Please use this identifier to cite or link to this item:
Title: Policy feedback and the politics of the Affordable Care Act
Authors: Béland, Daniel
Rocco, Philip
Waddan, Alex
First Published: 30-Oct-2018
Publisher: Wiley for Policy Studies Organization (PSO)
Citation: Policy Studies Journal, 2018
Abstract: There is a large body of literature devoted to how “policies create politics” and how feedback effects from existing policy legacies shape potential reforms in a particular area. Although much of this literature focuses on self-reinforcing feedback effects that increase support for existing policies over time, Kent Weaver and his colleagues have recently drawn our attention to selfundermining effects that can gradually weaken support for such policies. The following contribution explores both self-reinforcing and self-undermining policy feedback in relationship to the Affordable Care Act, the most important health care reform enacted in the United States since the mid-1960s. More specifically, the paper draws on the concept of policy feedback to reflect on the political fate of the ACA since its adoption in 2010. We argue that, due in part to its sheer complexity and fragmentation, the ACA generates both self-reinforcing and selfundermining feedback effects that, depending of the aspect of the legislation at hand, can either facilitate or impede conservative retrenchment and restructuring. Simultaneously, through a discussion of partisan effects that shape Republican behavior in Congress, we acknowledge the limits of policy feedback in the explanation of policy stability and change.
DOI Link: 10.1111/psj.12286
ISSN: 0190-292X
eISSN: 1541-0072
Embargo on file until: 30-Oct-2020
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2018, Wiley for Policy Studies Organization (PSO). Deposited with reference to the publisher’s open access archiving policy. (
Description: The file associated with this record is under embargo until 24 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.
Appears in Collections:Published Articles, Dept. of Politics and International Relations

Files in This Item:
File Description SizeFormat 
PSJ+Policy+Feedback+and+the+Politics+of+the+Affordable+Care+Act+conditional+accept+Final.pdfPost-review (final submitted author manuscript)272.8 kBAdobe PDFView/Open

Items in LRA are protected by copyright, with all rights reserved, unless otherwise indicated.