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Journal Article

Is the Affordable Care Act Cultivating a Cross-Class Constituency? Income, Partisanship, and a Proposal for Tracing the Contingent Nature of Positive Policy Feedback Effects

Jacqueline Chattopadhyay
J Health Polit Policy Law (2018) 43 (1): 19–67.
DOI: https://doi.org/10.1215/03616878-4249805
Published: 01 February 2018
... and bipartisan cross-class constituency appears unlikely. Drawing on these results, this article also makes theoretical contributions to the policy feedback literature by underscoring the need for research on prospections' power in policy feedbacks and proposing a strategy for researchers, policy makers...
FIGURES | View All (5)
View articletitled, Is the Affordable Care Act Cultivating a <span class="search-highlight">Cross</span>-<span class="search-highlight">Class</span> <span class="search-highlight">Constituency</span>? Income, Partisanship, and a Proposal for Tracing the Contingent Nature of Positive <span class="search-highlight">Policy</span> Feedback Effects View PDF for article titled, Is the Affordable Care Act Cultivating a <span class="search-highlight">Cross</span>-<span class="search-highlight">Class</span> <span class="search-highlight">Constituency</span>? Income, Partisanship, and a Proposal for Tracing the Contingent Nature of Positive <span class="search-highlight">Policy</span> Feedback Effects
Journal Article

Policy Feedbacks and Medicaid on Its 60th Anniversary

Andrea Louise Campbell
J Health Polit Policy Law (2025) 50 (2): 165–188.
DOI: https://doi.org/10.1215/03616878-11567676
Published: 01 April 2025
... of federal matching dollars for states, robust program defense among stakeholder groups, and the inclusion of more sympathetic and highly resourced constituencies such as the working poor and the middle class as beneficiaries beyond the low-income core. Some analysts explicitly used a policy feedback...
View articletitled, <span class="search-highlight">Policy</span> Feedbacks and Medicaid on Its 60th Anniversary View PDF for article titled, <span class="search-highlight">Policy</span> Feedbacks and Medicaid on Its 60th Anniversary
Journal Article

When State Policy Makes National Politics: The Case of “Obamacare” Marketplace Implementation

Samuel Trachtman
J Health Polit Policy Law (2020) 45 (1): 111–141.
DOI: https://doi.org/10.1215/03616878-7893591
Published: 01 February 2020
... lawmakers, there is not generally a tension between what is good for constituents and what is good for the national party, since both benefit from marketplace bolstering. The national-level Republican Party benefits from marketplace-eroding policies, but state-level Republicans might be cross-pressured...
FIGURES
View articletitled, When State <span class="search-highlight">Policy</span> Makes National Politics: The Case of “Obamacare” Marketplace Implementation View PDF for article titled, When State <span class="search-highlight">Policy</span> Makes National Politics: The Case of “Obamacare” Marketplace Implementation
Journal Article

Editor's Note

Eric M. Patashnik
J Health Polit Policy Law (2018) 43 (1): 1–3.
DOI: https://doi.org/10.1215/03616878-4249787
Published: 01 February 2018
... as of 2015) has not generated a large, bipartisan cross-class constituency. The first article in this issue, by Rachel Sachs, Nicholas Bagley, and Darius N. Lakdawalla, examines novel pricing models (such as indication-based pricing, drug licenses, and drug mortgages) that would more closely link a drug...
View articletitled, Editor's Note View PDF for article titled, Editor's Note
Journal Article

The Deconstructed Center: Of Policy Plagues on Political Houses

Lawrence D. Brown
J Health Polit Policy Law (1990) 15 (2): 427–434.
DOI: https://doi.org/10.1215/03616878-15-2-427
Published: 01 April 1990
..., of course, at “victims” unjustly “blamed” for mugging and murdering others mainly of their own class and race). Battered badly by the crime issue, liberals in the 1990s cannot hope to cross the threshold of legitimacy and regain a modicum of political trust until they recognize that for many...
View articletitled, The Deconstructed Center: Of <span class="search-highlight">Policy</span> Plagues on Political Houses View PDF for article titled, The Deconstructed Center: Of <span class="search-highlight">Policy</span> Plagues on Political Houses
Journal Article

Medicaid's Political Development since 1965: How a Fragmented and Unequal Program Has Expanded

Colleen M. Grogan
J Health Polit Policy Law (2025) 50 (2): 137–164.
DOI: https://doi.org/10.1215/03616878-11567692
Published: 01 April 2025
... whose deservingness is affirmed or questioned while hiding expansions to the middle class. Some have argued that Medicaid growth over time, and its reach into the middle class, might create a more favorable politics if cross-constituency political mobilization can occur (Grogan 2013...
FIGURES
View articletitled, Medicaid's Political Development since 1965: How a Fragmented and Unequal Program Has Expanded View PDF for article titled, Medicaid's Political Development since 1965: How a Fragmented and Unequal Program Has Expanded
Journal Article

