The Mediating Effect of Public Opinion on Public Policy

190 pages

English

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190 pages

English

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Informations
Extrait

Description

Using health care policy to develop a theory of how public opinion influences public policy outcomes, Richard E. Chard draws on data ranging from presidential approval ratings to polls conducted during the debate over the Health Security Act. Over the last five decades the relationship has been a complex one, yet there are clear indications that health care policy development has been controlled to a great extent by public opinion. Chard argues that policy change is either static or dynamic because public opinion, the underlying force, is itself dynamic at times and static at others, and concludes that this model of change is applicable to all policy areas, not just health care.

Acknowledgments

1. Health Policy Change

Why Has Health Care Dominated the Policy Agenda?
Explanations from Social Science
Overview

2. Exploring the Foundations of Dynamic Policy Change

Path Dependence
The Importance of Public Opinion in Shaping Health Care Policy
American Health Care Policy
The Dynamic Nature of Health Care Reform?
Incrementalism versus Dynamism in Health Care

3. Path Dependence and Policy Change

Introduction
Social Constructions and Medicare
How the Elderly Lost and Regained Their Health Insurance
Analyzing Change
Does the Mood Really Matter?
Conclusion

4. Presidents as Advocates, Entrepreneurs, and Agenda Setters

Introduction
Presidents as Advocates and Entrepreneurs
Policy Change Research
The Presidents and Their Policies
Data and Methods
Results
Discussion
Conclusion

5. Healthy,Wealthy, and Wise?

Introduction
Theories of Information
The Failure of the Health Security Act
Information and Policy Support
Measuring and Testing Knowledge
A Model of Reciprocal Causation
Results
Conclusion

6. Examining the Impact of Countervalent Messages on Policy Support

Introduction
Media Effects: Negative Advertsing and "Harry and Louise"
The Media and the Health Security Act
Study One: Testing the Strength of the Countervalent Information Message
Study Two: Understanding the Effects of Political Sophistication
Discussion
Conclusion

7. Media Effects and Policy Opinions

Introduction
Media Priming
Media Coverage and Information about the Health Security Act
Study One: Data and Methods
Study One: A Model of Priming Effects on 1996 Presidential Vote Intentions
Study One: Results and Discussion
Study Two: An Experimental Test of Media Priming of Health Care in the 2000 Presidential Race
Study Two: Data and Methods
A Model of Priming Effects on Candidate Evaluations
Study Two: Results and Discussion
Conclusions

8. Dynamic Health Policy Change

Introduction
The Public Mood and National Health Care Spending
Health Policy History and Presidential Activity
The Rise and the Demise of the Health Security Act
Conclusion

Methodological Appendix

Notes

References

Index

Sujets

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United States of America

20th century

History of the Americas

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États-Unis

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Informations

Publié par	State University of New York Press
Date de parution	01 février 2012
Nombre de lectures	2
EAN13	9780791485255
Langue	English

Informations légales : prix de location à la page 0,1598€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

Richard E. Chard

The Mediating Effect of Public Opinion on Public Policy

EXPLORING THE REALM OF HEALTH CARE

The Mediating Effect of Public Opinion on Public Policy

SUNY series in Public Policy Anne Schneider and Helen Ingram, editors

The Mediating Effect of Public Opinion on Public Policy

Exploring the Realm of Health Care

R E. C ICHARD HARD

S TAT E U N I V E R S I T Y O F N E W Y O R K P R E S S

Published by State University of New York

Printed in the United States of America

No part of this book may be used or reproduced in any manner whatsoever without written permission. No part of this book may be stored in a retrieval system or transmitted in any form or by any means including electronic, electrostatic, magnetic tape, mechanical, photocopying, recording, or otherwise without the prior permission in writing of the publisher.

For information, address State University of New York Press, 90 State Street, Suite 700, Albany, NY 12207

Production by Michael Haggett Marketing by Jennifer Giovani and Susan M. Petrie

Library of Congress Cataloging-in-Publication Data

Chard, Richard E., 1965– The mediating effect of public opinion on public policy : exploring the realm of health care / Richard E. Chard. p. cm. — (SUNY series in public policy) Includes bibliographical references and index. ISBN 0-7914-6053-3 (hbk. : alk. paper) — ISBN 0-7914-6054-1 (pbk. : alk. paper) 1. Medical care—Public opinion. 2. Medical policy—public opinion. 3. Health planning—Public opinion. 4. Public opinion. I. Title. II. Series.

RA395.A3C4795 2004 362.1—dc22

10 9 8 7 6 5 4 3 2 1

2003070438

For Cristina

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Acknowledgments

Chapter 1.

Chapter 2.

Chapter 3.

Chapter 4.

Contents

Health Policy Change Why Has Health Care Dominated the Policy Agenda? Explanations from Social Science Overview

Exploring the Foundations of Dynamic Policy Change Path Dependence The Importance of Public Opinion in Shaping Health Care Policy American Health Care Policy The Dynamic Nature of Health Care Reform? Incrementalism versus Dynamism in Health Care

Path Dependence and Policy Change Introduction Social Constructions and Medicare How the Elderly Lost and Regained Their Health Insurance Analyzing Change Does the Mood Really Matter? Conclusion

Presidents as Advocates, Entrepreneurs, and Agenda Setters Introduction Presidents as Advocates and Entrepreneurs Policy Change Research The Presidents and Their Policies

vii

1 1 4 7

11 11

14 16 20 26

29 29 33

33 35 44 46

47 47 49 50 52

viii

Chapter 5.

Chapter 6.

Chapter 7.

Data and Methods Results Discussion Conclusion

Contents

Healthy, Wealthy, and Wise? Introduction Theories of Information The Failure of the Health Security Act Information and Policy Support Measuring and Testing Knowledge A Model of Reciprocal Causation Results Conclusion

Examining the Impact of Countervalent Messages on Policy Support Introduction Media Effects: Negative Advertsing and “Harry and Louise” The Media and the Health Security Act Study One: Testing the Strength of the Countervalent Information Message Study Two: Understanding the Effects of Political Sophistication Discussion Conclusion

Media Effects and Policy Opinions Introduction Media Priming Media Coverage and Information about the Health Security Act Study One: Data and Methods Study One: A Model of Priming Effects on 1996 Presidential Vote Intentions Study One: Results and Discussion Study Two: An Experimental Test of Media Priming of Health Care in the 2000 Presidential Race Study Two: Data and Methods A Model of Priming Effects on Candidate Evaluations Study Two: Results and Discussion Conclusions

61 66 69 72

75 75 77 81 83 84 85 89 90

93 93

94 97

101 104 107

109 109 110

113 114

115 116

117 118 118 120 122

Methodological Appendix

Dynamic Health Policy Change Introduction The Public Mood and National Health Care Spending Health Policy History and Presidential Activity The Rise and the Demise of the Health Security Act Conclusion

References

Notes

Chapter 8.

Contents

125 125 129 130 131 133

175

155

135

Index

159

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