Deborah R. McFarlane, Kenneth J. Meier; Restructuring Federalism: The Impact of Reagan Policies on the Family Planning Program. J Health Polit Policy Law 1 August 1993; 18 (4): 821–850. doi: https://doi.org/10.1215/03616878-18-4-821
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Through fiscal cutbacks and structural changes, Reagan's federalism assaulted the ethos of public health. In assessing the effects of Reagan policies on a basic public health program, family planning services, we find a substantial decrease in spending for this program, a reduction in the numbers of patients served, and increased variation among the states in the provision of services to low-income women. These effects are comparable with findings from other studies on the impact of Reagan's federalism upon social programs and have manifold implications for public health.