Purchasing Power: Business and Health Policy Change in Massachusetts

Linda A. Bergthold
J Health Polit Policy Law (1988) 13 (3): 425–451.
DOI: https://doi.org/10.1215/03616878-13-3-425
Published: 01 June 1988
..., Policy and Law it had never done before This denial eventually brought Blue Cross and the hospitals to the bargaining table with the RSC and resulted in an historic hospital payment contract (HA 29), the principles of which were so advantageous for Blue Cross that the commercial insurers...
View articletitled, Purchasing Power: Business and Health <span class="search-highlight">Policy</span> Change in Massachusetts View PDF for article titled, Purchasing Power: Business and Health <span class="search-highlight">Policy</span> Change in Massachusetts
Journal Article

Nativism, Hollow Corporations, and Managed Competition: Why the Clinton Health Care Reform Failed

James A. Morone
J Health Polit Policy Law (1995) 20 (2): 391–398.
DOI: https://doi.org/10.1215/03616878-20-2-391
Published: 01 April 1995
... rhetoric emerged. One public official put it this way: “You can’t expect the hard-working people in suburban Cook County to go into the same health care alliance as the crackheads in Chicago.” The middle class, in his view, should not be forced to join (or cross-subsidize) the undeserving: drug...
View articletitled, Nativism, Hollow Corporations, and Managed Competition: Why the Clinton Health Care Reform Failed View PDF for article titled, Nativism, Hollow Corporations, and Managed Competition: Why the Clinton Health Care Reform Failed
Journal Article

Where Have All the Powers Gone?

Mark Schlesinger
J Health Polit Policy Law (2003) 28 (5): 781–788.
DOI: https://doi.org/10.1215/03616878-28-5-781
Published: 01 October 2003
... of Congress, who have been excluded from formal posi- tions of power, seek alternative ways to shape policy. Nor is it startling that these minor political figures are able to mobilize constituencies both inside and outside of government, in order to enhance the legitimacy of their efforts. But several...
View articletitled, Where Have All the Powers Gone? View PDF for article titled, Where Have All the Powers Gone?
Journal Article

Framing Health Equity: US Health Disparities in Comparative Perspective

Julia F. Lynch, Isabel M. Perera
J Health Polit Policy Law (2017) 42 (5): 803–839.
DOI: https://doi.org/10.1215/03616878-3940450
Published: 01 October 2017
... of policy responses. In most of the international and cross-national research literature in epidemiology and public health, scholars measure or attempt to explain health inequalities that are related to differences in socioeconomic status (SES, usually operationalized as income, type of occupation...
View articletitled, Framing Health Equity: US Health Disparities in Comparative Perspective View PDF for article titled, Framing Health Equity: US Health Disparities in Comparative Perspective
Journal Article

Can Health Insurance Regulations Generate Citizen Constituencies?

Jacqueline Chattopadhyay
J Health Polit Policy Law (2019) 44 (3): 455–478.
DOI: https://doi.org/10.1215/03616878-7367024
Published: 01 June 2019
...Jacqueline Chattopadhyay Abstract Context: A political science literature has emerged on the policy feedback effects of alternative health care coverage expansions, focusing on whether programs like Medicare, Medicaid, and the Affordable Care Act can generate robust public constituencies. Yet...
FIGURES
View articletitled, Can Health Insurance Regulations Generate Citizen <span class="search-highlight">Constituencies</span>? View PDF for article titled, Can Health Insurance Regulations Generate Citizen <span class="search-highlight">Constituencies</span>?
Journal Article

Power and Illness: The Failure and Future of American Health Policy

David Rosner
J Health Polit Policy Law (1995) 20 (3): 816–819.
DOI: https://doi.org/10.1215/03616878-20-3-816
Published: 01 June 1995
... social welfare concerns, policy makers took medical care out of the contentious arena of class and welfare politics, thereby allowing health policy a degree of latitude unavailable to other policy makers. Whether correctly or incorrectly, policy had been established through a consensus over...
View articletitled, Power and Illness: The Failure and Future of American Health <span class="search-highlight">Policy</span> View PDF for article titled, Power and Illness: The Failure and Future of American Health <span class="search-highlight">Policy</span>
Journal Article

Between Public and Private: A Half Century of Blue Cross and Blue Shield in New York

Daniel M. Fox, David Rosner, Rosemary A. Stevens
J Health Polit Policy Law (1991) 16 (4): 643–650.
DOI: https://doi.org/10.1215/03616878-16-4-643
Published: 01 August 1991
.... In this introduction we describe the origin of this research and the significance of the history of Empire Blue Cross and Blue Shield for understanding policy for financing health care since the 1930s and then briefly characterize each of the papers. The Blue Cross/Blue Shield History Project began late...
View articletitled, Between Public and Private: A Half Century of Blue <span class="search-highlight">Cross</span> and Blue Shield in New York View PDF for article titled, Between Public and Private: A Half Century of Blue <span class="search-highlight">Cross</span> and Blue Shield in New York
Journal Article

