Politics and Need

Transcript

1. Politics and Need Examining Governor's Decisions to Oppose the Medicaid Expansion Charles Barrilleaux and Carlisle Rainey
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
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
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
29. Paper, Data, and Code at: crain.co/need