The Affordable Care Act in the States: Fragmented Politics, Unstable Policy.
Many argue that the frustrated implementation of the 2010 Affordable Care Act (ACA) stems from the unprecedented level of political polarization that has surrounded the legislation. This article draws attention to the law's "institutionalDNA" as a source of political struggle in the 50 states. As de...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 45; no. 4; pp. 647 - 661 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Duke University Press
Aug2020
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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=144377074&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 144377074 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: Aug2020 vid: 45 iid: 4 pid: 154 pub: Duke University Press artinfo: ui: 144377074 10.1215/03616878-8255565 ppf: 647 ppct: 14 formats: tig: atl: The Affordable Care Act in the States: Fragmented Politics, Unstable Policy. aug: au: Béland, Daniel Rocco, Philip Waddan, Alex affil: McGill University Marquette University University of Leicester su: United States Medicaid law Conflict (Psychology) Federal government Health services accessibility Health insurance Health policy Practical politics Socioeconomic factors Patient Protection & Affordable Care Act Health insurance exchanges sug: subj: Medicaid law Conflict (Psychology) Federal government Health services accessibility Health insurance Health policy Practical politics Socioeconomic factors United States 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 federalism health care reform Obamacare states Affordable Care Act federalism health care reform Obamacare states ab: Many argue that the frustrated implementation of the 2010 Affordable Care Act (ACA) stems from the unprecedented level of political polarization that has surrounded the legislation. This article draws attention to the law's "institutionalDNA" as a source of political struggle in the 50 states. As designed, in the context ofUSfederalism, the lawfractured authority in ways that has opened up the possibility of contestation and confusion. The successful implementation of the ACAvaries not only across state lines but also across the various components of the law. In particular, opponents of the ACA have experienced their greatest successes when they could take advantage of weak preexisting policy legacies, high levels of institutional fragmentation, and negative public sentiments. As argued in this article, the fragmented patterns of health care politics in the 50 states identified in previous research have largely persisted during the Trump administration. Moreover, while Republicans were unsuccessful at repealing the legislation, the administration has taken advantage of its structural deficiencies to further weaken the legislation's capacity to expand access to affordable, quality health insurance. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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