Expanding Medicaid, Expanding the Electorate: The Affordable Care Act's Short-Term Impact on Political Participation.
The Affordable Care Act is a landmark piece of social legislation with the potential to reshape health care in the United States. Its potential to reshape politics is also considerable, but existing scholarship suggests conflicting expectations about the law's policy feedbacks, especially given unev...
| Published in: | Journal of Health Politics, Policy & Law Vol. 42; no. 4; pp. 668 - 697 |
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| Format: | Article |
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Duke University Press
Aug2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=124339362&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 124339362 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Aug2017 vid: 42 iid: 4 pid: 154 pub: Duke University Press artinfo: ui: 124339362 10.1215/03616878-3856107 ppf: 668 ppct: 29 formats: tig: atl: Expanding Medicaid, Expanding the Electorate: The Affordable Care Act's Short-Term Impact on Political Participation. aug: au: Haselswerdt, Jake affil: University of Missouri su: United States Medicaid law Elections Ethnic groups Federal government Political participation Self-evaluation Voting Socioeconomic factors Cross-sectional method Medically uninsured persons Policy science research Research funding Surveys Logistic regression analysis Patient Protection & Affordable Care Act Statistical models Health care reform sug: subj: Medicaid law Elections Ethnic groups Federal government Political participation Self-evaluation Voting Socioeconomic factors Cross-sectional method United States Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Medically uninsured persons Policy science research Research funding Surveys Logistic regression analysis Patient Protection & Affordable Care Act Statistical models Health care reform keyword: Congress health care reform implementation Medicaid Congress health care reform implementation Medicaid ab: The Affordable Care Act is a landmark piece of social legislation with the potential to reshape health care in the United States. Its potential to reshape politics is also considerable, but existing scholarship suggests conflicting expectations about the law's policy feedbacks, especially given uneven state-level implementation. In this article I focus on the policy feedbacks of the law's Medicaid expansion on political participation, using district-level elections data for 2012 and 2014 US House races and cross-sectional survey data from 2014. I find 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. These results have important implications for our understanding of the ACA and of the impact of welfare state expansions on political participation, particularly in federalized systems. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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