The dynamics of health care opinion, 2008-2010: partisanship, self-interest, and racial resentment.

Journal Article (Journal Article)

Recent debate over the Patient Protection and Affordable Care Act highlights the extent of party polarization in Washington. While the partisan divide on this issue is stark among political elites, it is less clear how the mass electorate has responded to this divisive conflict. In this article we examine individual-level dynamics in health care attitudes between 2008 and 2010. We find partisan attachments and self-interests strongly predict change in health care attitudes, with Republicans growing more opposed to universal health insurance between 2008 and 2010, and those personally worried about medical expenses less likely to abandon support. We find, however, that the effect of partisanship is moderated by self-interest, with strong Republicans significantly less likely to switch to opposition if they were personally worried about medical expenses. Finally, we find that health care policy preferences, already tinged with racial attitudes in 2008, became increasingly so by 2010.

Full Text

Duke Authors

Cited Authors

  • Henderson, M; Hillygus, DS

Published Date

  • December 2011

Published In

Volume / Issue

  • 36 / 6

Start / End Page

  • 945 - 960

PubMed ID

  • 22232419

Electronic International Standard Serial Number (EISSN)

  • 1527-1927

International Standard Serial Number (ISSN)

  • 0361-6878

Digital Object Identifier (DOI)

  • 10.1215/03616878-1460533


  • eng