scholarly journals How Intense Policy Demanders Shape Postreform Politics: Evidence from the Affordable Care Act

2018 ◽  
Vol 43 (2) ◽  
pp. 271-304 ◽  
Author(s):  
Philip Rocco ◽  
Simon F. Haeder
Keyword(s):  
Affordable Care Act ◽  
Political Ideology ◽  
Institutional Design ◽  
Secondary Analysis ◽  
State Level ◽  
Original Data ◽  
Political Agenda ◽  
Policy Feedback ◽  
Data Set ◽  
The Affordable Care Act

Abstract The implementation of the Affordable Care Act (ACA) has been a politically volatile process. The ACA's institutional design and delayed feedback effects created a window of opportunity for its partisan opponents to launch challenges at both the federal and state level. Yet as recent research suggests, postreform politics depends on more than policy feedback alone; rather, it is shaped by the partisan and interest-group environment. We argue that “intense policy demanders” played an important role in defining the policy alternatives that comprised congressional Republicans' efforts to repeal and replace the ACA. To test this argument, we drew on an original data set of bill introductions in the House of Representatives between 2011 and 2016. Our analysis suggests that business contributions and political ideology affected the likelihood that House Republicans would introduce measures repealing significant portions of the ACA. A secondary analysis shows that intense policy demanders also shaped the vote on House Republicans' initial ACA replacement plan. These findings highlight the role intense policy demanders can play in shaping the postreform political agenda.

Trends in State-Level Opinions toward the Affordable Care Act

2019 ◽  
Vol 44 (5) ◽  
pp. 737-764 ◽  
Author(s):  
Julianna Pacheco ◽  
Elizabeth Maltby
Keyword(s):  
Affordable Care Act ◽  
Presidential Election ◽  
Policy Making ◽  
Small Area ◽  
Public Support ◽  
State Level ◽  
Policy Feedback ◽  
Positive Effects ◽  
Slow Progression ◽  
The Affordable Care Act

Abstract Context: This article argues that the devolution of the Affordable Care Act (ACA) to the states contributed to the slow progression of national public support for health care reform. Methods: Using small-area estimation techniques, the authors measured quarterly state ACA attitudes on five topics from 2009 to the start of the 2016 presidential election. Findings: Public support for the ACA increased after gubernatorial announcement of state-based exchanges. However, the adoption of federal or partnership marketplaces had virtually no effect on public opinion of the ACA and, in some cases, even decreased positive perceptions. Conclusions: The authors' analyses point to the complexities in mass preferences toward the ACA and policy feedback more generally. The slow movement of national ACA support was due partly to state-level variations in policy making. The findings suggest that, as time progresses, attitudes in Republican-leaning states with state-based marketplaces will become more positive toward the ACA, presumably as residents begin to experience the positive effects of the law. More broadly, this work highlights the importance of looking at state-level variations in opinions and policies.

Drug Use During Pregnancy Policies in the United States From 1970 to 2016

2018 ◽  
Vol 45 (4) ◽  
pp. 441-459 ◽  
Author(s):  
Sue Thomas ◽  
Ryan Treffers ◽  
Nancy F. Berglas ◽  
Laurie Drabble ◽  
Sarah C. M. Roberts
Keyword(s):  
Drug Use ◽  
State Level ◽  
Original Data ◽  
The United States ◽  
State Policies ◽  
Alcohol Policy ◽  
Data Set ◽  
Drug Laws ◽  
Policy Domain ◽  
Policy Environments

As U.S. states legalize marijuana and as governmental attention is paid to the “opioid crisis,” state policies pertaining to drug use during pregnancy are increasingly important. Little is known about the scope of state policies targeting drug use during pregnancy, how they have evolved, and how they compare to alcohol use during pregnancy policies. Method: Our 46-year original data set of statutes and regulations in U.S. states covers the entirety of state-level legislation in this policy domain. Data were obtained through original legal research and from the National Institute on Alcohol Abuse and Alcoholism’s Alcohol Policy Information System. Policies were analyzed individually as well as by classification as punitive toward or supportive of women. Results: The number of states with drug use during pregnancy policies has increased from 1 in 1974 to 43 in 2016. Policies started as punitive. By the mid- to late 1980s, supportive policies emerged, and mixed policy environments dominated in the 2000s. Overall, drug/pregnancy policy environments have become less supportive over time. Comparisons of drug laws to alcohol laws show that the policy trajectories started in opposite directions, but by 2016, the results were the same: Punitive policies were more prevalent than supportive policies across states. Moreover, there is a great deal of overlap between drug use during pregnancy policies and alcohol/pregnancy policies. Conclusion: This study breaks new ground. More studies are needed that explore the effects of these policies on alcohol and other drug use by pregnant women and on birth outcomes.

