THE AFFORDABLE CARE ACT'S EFFECTS ON PATIENTS,PROVIDERS, AND THE ECONOMY: WHAT WE'VE LEARNED SO FAR

As we approach the tenth anniversary of the passage of the Affordable Care Act, it is important to reflect on what has been learned about the impacts of this major reform. In this paper, we review the literature on the impacts of the ACA on patients, providers, and the economy. We find strong evidence that the ACA's provisions have increased insurance coverage. There is also a clearly positive effect on access to and consumption of health care, with suggestive but more limited evidence on improved health outcomes. There is no evidence of significant reductions in provider access, changes in labor supply, or increased budgetary pressures on state governments, and the law's total federal cost through 2018 has been less than predicted. We conclude by describing key policy implications and future areas for research.     

Religion and the Extension of Trust

Political Behavior - The ability to cooperate with others, both individuals and institutions, is an essential social function built on trust. We explore the competing religious logics that shape...     

Durable Democracy? Economic Inequality and Democratic Accountability in the New Gilded Age

Political Behavior - Scholarship in the U.S. provides mounting evidence of a linkage between economic inequality and inequality in representation and policymaking. In response, this article...     

Jacques deLisle and Avery Goldstein,Eds., China’s Global Engagement: Cooperation,Competition, and Influence in the twenty-first Century

Journal of Chinese Political Science -     

Influences and conflicts of federal policies in academic–industrial scientific collaboration

This paper examines the role of the federal government in shaping the relationship between academics scientists and industry. There exists a potential conflict between government policies encouraging collaboration within academia and the policies encouraging collaboration between academia and industry. To test and model these potential conflicts, this paper uses data collected in a 2004–2005 survey by the Research Valuing Mapping Project (a project based at Georgia Tech and led by Barry Bozeman) of more than 2000 academically based research scientists and engineers. The major finding in this paper shows that academic scientists working with industry collaborate more (with all types of collaborators) than those that do not collaborate with industry. However, when examining only those scientist that collaborate with industry, the results reveal a negative relationship between the amount of time spent collaborating with industry and the number of collaborators; implying that increasing collaboration with industry leads to less academic–academic collaboration.     

Labor union membership and voting across nations

Despite a large literature on voter turnout around the world, our understanding of the role of labor union membership remains muddled. In this paper, we examine the relationship between union membership and voting. Using individual level International Social Science Program (ISSP) data from thirty-two countries, we find that union members are more likely to vote and that the substantive effect rivals that of other common predictors of voting. This relationship is also largely invariant across an array of demographic factors, indicating that unions tend to be “equal opportunity mobilizers.” We also find that unions have “spillover” effects: controlling for a variety of other factors, even non-union members are more likely to turn out to vote in countries with higher union densities. In sum, we find that labor unions have a consistent political influence across a wide set of countries.     

Framing Labels and Immigration Policy Attitudes in the Iowa Caucuses: “Trying to Out-Tancredo Tancredo”

We use an experiment built into a series of surveys of Iowa voters during the 2008 Iowa Caucus campaign to test the effect of differing group framing labels on immigration policy preferences. We find that certain framing labels matter, but only among Republican partisans for whom the immigration issue is important. We also find that issue importance produces more conservative policy preferences for Democrats as well as Republicans. We examine and discuss these results as well as their implications for the immigration debate, the interaction between issue salience and policy preferences, and the theory of political framing in general.     

Does more federal environmental funding increase or decrease states' efforts?

We examine the flow of federal grants‐in‐aid from the U.S. Environmental Protection Agency (EPA) to the states. We simultaneously model two dependent variables (the flow of EPA funds, and state environmental and natural resource budgets) to identify the independent roles of state political institutions, political preferences, economic and demographic characteristics, and the task environment. Our central focus, though, is on the relationship between grants and state spending after taking into account those direct effects. We examine the evidence for positive association (a flypaper effect) and negative association (crowding out). We show the different roles for political institutions, political preferences, demographic and economic characteristics, and the task environment in each spending context. Most importantly, we find evidence for a flypaper effect between federal funds and state spending: Federal spending and state spending are positively correlated after accounting for the contribution of the unique factors. © 2010 by the Association for Public Policy Analysis and Management.     

Socio‐economic Considerations in Biosafety and Biotechnology Decision Making: The Cartagena Protocol and National Biosafety Frameworks

Article 26.1 of the Cartagena Protocol on Biosafety left open the possibility for member countries to include in their biosafety regulatory processes the assessment of socio‐economic considerations. Countries may also decide to include such assessments as part of their national legislation or regulations for the approval and deliberate release into the environment of genetically engineered technologies. Countries are debating if and how to implement assessment of socio‐economic considerations. This paper contributes to the ongoing policy dialogue by discussing issues related to socio‐economic assessment including scope, timing, inclusion modalities, methods, decision‐making rules and standards, and the integration of socio‐economic assessments in biosafety and/or biotechnology approval processes. This paper also discusses the implications of such inclusion for technology flows and public and private sector R&D. If inclusion is not done properly, it may negatively impact technology flows especially from the public sector and render an unworkable biosafety system.