2014
DOI: 10.1177/1532440014561644
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The Politics of Need: Examining Governors' Decisions to Oppose the “Obamacare” Medicaid Expansion

Abstract: This article explains governors' decisions to support or oppose Medicaid expansions offered under the 2010 Patient Protection and Affordable Care Act. We theorize that governors' decisions to oppose the funding should depend on both political demands and the level of need in the state, though politics and need are often in tension. We find that governors' partisanship and the composition of the legislature have substantively meaningful effects on governors' decisions, but the level of need in the state exerts … Show more

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Cited by 122 publications
(33 citation statements)
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“…As a result, there has been less attention on the enabling and supporting strategies towards successful implementation and practice of the NHI. Barrilleaux and Rainey explain how partisan politics outweigh universal healthcare program (Obamacare) at the expense of citizens [2]. This is a fundamental challenge which the South African government should take cognizance of, in the implementation of NHI.…”
Section: Too Much Attention On Political Issuesmentioning
confidence: 99%
See 3 more Smart Citations
“…As a result, there has been less attention on the enabling and supporting strategies towards successful implementation and practice of the NHI. Barrilleaux and Rainey explain how partisan politics outweigh universal healthcare program (Obamacare) at the expense of citizens [2]. This is a fundamental challenge which the South African government should take cognizance of, in the implementation of NHI.…”
Section: Too Much Attention On Political Issuesmentioning
confidence: 99%
“…However, over the years discourse including strategic and policy documents has been more of one sided, in favor of the enabled rather than the enabler. Taken the USA account and experience into consideration [2], this can be detrimental for the implementation of NHI.…”
Section: Imbalance Between Enabler and The Enabledmentioning
confidence: 99%
See 2 more Smart Citations
“…Republican-controlled states have been less likely to embrace Medicaid expansion and set up insurance exchanges than their Democratic-controlled counterparts. [28][29][30][31] In federal-level reform plans, state ideological preferences interact with state desires for autonomy. In 2017, Republicans designed Graham-Cassidy plan's grants to temporarily raise federal funding for Republican-controlled states that blocked Medicaid expansion.…”
Section: Outside Factors Interact With State-federal Dynamicsmentioning
confidence: 99%