Ensuring the Future of the Affordable Care Act on the Health Insurance Marketplaces.
Context: A decade after passage, a majority of Americans now support the Affordable Care Act (ACA), and Republican efforts to repeal it outright have failed. This article investigates whether the policy itself, through its beneficiaries, changed public opinion and sowed the seeds of its defense. Met...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 44; no. 4; pp. 589 - 631 |
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| Formato: | Artículo |
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Duke University Press
Aug2019
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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=137573504&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 137573504 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: Aug2019 vid: 44 iid: 4 pid: 154 pub: Duke University Press artinfo: ui: 137573504 10.1215/03616878-7530813 ppf: 589 ppct: 42 formats: tig: atl: Ensuring the Future of the Affordable Care Act on the Health Insurance Marketplaces. aug: au: Hosek, Adrienne affil: University of California, Davis su: United States Elections Insurance Health insurance Medicaid Health policy Practical politics Public opinion Law Legislation Patient Protection & Affordable Care Act Health insurance exchanges sug: subj: Elections Insurance Health insurance Medicaid Health policy Practical politics Public opinion Law Legislation United States Other Insurance Funds All Other Insurance Related Activities Third Party Administration of Insurance and Pension Funds Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Administration of Public Health Programs Patient Protection & Affordable Care Act Health insurance exchanges keyword: Affordable Care Act individual-level panel data policy feedback public opinion Affordable Care Act individual-level panel data policy feedback public opinion ab: Context: A decade after passage, a majority of Americans now support the Affordable Care Act (ACA), and Republican efforts to repeal it outright have failed. This article investigates whether the policy itself, through its beneficiaries, changed public opinion and sowed the seeds of its defense. Methods: This study used an individual-level panel design to estimate the causal effect of implementation on opinion and electoral outcomes for ACA beneficiaries during the first year of open enrollment. Findings: Individuals who enrolled in plans on the health insurance marketplaces had significantly more positive opinions of the ACA after implementation. Previously uninsured Medicaid enrollees also reported improved opinions, though results were not statistically significant. In contrast, uninsured individuals residing in states that did not expandMedicaid became significantly less supportive of the law. Changes in opinion persisted up to the 2014 midterm elections, and there is evidence that individuals with marketplace insurance became more supportive of Democratic candidates, although not more likely to vote for them. Conclusions: Public support for the ACA was enhanced when its beneficiaries became more positive toward it during implementation. Recent changes to key ACA provisions have the potential to undermine the law's effectiveness, potentially leading to political action as benefits slowly begin to disappear. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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