Policy Uptake as Political Behavior: Evidence from the Affordable Care Act

Lerman, Amy E.; Sadin, Meredith; Trachtman, Samuel

doi:10.1017/s0003055417000272

Cited by 125 publications

(64 citation statements)

References 44 publications

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“…A related literature focuses on the consequences of political polarization for health behaviors (e.g., Iyengar et al 2019 andMontoya-Williams andFuentes-Afflick 2019). Party affiliation is correlated with physician recommendations on politicized health procedures, enrollment in government exchanges created under the Affordable Care Act, and beliefs in the safety of vaccines (Hersh and Goldenberg 2016;Lerman et al 2017;Sances and Clinton 2019;Trachtman 2019;Krupenkin 2018;Suryadevara et al 2019). We show how partisan differences can lead to the inefficient allocation of public health goods, such as social distancing, during pandemics.…”

Section: Introductionmentioning

confidence: 99%

Polarization and Public Health: Partisan Differences in Social Distancing during the Coronavirus Pandemic

Allcott¹,

Boxell²,

Conway³

et al. 2020

288

160

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We study partisan differences in Americans' response to the COVID-19 pandemic. Political leaders and media outlets on the right and left have sent divergent messages about the severity of the crisis, which could impact the extent to which Republicans and Democrats engage in social distancing and other efforts to reduce disease transmission. We develop a simple model of a pandemic response with heterogeneous agents that clarifies the causes and consequences of heterogeneous responses. We use location data from a large sample of smartphones to show that areas with more Republicans engage in less social distancing, controlling for other factors including public policies, population density, and local COVID cases and deaths. We then present new survey evidence of significant gaps at the individual level between Republicans and Democrats in self-reported social distancing, beliefs about personal COVID risk, and beliefs about the future severity of the pandemic.

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Section: Introductionmentioning

confidence: 99%

Polarization and Public Health: Partisan Differences in Social Distancing during the Coronavirus Pandemic

Allcott¹,

Boxell²,

Conway³

et al. 2020

288

160

View full text Add to dashboard Cite

show abstract

“…Interestingly, the ACA appears to also exhibit feedback effects beyond political participation, as Republicans have generally been more hesitant to enroll for coverage via the ACA marketplaces (Lerman, Sadin, & Trachtman, ). However, this effect could be mitigated by focusing their attention on the private nature of coverage obtained in the ACA marketplaces (Lerman et al, ). The role of partisanship in insurance uptake has also been confirmed by Sances and Clinton ().…”

Section: Substantive and Theoretical Issues Coveredmentioning

confidence: 99%

Political Science and U.S. Health Policy in the Era of the Affordable Care Act

Haeder¹

2020

Policy Studies Journal

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Few laws have a profound and lasting impact on an entire political system. The Affordable Care Act (ACA), despite its incremental nature and bipartisan heritage, has been one of those remarkable landmarks. Even a decade after its passage, the political struggle is far from over, as the ACA is still facing near constant threats from the incumbent president, Congress, the courts, statehouses, attorneys general, and governors across the nation. How have political scientists responded to the continued struggle? This article provides an overview of the effects of health reform and the ACA on political science research since 2008. While political scientists have written much about the subject, coverage has been distinctly uneven within the discipline. Indeed, it has almost been entirely confined to scholars of public and health policy. Nonetheless, there have been important contributions across disciplinary fields. This article provides an overview of contributions embedded within the study of federalism, policy feedback effects, and political framing. It concludes by emphasizing the need for more engaged scholarship on health policy issues from across the entire discipline, and by highlighting other areas of study that could benefit from broader attention by political scientists.

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“…Lerman et al [31] examine how individuals' decision to enroll in ACA insurances are affected by their political beliefs. In a field experiment, they assigned uninsured individuals to two groups.…”

Section: Study One: Effects Of Anti-aca Advertisements On States' Enrmentioning

confidence: 99%

(How) did attack advertisements increase Affordable Care Act enrollments?

Yaraghi¹,

West²,

Gopal³

et al. 2020

PLoS ONE

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We examine the effects of exposure to negative information in attack advertisements in the context of Affordable Care Act (ACA) and Common Core (CC) education standards and show that they lead to an increase in the ACA enrollments and support of the CC standards. To explain this effect, we rely on the knowledge-gap theory and show that individuals who were exposed to more attack advertisements were also more likely to independently seek information, become more knowledgeable, and consequently support these subjects. In addition to an observational study, to test our hypotheses on the link between exposure to negative information, curiosity, and shifts in knowledge and support levels, we design and conduct a randomized experiment using a sample of 300 unique individuals. Our multimethods research contributes to marketing literature by documenting a rare occasion in which exposure to attack advertisements leads to increased demand and unveiling the mechanisms through which this effect takes place.

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Policy Uptake as Political Behavior: Evidence from the Affordable Care Act

Cited by 125 publications

References 44 publications

Polarization and Public Health: Partisan Differences in Social Distancing during the Coronavirus Pandemic

Polarization and Public Health: Partisan Differences in Social Distancing during the Coronavirus Pandemic

Political Science and U.S. Health Policy in the Era of the Affordable Care Act

(How) did attack advertisements increase Affordable Care Act enrollments?

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