Description:
The Patient Protection and Affordable Care Act, often referred to as the ACA or Obamacare, was enacted in 2010 in the wake of the Great Recession. The law transformed the way that Americans access healthcare, nearly halving the ranks of the 49 million uninsured Americans. Edited by political scientist Andrea Louise Campbell and economist Lara Shore-Sheppard, this issue of RSF examines the social, political, and economic effects of this landmark legislation.
This journal issue explores the political dimensions of the rollout of the ACA and the attendant backlash. Contributors Helen Levy, Andrew Ying, and Nicholas Bagley argue that despite repeated efforts at repeal, over 80 percent of the Act has been implemented as it was originally intended. Julianna Pacheco, Jake Haselswerdt, and Jamila Michener show that when Republican governors support Medicaid expansion, Republican voters become more favorable toward the ACA, and polarization between Republican and Democrat voters decreases. Yet Charles Courtemanche, James Marton, and Aaron Yelowitz find little impact of the ACA on voter participation. Lisa Beauregard and Edward Miller examine states' adoption of the ACA's home and community-based care services for the elderly and people with disabilities, finding that states with more liberal elected officials and more fiscal capacity were more likely to adopt these provisions. Paul Shafer, David Anderson, Seciah Aquino, Laura Baum, Erika Franklin Fowler, and Sarah Gollust probe the role of different types of health insurance and political advertising on insurance enrollment. Richard Fording and Dana Patton explain the emergence of contentious Medicaid work requirements and patient co-pays that limit access to Medicaid.
As the COVID-19 pandemic affects healthcare in unprecedented ways, affordable healthcare access is critical. This RSF journal issue offers a timely, thoughtful consideration of one of the most pressing issues in American life.