation reveals just how …


Beyond I-Got-Mine-Jack Health Care, Erin Ryan Sep 2009

Beyond I-Got-Mine-Jack Health Care, Erin Ryan

Erin Ryan

This op-ed urges those who warn that health care reform will lead to rationing not to forsake the victims of the rationing we already have, with a personal story.