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The continual interdependence of states in global economic relations has necessitated debates on environmental, health and social related issues, making adoption and executions of policies the remedy for the various shortcomings in various sectors. Since policies are at the core of addressing major issues, the efficiency of health policies are affected by poverty, level of education and socio-economic status. (Leigh 2004:1-2)
The impact of global policies on health, nonetheless has improved the quality of life, as more awareness is been mounted, the Health Impact Assessment (HIA) stands as a tool for measuring the impact of global and public policies on health. This cuts across environment, health, gender issues, and the continual relevance of policies has been seen in the EU’s adoption of policies to protect the environment and health. (Samuel &Kefee 2007: 1-4)
The role of governments stemming from the Federal governments still depends on adoption and execution of policies, the other tiers of government should work alongside the policies and ensure efficiency of services. The impact of Medicaid and other non-governmental organisations shows the role of networking and cooperation towards achieving efficiency and service delivery. The impact of health issues on welfare has refocused the direction of policies towards the health and environmental sectors.
More funding needs to be directed at the Medicare services. The arguments of state welfarism and health have resulted in arguments of the best way to manage the welfare of citizens. The role of public or social policy in addressing the health, environmental and other issues is however crucial, the recent trend of paediatric obesity is associated with the United States Culture of consumption of energy dense foods and less exercise. ( Krishnamoorthy, etal 2006: 1-5) A need to turn around the whole situation requires effective policies and execution.