When changes need to be made in our healthcare system, should we look to our state or federal officials for a lifeline? The politicization of healthcare has grown like a weed throughout local, state and federal institutions. It?s uncertain who is really holding the strings when changes need to be made. On topics like a national telemedicine license, hospital at home, reproductive rights and the expansion of Medicaid- one could argue that the power should lie either with our state governments or at the national level. If we remove all the political bias, what is really best for patients? Let?s present all sides of the state vs. federal parley.