Disenrolled: Retrenchment and Voting in Health Policy.
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 increases in Medicaid enrollment due to the Affordable Care Act's Medicaid expansion are associated with increa...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 44; no. 3; pp. 423 - 455 |
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| Autores principales: | , |
| Formato: | Artículo |
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Duke University Press
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=136478457&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 136478457 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: Jun2019 vid: 44 iid: 3 pid: 154 pub: Duke University Press artinfo: ui: 136478457 10.1215/03616878-7367012 ppf: 423 ppct: 32 formats: tig: atl: Disenrolled: Retrenchment and Voting in Health Policy. aug: au: Haselswerdt, Jake Michener, Jamila affil: University of Missouri Cornell University su: Tennessee Insurance Elections Health policy Political participation Recessions Voting Socioeconomic factors Economics Medicaid statistics Regression analysis Statistics Descriptive statistics sug: subj: Insurance Elections Health policy Political participation Recessions Voting Socioeconomic factors Economics Tennessee Third Party Administration of Insurance and Pension Funds All Other Insurance Related Activities Other Insurance Funds Administration of Public Health Programs Medicaid statistics Regression analysis Statistics Descriptive statistics keyword: Medicaid policy feedback prospect theory retrenchment voting Medicaid policy feedback prospect theory retrenchment voting ab: 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 increases in Medicaid enrollment due to the Affordable Care Act's Medicaid expansion are associated with increased voter turnout. Given the current uncertainty surrounding the future of Medicaid, these results lead to an important and related question: What happens to political participation when public health insurance coverage is reduced? Methods: Leveraging changes instituted by the state of Tennessee in the early 2000s to its Medicaid program, TennCare, the authors employed a first-differences approach to examine the effect of health policy retrenchment on county-level voter turnout and partisan vote share in gubernatorial elections. Findings: Counties with larger Medicaid enrollment declines saw larger decreases and smaller increases in voter turnout between 2002 and 2006 relative to those with smaller declines. Disenrollment was also associated with reduced Democratic vote share, though these results are not robust to controls. Conclusions: Rather than mobilizing voters angry about losing coverage, the TennCare disenrollment seems to have had a demobilizing effect. The negative resource and interpretive effects of losing coverage likely outweigh any mobilizing backlash effect of retrenchment. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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