Liberal Federalism by MSW. MGB: While subsidiarity certainly applies, county governments acting independently of states is not really federalism. In all states, counties are a creature of the state government. They are not sovereign in their own right. I would much prefer federalizing Medicaid for Seniors and then tying the remainder of the program for the poor to case managers for people on unemployment, disability, advanced training and in adult education - with all four offered and required to have some form of training appropriate to their abilities and needs, which they would be paid to attend and with clients getting the same insurance (on the taxpayer's dime) offered to the employees of the case manager.
In many cases, this would be Catholic Charities or a newly created adult education system operated by the Church (an area currently lacking). In other words, I would go lower than state and county government for these services - right to training and case management providers (all of whom may be religious in time). Of course, for the Church to get this kind of money a few changes need to be made to how things are run. Such institutions should no longer be the personal property of the bishop. Rather, all should be shifted to take advantage of the development of the non-profit corporate model. I simply don't trust a feudalistic model any more and neither will the rest of the country (especially while Bishops are appointed by a foreign government and not elected by the local church - as was ancient practice - now that would be subsidiarity in action!).
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