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The Spillover of Racialization into Health Care: How President Obama Polarized Public Opinion by Racial Attitudes and Race

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  • Michael Tesler

Abstract

This study argues that President Obama's strong association with an issue like health care should polarize public opinion by racial attitudes and race. Consistent with that hypothesis, racial attitudes had a significantly larger impact on health care opinions in fall 2009 than they had in cross‐sectional surveys from the past two decades and in panel data collected before Obama became the face of the policy. Moreover, the experiments embedded in one of those reinterview surveys found health care policies were significantly more racialized when attributed to President Obama than they were when these same proposals were framed as President Clinton's 1993 reform efforts. Dozens of media polls from 1993 to 1994 and from 2009 to 2010 are also pooled together to show that with African Americans overwhelmingly supportive of Obama's legislative proposals, the racial divide in health care opinions was 20 percentage points greater in 2009–10 than it was over President Clinton's plan back in 1993–94.

Suggested Citation

  • Michael Tesler, 2012. "The Spillover of Racialization into Health Care: How President Obama Polarized Public Opinion by Racial Attitudes and Race," American Journal of Political Science, John Wiley & Sons, vol. 56(3), pages 690-704, July.
    • Handle: RePEc:wly:amposc:v:56:y:2012:i:3:p:690-704
    DOI: 10.1111/j.1540-5907.2011.00577.x
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    Cited by:

    1. Eric Chyn & Kareem Haggag & Bryan A. Stuart, 2022. "The Effects of Racial Segregation on Intergenerational Mobility: Evidence from Historical Railroad Placement," NBER Working Papers 30563, National Bureau of Economic Research, Inc.
    2. Vinish Shrestha, 2023. "The Former Oppressive Racial Regime and Geographic Discontinuities in Efficacy of the Affordable Care Act in the American South," Working Papers 2023-02, Towson University, Department of Economics, revised Oct 2023.
    3. Thomas Ferguson & Benjamin Page & Jacob Rothschild & Jie Chen & Arturo Chang, 2018. "The Economic and Social Roots of Populist Rebellion: Support for Donald Trump in 2016," Working Papers Series 83, Institute for New Economic Thinking.
    4. Malat, Jennifer & Mayorga-Gallo, Sarah & Williams, David R., 2018. "The effects of whiteness on the health of whites in the USA," Social Science & Medicine, Elsevier, vol. 199(C), pages 148-156.
    5. Daniel Béland & Michael Howlett & Philip Rocco & Alex Waddan, 2020. "Designing policy resilience: lessons from the Affordable Care Act," Policy Sciences, Springer;Society of Policy Sciences, vol. 53(2), pages 269-289, June.
    6. Alexandra Filindra & E. J. Fagan, 2022. "Black, immigrant, or woman? The implicit influence of Kamala Harris’ vice presidential nomination on support for Biden in 2020," Social Science Quarterly, Southwestern Social Science Association, vol. 103(4), pages 892-906, July.
    7. Mitoko, Jeremiah, 2021. "Concentration of power and Populism's Rise in America: evidence from recent US elections," MPRA Paper 108757, University Library of Munich, Germany.
    8. Stephens-Davidowitz, Seth, 2014. "The cost of racial animus on a black candidate: Evidence using Google search data," Journal of Public Economics, Elsevier, vol. 118(C), pages 26-40.
    9. David R. Williams & Lisa A. Cooper, 2019. "Reducing Racial Inequities in Health: Using What We Already Know to Take Action," IJERPH, MDPI, vol. 16(4), pages 1-26, February.
    10. Melissa Deckman & Laurel Elder & Steven Greene & Mary‐Kate Lizotte, 2023. "Abortion, religion, and racial resentment: Unpacking the underpinnings of contemporary abortion attitudes," Social Science Quarterly, Southwestern Social Science Association, vol. 104(2), pages 140-152, March.
    11. Kyung Suk Lee & Kirby Goidel & Clifford Young, 2023. "The system is broken: Can we have some more?," Social Science Quarterly, Southwestern Social Science Association, vol. 104(1), pages 39-53, January.
    12. Clem Brooks & Elijah Harter, 2021. "Redistribution Preferences, Inequality Information, and Partisan Motivated Reasoning in the United States," Societies, MDPI, vol. 11(2), pages 1-16, June.
    13. Maureen A. Craig & Julian M. Rucker & Jennifer A. Richeson, 2018. "Racial and Political Dynamics of an Approaching “Majority-Minority†United States," The ANNALS of the American Academy of Political and Social Science, , vol. 677(1), pages 204-214, May.
    14. Sekou Franklin, 2017. "The Politics of Race, Administrative Appeals, and Medicaid Disenrollment in Tennessee," Social Sciences, MDPI, vol. 6(1), pages 1-15, January.
    15. Julia Azari & Marc J. Hetherington, 2016. "Back to the Future? What the Politics of the Late Nineteenth Century Can Tell Us about the 2016 Election," The ANNALS of the American Academy of Political and Social Science, , vol. 667(1), pages 92-109, September.
    16. Yotam Margalit, 2019. "Economic Insecurity and the Causes of Populism, Reconsidered," Journal of Economic Perspectives, American Economic Association, vol. 33(4), pages 152-170, Fall.
    17. Mehmet Balcilar & Seyi Saint Akadiri & Rangan Gupta & Stephen M. Miller, 2019. "Partisan Conflict and Income Inequality in the United States: A Nonparametric Causality-in-Quantiles Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(1), pages 65-82, February.
    18. Jamila Michener, 2022. "Race, power, and policy: understanding state anti-eviction policies during COVID-19 [Pandemic politics: Timing state-level social distancing responses to COVID-19]," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 41(2), pages 231-246.
    19. Geneva Cole, 2020. "Types of White Identification and Attitudes About Black Lives Matter," Social Science Quarterly, Southwestern Social Science Association, vol. 101(4), pages 1627-1633, July.
    20. Gollust, Sarah E. & Haselswerdt, Jake, 2023. "Who does COVID-19 hurt most? Perceptions of unequal impact and political implications," Social Science & Medicine, Elsevier, vol. 323(C).
    21. Mariani, Lucas Argentieri & Gagete-Miranda, Jessica & Rettl, Paula, 2020. "Words can hurt: how political communication can change the pace of an epidemic," OSF Preprints ps2wx, Center for Open Science.
    22. Jonathan Knuckey & Myunghee Kim, 2015. "Racial Resentment, Old-Fashioned Racism, and the Vote Choice of Southern and Nonsouthern Whites in the 2012 U.S. Presidential Election," Social Science Quarterly, Southwestern Social Science Association, vol. 96(4), pages 905-922, December.
    23. Eric D Knowles & Brian S Lowery & Elizabeth P Shulman & Rebecca L Schaumberg, 2013. "Race, Ideology, and the Tea Party: A Longitudinal Study," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-11, June.
    24. David A. Matsa & Amalia R. Miller, 2018. "Who Votes for Medicaid Expansion? Lessons from Maine’s 2017 Referendum," NBER Working Papers 25109, National Bureau of Economic Research, Inc.

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