Red-State Medicaid Expansions — Achilles’ Heel of ACA Repeal?

Sommers, Benjamin D.; Epstein, Arnold M.

doi:10.1056/nejmp1700156

Cited by 14 publications

(6 citation statements)

References 82 publications

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“…These characterisations of the ACA, (in line with Lasco and Curato's (2019) criteria of crises met with common‐sense solutions), are gross over‐simplifications of very complex legislation. Indeed, the ACA cannot be conceived of as a single piece of legislation, rather it is multifaceted with several distinct components (see Kamerow 2017, Sommers and Epstein, 2017). These include ‘subsidized health insurance exchanges, individual and employer mandates, regulations of the individual insurance market including a defined package of essential benefits, and Medicaid expansion’ (Sommers and Epstein p. 1).…”

Section: Conceptualising Populismmentioning

confidence: 99%

Populism and health policy: three international case studies of right‐wing populist policy frames

Speed

Mannion

2020

Sociology Health & Illness

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Over the past decade, some of the world's most stable parliamentary democracies have witnessed a revival in right‐wing populist political parties, movements and leaders. Although there is a growing body of theoretical and empirical literature documenting the rise of populism, there has been very little exploration of the implications for health policy of this important political development. In this article, we draw from three illustrative international cases, originating from the USA, the UK and Italy, to explore the ways in which right‐wing populism influences health policy: the election of President Trump in the United States (and subsequent healthcare reforms), the United Kingdom's vote to withdraw from the European Union (Brexit), and how this has played out in the context of the UK National Health Service, and the rise of a politically aligned anti‐vaccination movement in Italy. Drawing on the work of the influential socio‐political theorist Ernesto Laclau, we interpret populism as a performative political act, predicated on drawing logics of equivalence (and difference) between different actors. We use this theoretical framing to explore the ways in which the recent upsurge in right‐wing populism creates a specific set of barriers and challenges for access to healthcare and the health of populations.

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Section: Conceptualising Populismmentioning

confidence: 99%

Populism and health policy: three international case studies of right‐wing populist policy frames

Speed

Mannion

2020

Sociology Health & Illness

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“…There are known differences in ACA OE implementation between states, many of which did not expand MCD in 2014 or already had expanded Medicare in previous years. 40,41 In addition, while January 1, 2014 was the date of a significant reduction in lack of insurance coverage, some reductions had started earlier, such as the 2010 Dependent Coverage Provision for those 18 to 25 years old. The health insurance marketplaces opened in October 2013 with some difficulties in consumer access at first and various state MCD expansions continued before, during, and after the study period.…”

Section: Discussionmentioning

confidence: 99%

How has the Affordable Care Act changed outcomes in emergency general surgery?

Hamel

Godat²,

Coimbra³

et al. 2018

J Trauma Acute Care Surg

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“…In light of VA's ongoing efforts to better accommodate demand for health care services, our findings of a sharp decrease in VA utilization in the Medicaid expansion states in 2014 points to considerable easing of demand in these states. However, reversal of the Medicaid expansion—currently under discussion by policy makers (McDonough and Jones ; Sommers and Epstein ; Wilensky )—may lead to an equally sharp increase in demand for VA services.…”

Section: Discussionmentioning

confidence: 99%