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

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.     

Policy Feedback and Preschool Funding in the American States

The early childhood education policy community has been described as a “divided constituency” in which groups with the same underlying goals sometimes work at cross purposes. This article examines how this internal division affects the contemporary funding of preschool education. It finds that states with a relatively large Head Start community are significantly more likely not to fund preschool education and significantly less likely to dedicate preschool funding exclusively to a freestanding state program. These results suggest that the creation and political solidification of Head Start generated policy feedback. They contributed to an ongoing tension within the early education community as Head Start beneficiaries viewed the creation of a freestanding preschool program as a political threat. This political dynamic illustrates the more general way in which the existence of a public policy can alter the dynamics of future political action.     

Social Constructions,Anticipatory Feedback Strategies,and Deceptive Public Policy

Elected leaders adopt “anticipatory feedback strategies” in designing public policies that generate support and forestall opposition. This contention is at the core of a social construction theory of feedback. Officials anticipate approval when policies allocate benefits to powerful groups socially constructed as deserving and allocate costs or punishment to groups viewed as undeserving, particularly if these groups lack political power. Designs for powerful groups that are widely viewed as unworthy provide mainly benefits in ways that are hidden from the general public who would not approve. For politically weak groups regarded as deserving, legislators generally design policies that provide promises, but not much in terms of material benefits. Often, deception will be used to protect or enhance this particular allocation pattern, including the reinforcement, perpetuation, or change in the social constructions along with the stereotypes, labels, stigma, and accompanying narratives. Using data from legislation introduced by the 2016 Arizona Legislature, we find that most policy is directed toward providing benefits to positively viewed target populations, as expected by the theory, and legislators employ deceptive feedback strategies that protect themselves. Feedback from the general public, which otherwise might be expected, may be precluded by the deceptive strategies being used.     

Policy Feedback Effects on Mass Publics: A Quantitative Review

There has been an impressive stride in the research on policy feedback effects on mass publics over recent years. However, we lack systematic evidence on how large such policy feedback effects are in the literature. This article provides a review of 65 published studies and quantifies the findings and key themes in the policy feedback literature. The results show a great degree of heterogeneity in the domains and outcomes being studied and in the effects of policies on the public. In line with the findings from narrative reviews, feedback effects are greater for outcomes related to political participation and engagement. Last, the review sheds light on important theoretical and methodological limitations to be addressed in future research.     

Paying Attention to Politics: Public Responsiveness and Welfare Policy Change

In order for the democratic process to work properly, it is vital that the public pays attention to politics and signals its opinions and preferences back to its representatives; if this is not the case, representatives have less incentive to represent. This article deals with the question of whether and how the public responds to welfare policy change. The thermostatic model departs from the assumption that the public responds to policy change with negative feedback, in relation to its preferred level of policy. The empirical analysis tests this model on public responses following the implementation of a consumer's choice model in Swedish primary health care. Did the reform trigger a thermostatic response from the public, and how should this be interpreted? A contribution in relation to previous research is the inclusion of ideological orientation and proximity, variables which, I argue, condition the nature and direction of public responsiveness. The study was designed as a natural experiment in which preferences of privatization of health care were measured before and after the health care reform of 2009/2010. The results provide partial support for the thermostatic model: preferences for further privatization decrease after the reform, but primarily within one subgroup. Additionally, public responses are demonstrated to vary according to ideological orientation, where the right‐oriented react thermostatically and the left‐oriented do not. The article contributes to a further understanding of the relation between policymaking and public opinion and to the expansion of thermostatic theory.     

Positive Returns and Equilibrium: Simultaneous Feedback Between Public Opinion and Social Policy

This paper pushes forward political research from across disciplines seeking to understand the linkages between public opinion and social policy in democracies. It considers the thermostatic and the increasing returns perspectives as pointing toward a potentially stable set of effects running between opinion and policy. Both theoretical perspectives argue that opinion and policy are reciprocally causal, feeding back on one another. This is a general argument found in opinion‐policy literatures. However, much empirical research claims to model “feedback” effects when actually using separate unidirectional models of opinion and policy. Only a small body of research addresses opinion‐policy endogeneity directly. In this paper I consider an opinion‐policy system with simultaneous feedback and without lags. I argue that there is a theoretical equilibrium in the relationship of opinion and policy underlying the otherwise cyclical processes that link them. Given that available cross‐national data are cross‐sectional and provide limited degrees of freedom, an ideal theoretical model must be somewhat constrained in order to arrive at empirically meaningful results. In this challenging and exploratory undertaking I hope to open up the possibility of a general system of effects between public opinion and social policy and how to model them in future research. I focus on social welfare policy as it is highly salient to public interests and a costly area of government budgets, making it an area of contentious policymaking. Social policy is also a major part of the thermostatic model of opinion and policy, which was recently extended to the cross‐national comparative context (Wlezien & Soroka, 2012) providing a critical predecessor to this paper because identification of equilibrium between public opinion and social policy in any given society is greatly enhanced through comparison with other societies. This counterfactual approach helps to identify opinion‐policy patterns that may not change much within societies, but can be seen as taking on discrete trajectories between societies.     