Subverting the Organizational Cartel: Explaining Cross-Party Leadership Selection in U.S. State Houses

2019 ◽  
Vol 48 (4) ◽  
pp. 475-483
Author(s):  
Matthew N. Green
Keyword(s):  
House Of Representatives ◽  
State Legislatures ◽  
State Level ◽  
Original Data ◽  
Data Set ◽  
Leadership Selection ◽  
Majority Party ◽  
Party Ideology ◽  
Level I ◽  
Selection Of

In the U.S. House of Representatives, the majority party constitutes an organizational cartel that monopolizes the selection of chamber leaders. But in state legislatures, that cartel power is sometimes circumvented by a bipartisan bloc that outvotes the leadership preferences of a majority of the majority party. Drawing from an original data set of instances of cross-party organizational coalitions at the state level, I use statistical analysis to test various hypotheses for when these coalitions are more likely to form. The analysis reveals that party ideology does not adequately explain the violation of these cartels; rather, violations depend on the costs associated with keeping the party unified and the benefits that come from selecting the chamber’s top leadership post. This finding underscores the potential vulnerability of organizational cartels and suggests that governing parties are strategic when deciding how fiercely to defend their cartel power.

scholarly journals Mapping the Trade and Environment Nexus: Insights from a New Data Set

2018 ◽  
Vol 18 (1) ◽  
pp. 122-139 ◽  
Author(s):  
Jean-Frédéric Morin ◽  
Andreas Dür ◽  
Lisa Lechner
Keyword(s):  
Institutional Design ◽  
Trade Agreements ◽  
Original Data ◽  
Policy Innovation ◽  
Import Competition ◽  
Environmental Standards ◽  
Trade And Environment ◽  
Data Set ◽  
Regime Effectiveness ◽  
Environment And Trade

Environment and trade are increasingly linked through preferential trade agreements. Despite the encompassing nature of environmental provisions in trade agreements, studies on causes and consequences of the trade and environment linkage are scarce. A main cause hindering research in this area is the lack of data. In this research note, we introduce an original data set (TREND) on environmental provisions found in 630 trade agreements signed between 1947 and 2016—the most comprehensive data set in terms of both variables coded and agreements covered. We illustrate the data set’s usefulness by assessing the question of why countries include environmental provisions in trade agreements. Are trade negotiations opportunities to promote stringent environmental standards? Or are environmental provisions window dressing covering protectionist interests? We find evidence that democracies, countries that face import competition, and countries that care about the environment are more likely to include environmental provisions in trade agreements. The database is of particular relevance for research on international institutional design, policy innovation, regime complexity, policy diffusion, and regime effectiveness.

Political regimes and foreign aid effectiveness in Ghana

2019 ◽  
Vol 18 (1) ◽  
pp. 15-33 ◽  
Author(s):  
Vincent Konadu Tawiah ◽  
Evans John Barnes ◽  
Prince Acheampong ◽  
Ofori Yaw
Keyword(s):  
Economic Growth ◽  
Foreign Aid ◽  
Political Ideology ◽  
Aid Effectiveness ◽  
Political Agenda ◽  
Annual Data ◽  
Political Regimes ◽  
Data Set ◽  
Content Type ◽  
The Government

Purpose This paper has examined the effectiveness of foreign aid on Ghanaian economy under different political regimes. Design/methodology/approach Using vector error correction and co-integration models on the annual data set over a period of 35 years, the authors demonstrate that foreign aid has had varied impacts on economic growth depending on the political ideology of the government in power. Findings With capitalist political philosophy, foreign aid improves private sector growth through infrastructural development. On the other hand, a government with socialist philosophy applies most of its foreign aid in direct social interventions with the view of improving human capital. Thus, each political party is likely to seek foreign aid/grant that will support its political agenda. Overall, the results show that foreign aid has a positive impact on the growth of the Ghanaian economy when there is good macroeconomic environment. Practical implications This implies that the country experiences economic growth when there are sound economic policies to apply foreign aid. Originality/value The practical implication of the findings of this paper is that donor countries and agencies should consider the philosophy of the government in power while granting aid to recipient countries, especially in Africa. The results are robust to different proxies and models.

