Politics and Need

Transcript

1. Politics and Need Examining Governor's Decisions to Oppose the Medicaid

   Expansion Charles Barrilleaux and Carlisle Rainey
2. None
3. None

4. “Obamacare is going to be horrible for patients. It's going

   to be horrible for taxpayers. It's probably the biggest job killer ever.” - October 2010

5. “While the federal government is committed to paying 100 percent

   of the cost, I cannot, in good conscience, deny Floridians that need it access to health care.” - February 2013
6. None

7. “I think based on where the membership is today, the

   votes are not there to expand Medicaid no matter what the governor says.” - March 2013

8. 46%

9. 46% 51%

10. 46% 51% 33%

11. There is often a tension between politics and need.

12. Politics Governor's Partisanship Legislature's Composition Public Opinion Need Level of

    Uninsurance

13. Politics Governor's Partisanship Legislature's Composition Public Opinion Need Level of

    Uninsurance

14. Politics Governor's Partisanship Legislature's Composition Public Opinion Need Level of

    Uninsurance

15. Politics Governor's Partisanship Legislature's Composition Public Opinion Need Level of

    Uninsurance

16. Politics Governor's Partisanship Legislature's Composition Public Opinion Need Level of

    Uninsurance
17. None

18. GOP Governor 47 [19, 71]

19. GOP Legislature 34 [-1, 60]

20. Public Opinion -23 [12, -55]

21. Percent Uninsured 0 [-30, 31]

22. “Iowa joins a growing number of states – led by

    both Republican and Democratic governors--that have chosen to put politics aside in expanding Medicaid…” - December 2013

23. Hypothesis p-value Governor’s Partisanship > Need Legislative Composition > Need

    Public Opinion > Need

24. Hypothesis p-value Governor’s Partisanship > Need 0.03 Legislative Composition >

    Need Public Opinion > Need

25. Hypothesis p-value Governor’s Partisanship > Need 0.03 Legislative Composition >

    Need 0.11 Public Opinion > Need

26. Hypothesis p-value Governor’s Partisanship > Need 0.03 Legislative Composition >

    Need 0.11 Public Opinion > Need 0.14

27. Robustness

28. None

29. Paper, Data, and Code at: crain.co/need