Learning from Schools: School Choice,Political Learning,and Policy Feedback

This article investigates the policy feedback and political learning effects of school vouchers. Of particular interest is how market‐based policies affect the likelihood that program participants will connect their experiences with the policy to the government. I examine parent survey data from an evaluation of the Milwaukee school voucher program. I find that voucher parents are more likely than public school parents to perceive that the government has influenced their child's schooling and to believe that their experiences with their child's school have taught them about how government works. Further, voucher parents report that their experiences with the policy have made them more politically active. While majorities of voucher and public school parents support increased public school expenditures, there is some evidence that school vouchers may decrease support for public schools.     

20世纪后期美国与澳大利亚移民政策差异性的政治理论分析

论文利用移民政治理论对20世纪后期美国与澳大利亚的移民政策进行比较,并对其差异性进行了分析。认为这两个主要的移民国家都推行了限制性移民政策,但因其移民政治中的"利益导向",受"权利"的制约程度以及移民政策制定程序的不同,从而导致两国的移民政策无论在内容上还是在实际收效上都出现了巨大的差别。据此可以预测两国未来移民政策的趋势:美国将继续在自由主义的道路上前行,而澳大利亚却可以根据国内外政治经济形势的变化灵活地调整移民政策。     

1971年印巴危机期间美国的难民政策与美印在难民问题上的角力

1971年印巴危机是冷战时代一次具有重大国际影响的地区危机。危机期间,因受东巴内战与印巴冲突的双重影响,大量东巴居民逃往印度,沦为难民。东巴难民持续涌入印度不仅是东巴危机转变为印巴危机的主要诱因,同时也是导致南亚持续紧张、敌对氛围难以消解的重要根源。为妥善解决难民问题,美国积极谋划,投入大量人力、物力、财力,意图妥善解决难民问题,化解危机。但是美国采取的积极措施并未减缓危机冲突的不断升级。在处理难民问题的过程中,美巴政策协调趋于一致,而印度与美巴在难民问题上的政策倾向却渐行渐远。归根究底,是否应该在难民问题上附加最终促成东巴独立的政治条件是美巴与印度的根本分歧所在。而这一根本分歧的悬而未决最终成为引爆第三次印巴战争的导火索。     

1944年《美国对外石油政策》报告探析

1944年4月11日美国国务院公布了《美国对外石油政策》报告。该报告将石油利益确定为美国国家安全利益的核心,其主要内容是:在中东地区推行"门户开放"政策,将大西洋宪章的"机会均等"原则运用于战后美国对外石油资源的争夺中;提出了美国对外石油供应的"半球"石油政策,即"东半球"的石油主要由中东地区供应,"西半球"的石油由美洲地区供应。美国对外石油政策的目标是攫取和控制中东地区的石油资源,保护美国国内的石油资源储备。考察《美国对外石油政策》报告的主要内容及其形成的过程,揭示美国战后对外石油政策的本质,有益于全面认识美国构建战后石油安全战略的全貌。     

Religion and the US Presidency: Politics,the Media,and Religious Identity

Abstract

The relationship between religion and the presidency impacts both the viability of candidates and the manner in which decisions are made in the voting booth. Today we are living in culture where religion is front and center in politics. This article examines the role of religion in political discourse with special attention to the 2012 presidential election. It focuses on the manner in which religion and politics have become inextricably interwoven in the past sixty years. It begins by establishing the role of religion in the broader political arena. The article then turns to the manner in which religious identity and participation influence voting patterns, and how religious affiliation shapes the office of the presidency. The conclusion offers some reflections on the future of religion in presidential politics, an issue that will continue to be a significant factor in how and why voters support and marginalize particular candidates.     

