The creation and maintenance of the local county hospital would be
1. a responsibility of the state government
2. a part of a state's division of public works
3. the joint responsibility of state and federal governments
4. accessible to every citizen in the city

The correct option is: "A responsibility of the State Government"

The Constitution of the United States assigns power between the two levels of government in general terms. By ratifying the Constitution, each state transfers certain sovereign powers to the federal government. According to the Tenth Amendment to the Constitution, all powers not explicitly transferred are retained by the states or the people. Historically, competencies in public education, public health, transportation, and other infrastructures have been considered primarily state responsibilities, although all have both significant federal regulation and funding.

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