University of Mississippi, USA.
J Health Polit Policy Law. 2011 Dec;36(6):945-60. doi: 10.1215/03616878-1460533.
Recent debate over the Patient Protection and Affordable Care Act highlights the extent of party polarization in Washington. While the partisan divide on this issue is stark among political elites, it is less clear how the mass electorate has responded to this divisive conflict. In this article we examine individual-level dynamics in health care attitudes between 2008 and 2010. We find partisan attachments and self-interests strongly predict change in health care attitudes, with Republicans growing more opposed to universal health insurance between 2008 and 2010, and those personally worried about medical expenses less likely to abandon support. We find, however, that the effect of partisanship is moderated by self-interest, with strong Republicans significantly less likely to switch to opposition if they were personally worried about medical expenses. Finally, we find that health care policy preferences, already tinged with racial attitudes in 2008, became increasingly so by 2010.
最近围绕《患者保护与平价医疗法案》（Patient Protection and Affordable Care Act）的争论凸显了华盛顿党派极化的程度。虽然在这个问题上政治精英之间存在明显的党派分歧，但大众选民对此分裂冲突的反应还不太清楚。在本文中，我们研究了 2008 年至 2010 年期间个人层面的医疗保健态度动态。我们发现党派关系和自身利益强烈预测医疗保健态度的变化，共和党人在 2008 年至 2010 年间对全民医疗保险的反对意见越来越强烈，而那些个人担心医疗费用的人则不太可能放弃支持。然而，我们发现党派关系的影响受到自身利益的调节，如果共和党人个人担心医疗费用，他们就不太可能从支持转向反对。最后，我们发现，2008 年已经带有种族态度的医疗保健政策偏好，到 2010 年变得更加明显。
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