The Politics of Policy: The Initial Mass Political Effects of Medicaid Expansion in the States

  title={The Politics of Policy: The Initial Mass Political Effects of Medicaid Expansion in the States},
  author={Joshua D. Clinton and Michael W. Sances},
  journal={American Political Science Review},
  pages={167 - 185}
Whether public policy affects electoral politics is an enduring question with an elusive answer. We identify the impact of the highly contested Patient Protection and Affordable Care Act (ACA) of 2010 by exploiting cross-state variation created by the 2012 Supreme Court decision in National Federation of Independent Business v. Sebelius. We compare changes in registration and turnout following the expansion of Medicaid in January of 2014 to show that counties in expansion states experience… Expand
Policy Effects, Partisanship, and Elections: How Medicaid Expansion Affected Public Opinion toward the Affordable Care Act
The Affordable Care Act (ACA) is one of the most consequential policies enacted in recent decades, but its political divisiveness and complexity call into question whether its effects can changeExpand
The Politics of Welfare Retrenchment: Evidence from Mass Medicaid Disenrollment in Two States
In 2005, Missouri and Tennessee tightened eligibility for their public health insurance programs, resulting in widespread coverage loss. Leveraging county-level variation in subsequent disenrollment,Expand
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Context: The authors examined whether participation in the Affordable Care Act (ACA) differed by political partisanship. Answering this question is important for understanding how contentiousExpand
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Context: Recent studies have shown that changes in public health insurance policy have the potential to affect political participation. In particular, aggregate-level analyses suggest that increasesExpand
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Policy feedbacks take place when public policies change mass participation and mobilize key constituencies. This can influence future rounds of policymaking and solidify government programs. WeExpand
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A central concern for racial and ethnic minorities is having an equal opportunity to advance group interests via the political process. There remains limited empirical evidence, however, whetherExpand
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Federalism allows state-level politicians opportunities to undermine or support federal policies. As a result, voters are often provided with varying impressions about the effectiveness of majorExpand
Gains in health insurance coverage explain variation in Democratic vote share in the 2008-2016 presidential elections
This work test whether changes in health insurance coverage at the county-level correlate with changes in party vote share in the presidential elections from 2008 through 2016 and finds that a one-percentage-point increase in county health insurance Coverage was associated with a 0.25- percentage point increase in the vote share for the Democratic presidential candidate. Expand
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How citizens hold government accountable in democratic systems is one of the fundamental questions of political science and has long been of interest to scholars of public opinion. AccountabilityExpand
People, Places, Power: Medicaid Concentration and Local Political Participation.
  • Jamila Michener
  • Political Science, Medicine
  • Journal of health politics, policy and law
  • 2017
Aggregate multiyear data is analyzed to examine the effect of Medicaid density on county-level voter turnout and local organizational strength and suggest that, if grassroots political action is to be part of a strategy to achieve health equity, policy makers and local organizations must make efforts to counteract the sometimes demobilizing "place-based" political effects of "people- based" policies such as Medicaid. Expand


Expanding Medicaid, Expanding the Electorate: The Affordable Care Act's Short-Term Impact on Political Participation.
  • Jake Haselswerdt
  • Political Science, Medicine
  • Journal of health politics, policy and law
  • 2017
It is found that the increases in Medicaid enrollment associated with the expansion are related to considerably higher voter turnout and that this effect was likely due to both an increase in turnout for new beneficiaries and a backlash effect among conservative voters opposed to the law and its implementation. Expand
Policy Uptake as Political Behavior: Evidence from the Affordable Care Act
Partisanship is a primary predictor of attitudes toward public policy. However, we do not yet know whether party similarly plays a role in shaping public policy behavior, such as whether to apply forExpand
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President Barack Obama's two signature first-term legislative victories—the Affordable Care Act and the Dodd-Frank Act—are the law of the land, but the political battle over their entrenchmentExpand
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Policy Makes Mass Politics
This review examines policy feedback effects among the mass public, with a focus on social policies in the United States and Europe. It shows that existing policies feed back into the politicalExpand
The Politics of Competitive Federalism: A Race to the Bottom in Welfare Benefits?
tion in benefit changes across the states. This article argues that a more accurate specification of welfare politics focuses on the presence or absence of actual legislated payment increases in theExpand
Unwanted Claims: The Politics of Participation in the U.S. Welfare System
Large numbers of Americans claim public resources and participate in direct relationships with government through the diversity of welfare programs found in the United States. Most public debatesExpand
American Voter Turnout in Comparative Perspective
Despite relatively favorable citizen attitudes, voter turnout in American national elections is far below the average of 80% of the eligible electorate that votes in other industrialized democracies.Expand
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The dramatic rise in inequality in the United States over the past generation has occasioned considerable attention from economists, but strikingly little from students of American politics. This hasExpand
Who Votes Now?: Demographics, Issues, Inequality, and Turnout in the United States
Who Votes Now? compares the demographic characteristics and political views of voters and nonvoters in American presidential elections since 1972 and examines how electoral reforms and the choicesExpand