This 4-part model provides a framework for strategies that have been used effectively by public health advocates, most notably in the tobacco control arena, who have countered and even repealed state preemption of local smoke-free policies since the late 1980s. An outgrowth of this success has been the creation of a culture in which state legislators feel increasingly uncomfortable undermining local democracy through preemption. Armed with this 4-part strategic model, stakeholders can and should create a similar antipreemption culture surrounding other public health issues to preserve local control, support democracy, and ultimately combat and prevent preemption.
Combatting and Preventing Preemption: A Strategic Action Model
December 25, 2020