President George W. Bush is in the process of drafting an executive order on federalism that might help defuse criticism that he has betrayed his roots by overriding state authority on patients rights, taxes, education, energy, the environment, and the faith-based initiative. Bush, a former Texas governor, called in his campaign and early in his administration for a more even balance of power between Washington, D.C. and the states, but state officials say he has not practiced what he preached. more

State lawmakers are spending tobacco settlement dollars wisely and health programs are raking in a hearty amount of the money, says a new analysis from the National Conference of State Legislatures (NCSL). Legislatures have dedicated a full 46 percent of tobacco money for programs that aim to stop people from smoking and to shore up Medicaid, prescription drug programs for older Americans, children's health insurance plans and biomedical research. But if you look a little closer at the numbers, the percent of money being spent to stop smoking is measly and has dropped significantly from last year, anti-tobacco advocates say. more

State budgets are tight this year, but most health programs have escaped cutbacks. Arizona has agreed to hefty increases for the mentally ill, Oregon is considering a new voluntary screening program for newborns and Maine just okayed a small cigarette tax increase to expand health insurance for adults without kids. more

On the surface, a nationwide tetanus and diphtheria vaccine shortage may not seem like such a big deal. How many people will step on a rusty nail this year? Doctors in states such as Wisconsin say the shortage is serious due to flooding in the state and related accidents, but in Kentucky, Oregon, Tennessee and Washington, health experts say it's not yet a problem. But the shortfall is resulting in higher prices for states and potential problems for patients. more

As troubling as the nursing shortage is for the country, experts say the profession also has another problem -- it isn't diverse enough. According to researchers at the University of California's Center for the Health Professions, nursing seriously lags in reflecting racial differences of the patients being served.. more