Since its passage in 2010, the Affordable Care Act has received some of the most public backlash than any other bill in recent history. The bill aims to expand healthcare to those who were previously ineligible for coverage due to a pre-existing condition and to those who cannot afford it by subsidising their purchase of private health care plans. One would expect unhealthy, uninsured, and poor Americans to support this. However, there are plenty of uninsured, unhealthy, poor Americans who have a negative opinion of the ACA. This paper attempts to reconcile this fact with a popular theory of voting behaviour, Rational Choice Theory, which states that voters will vote based on maximising their utility. Relying on the 2012 ANES data, I investigate how American’s opinions on the ACA vary depending on their health, if they are insured, and their socioeconomic class.
West, Bradley J., "Opinions on the Affordable Care Act: The Role of Self-Interest" (2015). Student Research Day Abstracts and Posters. 177.