2019
DOI: 10.1093/poq/nfz016
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Partisanship, Polling, and the Affordable Care Act

Abstract: In an age of increasing political polarization, the Affordable Care Act (ACA) stands out as one of the most politically divisive pieces of legislation in recent history. Unlike previous laws making changes to the US health care system, public views of the ACA did not improve measurably as people gained experience with the program, but remained deeply divided on a partisan basis in the more than eight years since its passage. In this article, we examine how the complexity of the law, lack of understanding by th… Show more

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Cited by 10 publications
(3 citation statements)
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“…This research bridges the literatures on (1) changing political attitudes with age and over time in life-course sociology (Alwin, Cohen, and Newcomb 1991; Street and Cossman 2006b), (2) political polarization and support for government spending in political sociology (Johnson and Schwadel 2019b; Pacheco, Haselswerdt, and Michener 2020), and (3) public opinion on health care in medical sociology (Brodie et al 2019; Corman and Levin 2016; Dalen, Waterbrook, and Alpert 2015) and advances scholarship on how political affiliation contributes to public opinion on government intervention in health care and how this association varies by age and over time. We know there has been a growing political divide in the United States (see, e.g., Anderson, Lytle, and Schwadel 2017; McCright, Xiao, and Dunlap 2014), but life-course theory of social change has the potential to shed light on the age dynamics of the partisan divide.…”
supporting
confidence: 69%
See 1 more Smart Citation
“…This research bridges the literatures on (1) changing political attitudes with age and over time in life-course sociology (Alwin, Cohen, and Newcomb 1991; Street and Cossman 2006b), (2) political polarization and support for government spending in political sociology (Johnson and Schwadel 2019b; Pacheco, Haselswerdt, and Michener 2020), and (3) public opinion on health care in medical sociology (Brodie et al 2019; Corman and Levin 2016; Dalen, Waterbrook, and Alpert 2015) and advances scholarship on how political affiliation contributes to public opinion on government intervention in health care and how this association varies by age and over time. We know there has been a growing political divide in the United States (see, e.g., Anderson, Lytle, and Schwadel 2017; McCright, Xiao, and Dunlap 2014), but life-course theory of social change has the potential to shed light on the age dynamics of the partisan divide.…”
supporting
confidence: 69%
“…Many previous studies of the effect of political polarization on the health care system have focused on elites in Congress (Hacker and Pierson 2018; Quadagno 2014). Others have focused specifically on public support for the Clinton and Obama health care plans (Brodie et al 2019; Kriner and Reeves 2014; McIntyre et al 2020; Morone 2016; Skocpol 1996). The findings from previous research prompt an investigation of the effects of political polarization not only among elites but also among the public.…”
mentioning
confidence: 99%
“…By March 2010, the ACA was extremely unpopular, successfully framed by its opponents as a job killer, government overreach, and full of "death panels." At the same time, individual provisions, including community rating, preexisting condition protections, and the ability to keep adult children covered until age twenty-six, were very popular (Brodie et al 2019). Pelosi was referring to this apparent paradox when she said, "We have to pass the bill so you can find out what's in it" (Brill 2015, 190).…”
Section: Walking a Tightrope To Pass The Affordable Care Act 2009mentioning
confidence: 99%