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Highlights of a GAO Symposium: Addressing Key Challenges in an Intergovernmental Setting

GAO-03-365SP Published: Mar 31, 2003. Publicly Released: Mar 31, 2003.
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Highlights

Responding to many of the nation's critical challenges--such as meeting the health care needs of the poor or countering terrorist threats--has been the joint responsibility of all levels of government. The effectiveness of federal programs has increasingly become dependent on state and local management and resources, as well as constructive interactions between federal, state, and local actors, including private or nonprofit actors who are joining with government officials to carry out national policies and programs. This increased interdependence among levels of government presents many challenges. While many policy areas have been nationalized and federally funded, greater responsibility has been devolved to state and local governments for implementing programs to achieve national goals. The intergovernmental system is facing the complexity of managing programs involving numerous actors, and the flexibility and capacity of the federal system to respond to unique local needs is challenged by long-term national and international trends. On November 20, 2002, GAO convened a symposium to identify and discuss the key policy and fiscal issues facing the intergovernmental system. The invited participants represented federal, state, and local governments, national associations, public interest groups, and research and academic institutions.

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Economic policiesFiscal policiesMedicaidHealth care costsHealth care servicesIntergovernmental relationsNational policiesTax administrationTax administration systemsLocal governments