PSJ+Policy+Feedback+and+the+Politics+of+the+Affordable+Care+Act+conditional+accept+Final.pdf (272.8 kB)
Download file

Policy feedback and the politics of the Affordable Care Act

Download (272.8 kB)
journal contribution
posted on 25.07.2018, 13:23 by Daniel Béland, Philip Rocco, Alex Waddan
There is a large body of literature devoted to how “policies create politics” and how feedback effects from existing policy legacies shape potential reforms in a particular area. Although much of this literature focuses on self-reinforcing feedback effects that increase support for existing policies over time, Kent Weaver and his colleagues have recently drawn our attention to selfundermining effects that can gradually weaken support for such policies. The following contribution explores both self-reinforcing and self-undermining policy feedback in relationship to the Affordable Care Act, the most important health care reform enacted in the United States since the mid-1960s. More specifically, the paper draws on the concept of policy feedback to reflect on the political fate of the ACA since its adoption in 2010. We argue that, due in part to its sheer complexity and fragmentation, the ACA generates both self-reinforcing and selfundermining feedback effects that, depending of the aspect of the legislation at hand, can either facilitate or impede conservative retrenchment and restructuring. Simultaneously, through a discussion of partisan effects that shape Republican behavior in Congress, we acknowledge the limits of policy feedback in the explanation of policy stability and change.

Funding

Daniel Béland acknowledges support from the Canada Research Chairs Program

History

Citation

Policy Studies Journal, 2018

Author affiliation

/Organisation/COLLEGE OF SOCIAL SCIENCES, ARTS AND HUMANITIES/School of History, Politics and International Relations

Version

AM (Accepted Manuscript)

Published in

Policy Studies Journal

Publisher

Wiley for Policy Studies Organization (PSO)

issn

0190-292X

eissn

1541-0072

Acceptance date

01/06/2018

Copyright date

2018

Publisher version

https://onlinelibrary.wiley.com/doi/full/10.1111/psj.12286

Notes

The file associated with this record is under embargo until 24 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.

Language

en