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Good Enough for Government WorkThe Public Reputation Crisis in America (And What We Can Do to Fix It)$
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Amy E. Lerman

Print publication date: 2019

Print ISBN-13: 9780226630175

Published to Chicago Scholarship Online: January 2020

DOI: 10.7208/chicago/9780226630342.001.0001

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The Public Reputation as a Self-Fulfilling Prophecy

The Public Reputation as a Self-Fulfilling Prophecy

(p.131) Seven The Public Reputation as a Self-Fulfilling Prophecy
Good Enough for Government Work

Amy E. Lerman

University of Chicago Press

This chapter describes national data showing that both conservatives and Republicans have actually been less likely than liberals or Democrats to sign up for insurance through the Affordable Care Act health insurance marketplaces. The chapter then presents evidence from a field experiment designed to assess whether partisanship and perceptions of government predict participation in the ACA. The results suggest that partisanship does indeed matter for policy uptake. Republicans and conservatives are more likely to sign up for health insurance through the ACA when the marketplace is framed as a private (rather than public) program. Even within the subset of Republicans, however, it is those who hold more negative views of government who appear most likely to opt out when they perceive the ACA markets to be associated with government.

Keywords:   Affordable Care Act, policy uptake, insurance enrollment, partisanship

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