In modern times, many of the disputes over federalism have
            to do with how many "strings" the federal government can and should attach to the money
            it gives to the states.  We can see this in, for example, debates over Medicaid and over
            the No Child Left Behind law.
In both cases, the federal
            government gives a great deal of aid to states.  In both cases, it sets out many rules
            by which the states must play in order to get that money.  By doing so, the federal
            government exerts tremendous power over areas that the states feel they should control. 
            Because of this, the states have tried hard to get out of having to obey the rules set
            by the national government.  This process is ongoing today as people like Governor Perry
            of Texas want waivers of Medicaid provisions and states like Utah consider opting out of
            federal funding to avoid having to follow NCLB.
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