The contributors to this issue investigate the complex ways that
policies of the Affordable Care Act (ACA) have diffused through the
states over seven years of implementation. When the ACA was passed
in 2010, states were given the option to set up their own health
care exchanges, expand their Medicaid programs, and reform both
their local public health and their health care delivery systems.
These reforms significantly impacted citizens' access to insurance.
Contributors examine how local conditions account for variation in
enrollment across states, analyze the evolution of Medicaid waivers
in Republican-led states, show how early-adopting states affected
later adopters, explore the role of public opinion in the diffusion
of ACA policies, and argue for the importance of rhetorical framing
when advocating in favor of the ACA. Contributors. Frederick J.
Boehmke, Timothy Callaghan, Rena Conti, Bruce A. Desmarais, Colleen
M. Grogan, Jeffrey J. Harden, Lawrence Jacobs, David K. Jones,
Andrew Karch, Elizabeth Maltby, Julianna Pacheco, Aaron Rosenthal,
Abigail A. Rury, Phillip McMinn Singer, Craig Volden
General
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