Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-26T08:45:21.337Z Has data issue: false hasContentIssue false

The Persistence of Racialized Health Care Attitudes: Racial Attitudes among White Adults and Identity Importance among Black Adults

Published online by Cambridge University Press:  09 August 2019

Katherine T. McCabe*
Affiliation:
Rutgers University
*
Address correspondence and reprint requests to: K. T. McCabe, Department of Political Science, Rutgers University, The State University of New Jersey, 89 George Street, New Brunswick, NJ 08901. E-mail: k.mccabe@rutgers.edu
Get access

Abstract

This study evaluates the emergence and persistence of the racial divide on health reform in public opinion using survey data from 2008 through 2017. The findings support existing work showing a consistent relationship between racial resentment and attitudes on the Affordable Care Act among White adults. However, the study also builds on existing work by evaluating the relationship between strength of racial identity among Black adults and health care opinion during President Barack Obama's Administration. The paper investigates the implications of the findings for future health policy in the post-Obama era using survey data on the Republicans’ attempt to pass the American Health Care Act in 2017. The results underscore the conditions that make the “spillover” of racial attitudes into seemingly non-racial policy areas more or less likely to occur. The findings also provide suggestive evidence for how future health reforms may receive different levels of support from both White and Black adults.

Type
Research Article
Copyright
Copyright © The Race, Ethnicity, and Politics Section of the American Political Science Association 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Thank you to LaFleur Stephens-Dougan, Seth Goldman, and the editors and anonymous reviewers at the Journal of Race, Ethnicity, and Politics for their helpful feedback.

References

REFERENCES

The American National Election Studies (ANES; www.electionstudies.org) 2012. “The ANES 2012 Time Series Study [dataset].” Stanford University and the University of Michigan [producers].Google Scholar
The American National Election Studies (ANES; www.electionstudies.org) 2016. “The ANES 2016 Time Series Study [dataset].” Stanford University and the University of Michigan [producers].Google Scholar
The Annenberg Public Policy Center of the University of Pennsylvania (APPC). 2010. “National Annenberg Election Survey 2008 Phone Edition” [dataset].Google Scholar
Dawson, Michael. 1994. Behind the Mule: Race and Class in African-American Politics. Princeton, NJ: Princeton University Press.Google Scholar
Dawson, Michael. 2001. Black Visions: The Roots of Contemporary African-American Political Ideologies. Chicago, IL: University of Chicago Press.Google Scholar
Enders, Adam M., and Scott, Jamil. 2019. “The Increasing Racialization of American Electoral Politics, 1988–2016.” American Politics Research, 47 (2): 275303.Google Scholar
Gay, Claudine, Hochschild, Jennifer, and White, Ariel. 2016. “Americans’ Belief in Linked Fate: Does the Measure Capture the Concept?Journal of Race, Ethnicity, and Politics 1 (1): 117–44.Google Scholar
Henderson, Michael, and Hillygus, D. Sunshine. 2011. “The Dynamics of Health Care Opinion, 2008–2010: Partisanship, Self-Interest, and Racial Resentment.” Journal of Health Politics, Policy, and Law 36 (6): 945–60.Google Scholar
Hutchings, Vincent L. 2009. “Change or More of the Same? Evaluating Racial Attitudes in the Obama Era. Public Opinion Quarterly 73 (5): 917–42.Google Scholar
Hutchings, Vincent L., and Jefferson, Hakeem. 2014. “Out of Options? Blacks and Support for the Democratic Party.” American National Election Studies. Accessed May 2016: http://www.electionstudies.org/resources/papers/2014_IPSA_HutchingsJefferson.pdf.Google Scholar
Hutchings, Vincent L., and Valentino, Nicholas A.. 2004. “The Centrality of Race in American Politics.” Annual Review of Political Science 7: 383408.Google Scholar
Kaiser Family Foundation. 2017. “Kaiser Health Tracking Polls.” The Henry J. Kaiser Family Foundation.Google Scholar
Kinder, Donald R., and Sanders, Lynn. 1996. Divided by Color Racial Politics and Democratic Ideals. Chicago: University of Chicago Press.Google Scholar
Kinder, Donald R., and Winter, Nicholas. 2001. “Exploring the Racial Divide: Blacks, Whites, and Opinion on National Policy.” American Journal of Political Science 45 (April): 439–56.Google Scholar
Knowles, Eric D., Lowery, Brian, and Schaumberg, Rebecca L.. 2010. “Racial Prejudice Predicts Opposition to Obama and His Health Care Reform Plan.” Journal of Experimental Social Psychology 46 (2010): 420–23.Google Scholar
Lundberg, Kristjen, Payne, B. Keith, Pasek, Josh, and Krosnick, Jon A.. 2017. “Racial Attitudes Predicted Changes in Ostensibly Race-Neutral Political Attitudes Under the Obama Administration.” Political Psychology 38 (2): 313–30.Google Scholar
Maxwell, Angie, and Shields, Todd. 2014. “The Fate of Obamacare: Racial Resentment, Ethnocentrism and Attitudes about Healthcare Reform.” Political Behavior 6(4): 293304.Google Scholar
Ross, Brian, and El-Buri, Rehab. 2008. “Obama's Pastor: God Damn America, U.S. to Blame for 9/11.” ABC News. Accessed May 2016: https://abcnews.go.com/Blotter/DemocraticDebate/story?id=4443788.Google Scholar
Tate, Katherine. 1993. From Protest to Politics: The New Black Voters in American Elections. Cambridge: Harvard University Press.Google Scholar
Tesler, Michael 2012. “The Spillover of Racialization into Health Care: How President Obama Polarized Public Opinion by Racial Attitudes and Race.” American Journal of Political Science 56 (3): 690704.Google Scholar
Tesler, Michael 2015. “The Conditions Ripe for Racial Spillover Effects.” Advances in Political Psychology 36 (1): 101–17.Google Scholar
Tesler, Michael 2016. Post-racial or Most-Racial? Race and Politics in the Obama era. Chicago, IL: The University of Chicago Press.Google Scholar
Tesler, Michael, and Sears, David O.. 2010. Obama's Race: The 2008 Election and the Dream of A Post-Racial America. Chicago, IL: University of Chicago Press.Google Scholar
White, Ismail K. 2007. “When Race Matters and When It Doesn't: Racial Group Differences in Response to Racial Cues.” American Political Science Review 101(2): 339–54.Google Scholar
Supplementary material: PDF

McCabe supplementary material

McCabe supplementary material 1

Download McCabe supplementary material(PDF)
PDF 172.3 KB