Health career education: the United State's system.

: To understand the role of United States hospitals in health career education, it is important to understand several contexts in which that education takes place. Most significantly, education for health career is not directed by a unified, national policy on workforce needs for health care. Rather, it is based (1) on incremental decisions made by individual educational institutions, hospitals, legislature, insurance companies, and (2) on policies made to encourage cost containment. This decentralized system reflects a provision in the US Constitution that states: "The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.