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Elections have Consequences: Partisan Politics may be Literally Killing Us

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Listed:
  • Alexander Maas

    (University of Idaho)

  • Liang Lu

    (University of Idaho)

Abstract

Background Presidential campaigns and election outcomes have significant health implications for voters and communities. The theoretical underpinning of this relationship is multifaceted, but a new and growing field of empirical literature strongly suggests communities that voted for the losing presidential candidate may experience decreased physical and mental health under the leadership of the winning candidate. Objective Our objective was to estimate the relationship between mortality rates and community support for the losing presidential candidate (partisan loss). Methods Mortality data compiled by the US Centers for Disease Control and election results at the county level were used across a suite of county-year fixed-effects models to estimate the effect of election outcomes on mortality rates for the years 1999–2017. Results Mortality rates were positively associated with partisan loss. Results suggest mortality rates increase by as much as 3% in extremely partisan counties following presidential election losses. Conclusions We suggest two mechanisms—social disintegration and/or partisan theory—by which mortality rates are likely to increase for counties that voted for the losing presidential candidate.

Suggested Citation

  • Alexander Maas & Liang Lu, 2021. "Elections have Consequences: Partisan Politics may be Literally Killing Us," Applied Health Economics and Health Policy, Springer, vol. 19(1), pages 45-56, January.
    • Handle: RePEc:spr:aphecp:v:19:y:2021:i:1:d:10.1007_s40258-020-00621-5
    DOI: 10.1007/s40258-020-00621-5
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    1. Brainerd, Elizabeth, 2001. "Economic reform and mortality in the former Soviet Union: A study of the suicide epidemic in the 1990s," European Economic Review, Elsevier, vol. 45(4-6), pages 1007-1019, May.
    2. Timothy J. Classen & Richard A. Dunn, 2010. "The Politics of Hope and Despair: The Effect of Presidential Election Outcomes on Suicide Rates," Social Science Quarterly, Southwestern Social Science Association, vol. 91(3), pages 593-612, September.
    3. Jeetendra Dangol, 2008. "Unanticipated Political Events and Stock Returns: An Event Study," NRB Economic Review, Nepal Rastra Bank, Research Department, vol. 20, pages 86-110, April.
    4. Shanna Rose, 2006. "Do fiscal rules dampen the political business cycle?," Public Choice, Springer, vol. 128(3), pages 407-431, September.
    5. Kauder, Björn & Potrafke, Niklas & Reischmann, Markus, 2016. "Do politicians reward core supporters? Evidence from a discretionary grant program," European Journal of Political Economy, Elsevier, vol. 45(C), pages 39-56.
    6. Hawe, Penelope & Shiell, Alan, 2000. "Social capital and health promotion: a review," Social Science & Medicine, Elsevier, vol. 51(6), pages 871-885, September.
    7. Jayme Neiman & Karl Giuseffi & Kevin Smith & Jeffrey French & Israel Waismel-Manor & John Hibbing, 2015. "Voting at Home Is Associated with Lower Cortisol than Voting at the Polls," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-9, September.
    8. Gur Huberman & Tobias Konitzer & Masha Krupenkin & David Rothschild & Shawndra Hill, 2018. "Economic Expectations, Voting, and Economic Decisions around Elections," AEA Papers and Proceedings, American Economic Association, vol. 108, pages 597-602, May.
    9. Niklas Potrafke & Felix Roesel, 2020. "The urban–rural gap in healthcare infrastructure: does government ideology matter?," Regional Studies, Taylor & Francis Journals, vol. 54(3), pages 340-351, March.
    10. Aguilera, Nelly & Marrufo, Grecia M., 2007. "Can better infrastructure and quality reduce hospital infant mortality rates in Mexico?," Health Policy, Elsevier, vol. 80(2), pages 239-252, February.
    11. David Card & Carlos Dobkin & Nicole Maestas, 2008. "The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare," American Economic Review, American Economic Association, vol. 98(5), pages 2242-2258, December.
    12. Anthony Downs, 1957. "An Economic Theory of Political Action in a Democracy," Journal of Political Economy, University of Chicago Press, vol. 65(2), pages 135-135.
    13. Yaniv Reingewertz & Thushyanthan Baskaran, 2020. "Distributive spending and presidential partisan politics," Public Choice, Springer, vol. 185(1), pages 65-85, October.
    14. Indraneel Dasgupta & Ranajoy Guha Neogi, 2018. "Between-group contests over group-specific public goods with within-group fragmentation," Public Choice, Springer, vol. 174(3), pages 315-334, March.
    15. Fredrik Carlsen, 1998. "Rational Partisan Theory: Empirical Evidence for the United States," Southern Economic Journal, John Wiley & Sons, vol. 65(1), pages 64-82, July.
    16. Mulvaney-Day, Norah E. & Alegría, Margarita & Sribney, William, 2007. "Social cohesion, social support, and health among Latinos in the United States," Social Science & Medicine, Elsevier, vol. 64(2), pages 477-495, January.
    17. Bilal, Usama & Knapp, Emily A. & Cooper, Richard S., 2018. "Swing voting in the 2016 presidential election in counties where midlife mortality has been rising in white non-Hispanic Americans," Social Science & Medicine, Elsevier, vol. 197(C), pages 33-38.
    18. Sergiy Verstyuk, 2004. "Partisan Differences in Economic Outcomes and Corresponding Voting Behavior: Evidence from the U.S," Public Choice, Springer, vol. 120(1_2), pages 169-189, July.
    19. Reidpath, Daniel D., 2003. ""Love thy neighbour"--it's good for your health: a study of racial homogeneity, mortality and social cohesion in the United States," Social Science & Medicine, Elsevier, vol. 57(2), pages 253-261, July.
    20. Kelsey Lucyk & Lindsay McLaren, 2017. "Taking stock of the social determinants of health: A scoping review," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-24, May.
    21. Justin Wolfers, 2006. "Did Unilateral Divorce Laws Raise Divorce Rates? A Reconciliation and New Results," American Economic Review, American Economic Association, vol. 96(5), pages 1802-1820, December.
    22. Clemens, Jeffrey, 2017. "Pitfalls in the Development of Falsification Tests: An Illustration from the Recent Minimum Wage Literature," MPRA Paper 80154, University Library of Munich, Germany.
    23. Harris, J. Andrew & Posner, Daniel N., 2019. "(Under What Conditions) Do Politicians Reward Their Supporters? Evidence from Kenya’s Constituencies Development Fund," American Political Science Review, Cambridge University Press, vol. 113(1), pages 123-139, February.
    24. Simon Wigley & Arzu Akkoyunlu-Wigley, 2011. "Do electoral institutions have an impact on population health?," Public Choice, Springer, vol. 148(3), pages 595-610, September.
    25. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2016. "Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States," NBER Working Papers 22182, National Bureau of Economic Research, Inc.
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    1. Chris Sampson’s journal round-up for 1st February 2021
      by Chris Sampson in The Academic Health Economists' Blog on 2021-02-01 12:00:03

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