全球智库信息集成服务系统(G2TT): Political Polarization, Anticipated Health Insurance Uptake and Individual Mandate: A view from the Washington State

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w20655
来源ID	Working Paper 20655
	Political Polarization, Anticipated Health Insurance Uptake and Individual Mandate: A view from the Washington State
	Anirban Basu; Norma B. Coe; David E. Grembowski; Larry Kessler
发表日期	2014-11-10
出版年	2014
语种	英语
摘要	The politicization of the Affordable Care Act (ACA) was extreme, with the popular moniker of "Obamacare" and 54 House attempts to repeal the law in the four years after passage. Our study set out to understand Washington state public's preferences about enrolling into ACA driven health insurance programs, the role that political polarization may play on the chances that the uninsured would enroll and the extent to which individual mandate may influence these choices. A representative mail survey among the registered voters of Washington State. We find that 27% have not ruled out purchasing insurance through the Exchange, but their ambiguity is most likely driven by conflicts between health care needs and financial worries on one hand and their political views on the other. Overall, compared to the insured population in 2013, uninsured are significantly more likely (OR = 2.0, 95%CI: 1.1, 3.4) to enroll through the Exchange even after all adjustments including medical needs and financial worries. This highlights that the individual mandate may have an independent effect on enrollment for the uninsured. However, the individual mandate effect is found to be negligible (OR: 1.1, 95%CI: 0.50, 2.8) for the uninsured who blamed the Democrats and/or President Obama for the 2013 governmental shutdown. Political polarization appears to have a trickle down affect at the individual choices even beyond medical needs and financial worries. Alternative strategies, for example bipartisan outreach, may be necessary to convince certain groups of eligible beneficiaries to consider enrollment through the Exchange.
主题	Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health
URL	https://www.nber.org/papers/w20655
来源智库	National Bureau of Economic Research (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/578330
推荐引用方式 GB/T 7714	Anirban Basu,Norma B. Coe,David E. Grembowski,et al. Political Polarization, Anticipated Health Insurance Uptake and Individual Mandate: A view from the Washington State. 2014.