美国宪法改革与人权政策

美国人权政策是建立在古典政治哲学基础之上的,它过分强调人民的消极权利,而忽视了人民的积极权利。随着美国社会的发展,这种人权政策显得越来越不能适应时代的需要。因此,20世纪80年代以来,美国又掀起了宪法改革运动的高潮,以解决宪法中存在的人权概念不清楚和政治自由太多、人民的经济利益太少的问题。在修宪运动中,美国的最高法院发挥了重要的历史作用,使运动取得了一些阶段性成果。但由于种族偏见的根深蒂固,因此美国人权政策的发展依然面临着有待进一步克服的问题。     

Renewable Energy Politics: Policy Typologies,Policy Tools,and State Deployment of Renewables

This paper investigates the competing forces driving the development of renewable energy in the American states. We formulate a framework of state renewable energy politics and develop a set of hypotheses regarding the role of politics, policies, and prices in renewable energy development. We test these hypotheses with a fixed effect vector decomposition model using a panel data set for the U.S. states from 1990 to 2008. The results indicate that renewable energy development is influenced by regulatory institutions, the party affiliations of the governor and legislators, and the professionalism of the legislature, accompanied by the effects of various policy instruments.     

Policy Styles and Degenerative Politics: Poverty Policy Designs in Newfoundland and Quebec

This article examines the proposal suggesting that policy designs are consistent with the social construction of target groups. Associated with policy design theory, the proposal pessimistically suggests that underprivileged citizens will be targeted with policies that do little to help them, creating a vicious circle of degenerative politics. This article argues that the prevalence of degenerative politics depends on policy styles. Significant where the adversarial style prevails, degenerative politics is less common in consensual systems. This proposal is examined through a systematic content analysis of action plans to reduce poverty in Newfoundland and Quebec.     

美国1882年排华法的前奏:1875年《佩奇法》实施的背景及影响

论文探讨了1875年《佩奇法》出台背景及其影响。在种族偏见、文化差异以及政治机会主义等因素的共同作用下,美国国会议员绕开中美之间自由移民的法律,将限制华人女性入境的立法解释成为一场维护美国传统家庭和婚姻道德的保卫之战。以加州联邦众议员佩奇名字命名的《佩奇法》,在美国国会开创了针对特定群体立法进行移民限制的先例。从法律出台到1882年《排华法案》之间的七年间,移民美国的华人超过了之前的任何一个以七年划分的时间段,《佩奇法》虽没有达到阻止苦力华工赴美目的,但在阻止华人女性移民美国方面相当成功,基本切断了华人女性赴美的渠道,也为七年后的美国全面排华铺平了道路。     

A Behavioral Theory of Policy Feedback in Tobacco Control: Evidence From a Difference‐In‐Difference‐In‐Difference Study

Public policy scholars argue that in highly tangible policies, such as tobacco control, the public learns from the direct experience of the beneficial effects of the policy. Empirical evidence supports this argument, suggesting that in the United States the introduction of tobacco control measures makes people more inclined to further regulation. By relying on a set of cases which allows testing the effects of the introduction of tobacco control measures across European countries on a series of relevant variables, this study confirms that the introduction of tobacco control measures makes the public more inclined to further regulation. Yet, when the effects of these policies are disaggregated between smokers and nonsmokers, results show that these positive effects are driven by smokers. This puzzle suggests that different effects than mass attitudinal policy feedback effects, driven by learning from direct experience, might explain the positive reaction to tobacco control. This study puts forward a behavioral theory of policy feedback, which suggests that smokers react positively to the introduction of tobacco control measures because they see these measures as commitment devices, which can help them quit smoking. Evidence for this argument is found by demonstrating that the introduction of tobacco control measures increases smokers’ welfare.     

Embodiment, Power and the Politics of Mobility: The Case of Female Tramps and Hobos

Mobility and travel have recently attracted the interest of many people, both inside and outside geography. This interest has often focused on issues of gender. Mobile women, in particular, have been seen to be indicative of wider social and cultural themes of power, exclusion, resistance and emancipation. In this paper, I consider the gendered dimensions of a moral panic in the United States between 1869 and 1940, known as the 'tramp scare'. I argue that the construction of the panic around threats to women's bodies and the actual experience of female tramps illuminates a clearly gendered and embodied politics of mobility.     

美加联盟中的政治与经济利益博弈——以加拿大对华粮食贸易为核心的考察

20世纪50年代末60年代初,面对中国发生的粮食紧缺问题,作为美国冷战盟友的加拿大开始采取自主行动,主动与中国开展粮食贸易。此时美国仍对中国进行政治孤立和经济封锁,加拿大的行为无疑与美国的冷战遏制战略相冲突,美国与加拿大的博弈由此开启。美加双方具有不同的利益诉求,加拿大希望扩大粮食销售市场,解决国内粮食过剩的问题,而美国更看重冷战联盟,并着眼于维护冷战联盟内部的团结,为此在不涉及美国核心利益的问题上向加拿大做出一定的让步。美国与加拿大之间的博弈反映了作为联盟主导者的美国开展联盟管理的困境,也体现了联盟政治与经济利益之间的张力。