scholarly journals International Bureaucrats and the Formation of Intergovernmental Organizations: Institutional Design Discretion Sweetens the Pot

2014 ◽  
Vol 68 (1) ◽  
pp. 177-209 ◽  
Author(s):  
Tana Johnson ◽  
Johannes Urpelainen
Keyword(s):  
Institutional Design ◽  
Original Data ◽  
Principal Agent ◽  
Intergovernmental Organizations ◽  
Model Case ◽  
Data Set ◽  
Agent Model ◽  
Principal Agent Model ◽  
International Bureaucracy ◽  
Design Preferences

AbstractBureaucrats working in international intergovernmental organizations (IGOs) regularly help states design new IGOs. Sometimes international bureaucrats possess limited discretion in institutional design; sometimes, they enjoy broad discretion. In fact, they gain discretion even when they openly oppose state preferences. This contravenes conventional thinking about delegation: discretion should decrease as preference divergence between states and international bureaucrats increases. We develop a principal-agent theory of how much discretion states grant to international bureaucrats in the design of new IGOs. This is novel: while principal-agent theories of international delegation are common, scholars have not analyzed principal-agent relationships in the creation of new IGOs. We argue that even an international bureaucracy that disagrees with states' design preferences may enjoy substantial design leeway, because of states' need for bureaucratic expertise. In developing this argument, we employ a formal principal-agent model, case studies, and an original data set.

scholarly journals The Affordable Care Act Medicaid Expansions and Personal Finance

2017 ◽  
Vol 76 (5) ◽  
pp. 538-571 ◽  
Author(s):  
Kyle J. Caswell ◽  
Timothy A. Waidmann
Keyword(s):  
Affordable Care Act ◽  
Personal Finance ◽  
Data Set ◽  
Individual Outcomes ◽  
Triple Difference ◽  
Credit Scores ◽  
The Affordable Care Act ◽  
Early Effects ◽  
Medical Bills ◽  
Medicaid Expansions

Using a novel data set from a major credit bureau, we examine the early effects of the Affordable Care Act Medicaid expansions on personal finance. We analyze less common events such as personal bankruptcy, and more common occurrences such as medical collection balances, and change in credit scores. We estimate triple-difference models that compare individual outcomes across counties that expanded Medicaid versus counties that did not, and across expansion counties that had more uninsured residents versus those with fewer. Results demonstrate financial improvements in states that expanded their Medicaid programs as measured by improved credit scores, reduced balances past due as a percent of total debt, reduced probability of a medical collection balance of $1,000 or more, reduced probability of having one or more recent medical bills go to collections, reduction in the probability of experiencing a new derogatory balance of any type, reduced probability of incurring a new derogatory balance equal to $1,000 or more, and a reduction in the probability of a new bankruptcy filing.

scholarly journals When and How New Policy Creates New Politics: Examining the Feedback Effects of the Affordable Care Act on Public Opinion

2018 ◽  
Vol 16 (2) ◽  
pp. 345-363 ◽  
Author(s):  
Lawrence R. Jacobs ◽  
Suzanne Mettler
Keyword(s):  
Public Opinion ◽  
Political Behavior ◽  
Affordable Care Act ◽  
Policy Design ◽  
Panel Study ◽  
Policy Feedback ◽  
Political Factors ◽  
Feedback Effects ◽  
New Politics ◽  
The Affordable Care Act

Following E. E. Schattschneider’s observation that “a new policy creates a new politics,” scholars of “policy feedback” have theorized that policies influence subsequent political behavior and public opinion. Recent studies observe, however, that policy feedback does not always occur and the form it takes varies considerably. To explain such variation, we call for policy feedback studies to draw more thoroughly on public opinion research. We theorize that: (1) feedback effects are not ubiquitous and may in some instances be offset by political factors, such as partisanship and trust in government; (2) policy design may generate self-interested or sociotropic motivations, and (3) feedback effects result not only from policy benefits but also from burdens. We test these expectations by drawing on a unique panel study of Americans’ responses to the Affordable Care Act. We find competing policy and political pathways, which produce variations in policy feedback.

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