Between Welfare Medicine and Mainstream Entitlement: Medicaid at the Political Crossroads

Colleen Grogan, Eric Patashnik
J Health Polit Policy Law (2003) 28 (5): 821–858.
DOI: https://doi.org/10.1215/03616878-28-5-821
Published: 01 October 2003
... development must attend to this state-level variation. Yet because the federal government shapes many of the key policy param- eters that determine Medicaid’s capacity to serve or appeal to middle-class constituencies, and because policy making in Washington, D.C., has a sig- nificant impact on Medicaid’s...
View articletitled, Between Welfare Medicine and Mainstream Entitlement: Medicaid at the Political Crossroads View PDF for article titled, Between Welfare Medicine and Mainstream Entitlement: Medicaid at the Political Crossroads
Journal Article

The Skeptic's Guide to a Movement for Universal Health Insurance

Constance A. Nathanson
J Health Polit Policy Law (2003) 28 (2-3): 443–472.
DOI: https://doi.org/10.1215/03616878-28-2-3-443
Published: 01 June 2003
..., or unrecognized, identities. They involve— like the policies advocated by the “old” class-based social movements— a redistribution of economic wealth. Equity-based arguments for these policies—that it is right and proper to take from the rich and give to the poor in the interests of social and economic...
View articletitled, The Skeptic's Guide to a Movement for Universal Health Insurance View PDF for article titled, The Skeptic's Guide to a Movement for Universal Health Insurance
Journal Article

Washington Report

John K. Iglehart
J Health Polit Policy Law (1981) 6 (2): 361–364.
DOI: https://doi.org/10.1215/03616878-6-2-361
Published: 01 April 1981
... resigned to become director of the President’s Office of Management and Budget.] McClure [Walter McClure , vice president, Interstudy, a Minneapolis-based health policy research firm] favors starting with the middle class; others suggest that the competition effort be limited to Medicare...
View articletitled, Washington Report View PDF for article titled, Washington Report
Journal Article

The Dog That Almost Barked: What the ACA Repeal Fight Says about the Resilience of the American Welfare State

Jacob S. Hacker, Paul Pierson
J Health Polit Policy Law (2018) 43 (4): 551–577.
DOI: https://doi.org/10.1215/03616878-6527935
Published: 01 August 2018
... in the idea of policy feedback (Weir and Skocpol 1985 ), the observation that policies and programs, once enacted, can reshape politics in fundamental ways. Some policy provisions give rise to strong support constituencies and make cutbacks highly visible, while others do not. These constituencies usually...
FIGURES
View articletitled, The Dog That Almost Barked: What the ACA Repeal Fight Says about the Resilience of the American Welfare State View PDF for article titled, The Dog That Almost Barked: What the ACA Repeal Fight Says about the Resilience of the American Welfare State
Journal Article

Health Policy and the Politics of Research in the United States

Daniel M. Fox
J Health Polit Policy Law (1990) 15 (3): 481–499.
DOI: https://doi.org/10.1215/03616878-15-3-481
Published: 01 June 1990
... services and assessing their results are more important than achieving collective welfare or resolving conflicts among social classes, racial and ethnic groups, or generations. My overall theme is that the purposes and methods of any research that influ- ences health policy must be consistent...
View articletitled, Health <span class="search-highlight">Policy</span> and the Politics of Research in the United States View PDF for article titled, Health <span class="search-highlight">Policy</span> and the Politics of Research in the United States
Journal Article

Community Experiments in Action: Developing Community-Defined Models for Reconfiguring Health Care Delivery

Richard J. Bogue, Mazda Antia, Rita Harmata, Claude H. Hall, Jr.
J Health Polit Policy Law (1997) 22 (4): 1051–1076.
DOI: https://doi.org/10.1215/03616878-22-4-1051
Published: 01 August 1997
... Administration Review 27 ( December ): 385 -392. Etzioni , A. 1991a . Special Interest Groups versus Constituency Representation. In A Responsive Society: Collected Essays on Guiding Deliberate Social Change. San Francisco: Jossey-Bass. Etzioni , A. 1991b . The Moral Dimension in Policy...
View articletitled, Community Experiments in Action: Developing Community-Defined Models for Reconfiguring Health Care Delivery View PDF for article titled, Community Experiments in Action: Developing Community-Defined Models for Reconfiguring Health Care Delivery
Journal Article

People, Places, Power: Medicaid Concentration and Local Political Participation

Jamila D. Michener
J Health Polit Policy Law (2017) 42 (5): 865–900.
DOI: https://doi.org/10.1215/03616878-3940468
Published: 01 October 2017
... staffing community health clinics, and home health aides taking on grueling and underpaid labor to provide medically needy beneficiaries with vital services. Though these “working class” constituents are generally beyond the purview of policy feedback studies, they are squarely within the reach of policy...
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View articletitled, People, Places, Power: Medicaid Concentration and Local Political Participation View PDF for article titled, People, Places, Power: Medicaid Concentration and Local Political Participation