Where the american federal system recognizes strictly limited federal involvement n matters of state and local concern?

Some people have questioned whether the grants in aid program gives the national government too much say in matters of State and local concern. The American federal system recognizes strictly limited federal involvement in matters of state and local concern arousing concern.

The American federal system recognizes strictly limited federal involvement by creating Dual Federalism. Dual federalism is the system that was created with the US Constitution because of the failure of the Articles of Confederation. This means that the states would have their power without interference from the federal government at the same time that the federal government has its powers that do not interfere with the powers of the state.

both include an amendment process.

health care plans in the united states having high costs because they are focusing on providing quality programs for different groups of individuals. the quality of the service is based on money flow received from the members. without this investment, couldn't be possible a constant scientific searching to prevent death and illness caused because of low levels of health investigation. currently, the complaints are not about the highest cost, but about the coverage and benefits to access the necessary health services required by the members.  

besides, if a global health system is established the quality levels will fall down because of the standardized of the health. the access to care will increase but the quality will be low because it depends on the money invested.