Historically, local governments have had the primary responsibility for regulating public health.

Historically, local governments have had the primary responsibility for regulating public health. The ongoing COVID pandemic prompted considerable action at the federal level issuing public health regulations.
Should public health measures around future pandemics be driven primarily by local governments or the federal government?
Some issues to consider in answering:
Differing local health conditions
Differing local economic conditions
The national spread of infection
The global spread of infection
Federalism issues
Please write ~1000 words laying out your answer and your reasoning for it. No need to do additional research – this isn’t that kind of paper. But do submit only your own work.
I’ll grade you based on a combination of:
Following the instructions (e.g. is it about the right length, is it on topic)
Quality of writing
Quality of argument

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Historically, local governments have had the primary responsibility for regulating public health.
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