scholarly journals The Affordable Care Act Reduced Income Inequality In The US

2021 ◽  
Vol 40 (1) ◽  
pp. 121-129
Author(s):  
Matthew Buettgens ◽  
Fredric Blavin ◽  
Clare Pan
Keyword(s):  
Income Inequality ◽  
Affordable Care Act ◽  
The Us ◽  
The Affordable Care Act

What Is the Affordable Care Act a Case of? Understanding the ACA through the Comparative Method

2020 ◽  
Vol 45 (4) ◽  
pp. 677-691
Author(s):  
Holly Jarman ◽  
Scott L. Greer
Keyword(s):  
United States ◽  
Health Care ◽  
Welfare State ◽  
Affordable Care Act ◽  
Strong Support ◽  
The United States ◽  
The Us ◽  
The Affordable Care Act ◽  
Shed Light ◽  
The Welfare State

Abstract International comparisons of US health care are common but mostly focus on comparing its performance to peers or asking why the United States remains so far from universal coverage. Here the authors ask how other comparative research could shed light on the unusual politics and structure of US health care and how the US experience could bring more to international conversations about health care and the welfare state. After introducing the concept of casing—asking what the Affordable Care Act (ACA) might be a case of—the authors discuss different “casings” of the ACA: complex legislation, path dependency, demos-constraining institutions, deep social cleavages, segmentalism, or the persistence of the welfare state. Each of these pictures of the ACA has strong support in the US-focused literature. Each also cases the ACA as part of a different experience shared with other countries, with different implications for how to analyze it and what we can learn from it. The final section discusses the implications for selecting cases that might shed light on the US experience and that make the United States look less exceptional and more tractable as an object of research.

Not Such a CLASS Act: America’s Long-Term Care Problem

The Forum ◽  
2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Robert P. Saldin
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
Policy Area ◽  
Term Care ◽  
Obama Administration ◽  
The Us ◽  
The Affordable Care Act ◽  
Primary Payer

AbstractLong-term care is a serious but largely unrecognized problem in the US. The CLASS Act was a new program embedded within the Affordable Care Act that was supposed to bring relief to disabled individuals and Medicaid, the primary payer for long-term care. However, the program had an unworkable design, and it was eventually abandoned by the Obama administration. CLASS’ flaws were largely the product of a policy area in which ignorance and misinformation render any effective and fiscally sound program politically unfeasible. As such, the rise and fall of the CLASS Act highlights the profound challenges facing any attempt to pass serious long-term care reform and underscores the need to raise awareness of America’s long-term care challenge.

Ten Years of Messaging about the Affordable Care Act in Advertising and News Media: Lessons for Policy and Politics

2020 ◽  
Vol 45 (5) ◽  
pp. 711-728 ◽  
Author(s):  
Sarah E. Gollust ◽  
Erika Franklin Fowler ◽  
Jeff Niederdeppe
Keyword(s):  
Affordable Care Act ◽  
News Media ◽  
Health Reform ◽  
Access To Health ◽  
The Us ◽  
Political Ads ◽  
The Affordable Care Act ◽  
The Law ◽  
And Behavior ◽  
Attitudes And Behavior

Abstract Messaging about the Affordable Care Act (ACA) has seemingly produced a variety of outcomes: millions of Americans gained access to health insurance, yet much of the US public remains confused about major components of the law, and there remain stark and persistent political divides in support of the law. Our analysis of the volume and content of ACA-related media (including both ads and news) helps explain these phenomena, with three conclusions. First, the information environment around the ACA has been complex and competitive, with messaging originating from diverse sponsors with multiple objectives. Second, partisan cues in news and political ads are abundant, likely contributing to the crystallized politically polarized opinion about the law. Third, partisan discussions of the ACA in political ads have shifted in volume, direction, and tone over the decade, presenting divergent views regarding which party is accountable for the law's successes (or failures). We offer evidence for each of these conclusions from longitudinal analyses of the volume and content of ACA messaging, also referencing studies that have linked these messages to attitudes and behavior. We conclude with implications for health communication, political science, and the future outlook for health reform.

Medicaid waivers and negotiated federalism in the US: is there relevance to other federal systems?

2017 ◽  
Vol 22 (4) ◽  
pp. 261-264
Author(s):  
Carol S Weissert ◽  
William G Weissert
Keyword(s):  
Health Policy ◽  
Affordable Care Act ◽  
Review Process ◽  
State Interaction ◽  
Federal State ◽  
Medicaid Waivers ◽  
The Us ◽  
Principal Tool ◽  
The Affordable Care Act ◽  
Us Senate

Medicaid waivers have been a principal tool of innovation in health policy in the US since at least the mid 1970s. As Republicans seek to give the states more flexibility in their implementation and management of both Medicaid and the Affordable Care Act or its replacement, waiver authority is likely to be one of the key work arounds for avoiding political barriers in the US Senate. While block-granting Medicaid may require 60 senate votes, waiver authority already exists in both Medicaid law and the Affordable Care Act. Waivers also have great potential for application in other federal nations. Yet there is no theory to explain the way the application and review process evolves or the factors likely to shape the outcome. After a discussion of the theoretical underpinnings of what we call ‘negotiated federalism’, we apply it to examples of Medicaid waivers to see if the theory’s key elements – politics, party congruence, leverage, credit taking and experience – offer a useful perspective on this federal–state interaction so important to health policy.

scholarly journals Forecasting the decisions of the US Supreme Court: lessons from the ‘affordable care act’ judgment

2015 ◽  
Vol 9 (2) ◽  
pp. 64-78
Author(s):  
Leighton Vaughan Williams
Keyword(s):  
Supreme Court ◽  
Affordable Care Act ◽  
Court Decisions ◽  
The Us ◽  
Us Supreme Court ◽  
The Affordable Care Act ◽  
Supreme Court Decisions ◽  
The Way

This paper examines the 2012 US Supreme Court consideration of the Affordable Care Act, and the resulting judgment, with a view to learning what lessons this landmark case can afford us into the way in which the US Supreme Court works, so helping us forecast its decisions. Although this is simply one judgment among many, a case is advanced here that the details of the way that the judgment was made can be used to help arbitrate between conflicting interpretations in the literature as to the way that the US Supreme Court reaches its decisions. It is argued that consideration of this case does provide particular insights which might usefully improve forecasts of future Supreme Court decisions.

scholarly journals Health care reform in the US: an analysis of implementation of the Affordable Care Act in California

2014 ◽  
Vol 14 (S2) ◽  
Author(s):  
Dylan Roby ◽  
Ken Jacobs ◽  
Greg Watson ◽  
Alla Bronshteyn ◽  
Dave Graham-Squire ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Affordable Care Act ◽  
The Us ◽  
The Affordable Care Act
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