a Boston University School of Social Work , Boston , Massachusetts, USA.
J Aging Soc Policy. 2018 May-Jun;30(3-4):357-371. doi: 10.1080/08959420.2018.1462676.
In his surprise election as president, Donald Trump enjoyed disproportionate electoral support from older voters, many of whom saw in Trump a person who would work to reverse demographic, economic, and cultural forces that had transformed American life as they had long seen it. Yet, Trump's campaign and incumbency has also been very much about gutting the Washington policy establishment of officials, bureaucrats, and lobbyists (aka, "the swamp") which, for more than half a century, has been instrumental in enacting and expanding legislation that has benefitted older Americans far more than any other social policy constituency in the country. This article contrasts the value-oriented electoral support Trump enjoyed from older Americans with their interest concerns centered on policies such as the Affordable Care Act, Medicaid, and a host of smaller grant-in-aid programs. It then reviews the strong institutional base seniors and their advocates have in Washington, posing whether interest-oriented concerns may outweigh ideological ones as policy options emerge from a Republican-controlled government prior to the 2018 elections.
在唐纳德·特朗普出人意料地当选总统的过程中，老年选民给予了他不成比例的选举支持，其中许多人认为特朗普是一个将努力扭转人口、经济和文化力量的人，这些力量自他们有记忆以来就一直在改变美国人的生活。然而，特朗普的竞选和执政也在很大程度上是为了削弱华盛顿政策制定机构中的官员、官僚和说客（又名“沼泽”），这些人在过去半个多世纪里一直是制定和扩大立法的重要力量，这些立法使美国老年人受益远远超过了该国任何其他社会政策群体。本文对比了特朗普从老年美国人那里获得的以价值观为导向的选举支持，以及他们关注的以《平价医疗法案》、医疗补助和一系列小规模赠款计划为中心的政策利益。然后，本文回顾了老年人及其支持者在华盛顿的强大机构基础，提出了在 2018 年选举之前，共和党控制的政府提出政策选择时，利益导向的问题是否可能超过意识形态问题。
