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Healthcare Programs Research a local health policy issue that is a hot topic in your state. You can also contact a local county commissioner or state Congressional member in your state to gain insight on the issue or (you may also research local or state government websites or refer to the local news media). On the basis of your research, answer the following: Research the policy demographics of CHIP in your state. Also examine the adequacy of the CHIP program in your state. In many national healthcare systems, the providers of care are either subsidized or work directly for government-owned facilities. In the United States, the government-operated programs, such as Medicare and Medicaid, contract with providers. The VA, on the other hand operates its own system of hospitals, clinics, and long-term care facilities. Medicare and Medicaid set the rules regarding which services are offered and the amount to be paid for those services.