During the coronavirus disease 2019 (COVID-19) public health emergency (PHE), states were barred from disenrolling anyone from Medicaid unless the beneficiary asked to be disenrolled, moved out of state, or died. Coverage increased, but as the PHE ends an estimated 7 million eligible Americans are expected to lose insurance due to difficulty navigating the renewal process. The end of the PHE therefore offers state policymakers a chance to reassess the value of such administrative burdens as a variety of policy tools are available to mitigate these losses.
View Article and Find Full Text PDFHealth Aff (Millwood)
October 2023
Safety-net programs do not reach all eligible Americans, partly because of administrative burden, or experiencing bureaucratic obstacles in obtaining and maintaining program benefits. This burden often disproportionately affects historically marginalized groups, adding concerns about equity. We used a national survey to examine public thinking about the acceptability of administrative burdens imposed by states when implementing Medicaid and the Supplemental Nutrition Assistance Program and the role of race in these considerations.
View Article and Find Full Text PDFPublic officials use blame avoidance strategies when communicating performance information. While such strategies typically involve shifting blame to political opponents or other governments, we examine how they might direct blame to ethnic groups. We focus on the COVID-19 pandemic, where the Trump administration sought to shift blame by scapegoating (using the term "Chinese virus") and mitigate blame by positively framing performance information on COVID-19 testing.
View Article and Find Full Text PDFIn this programmatic essay, we argue that public governance scholarship would benefit from developing a self-conscious and cohesive strand of "positive" scholarship, akin to social science subfields like positive psychology, positive organizational studies, and positive evaluation. We call for a program of research devoted to uncovering the factors and mechanisms that enable high performing public policies and public service delivery mechanisms; procedurally and distributively fair processes of tackling societal conflicts; and robust and resilient ways of coping with threats and risks. The core question driving positive public administration scholarship should be: Why is it that particular public policies, programs, organizations, networks, or partnerships manage do much better than others to produce widely valued societal outcomes, and how might knowledge of this be used to advance institutional learning from positives?
View Article and Find Full Text PDFPhysical and mental health is known to have wide influence over most aspects of social life-be it schooling and employment or marriage and broader social engagement-but has received limited attention in explaining different forms of political participation. We analyze a unique dataset with a rich array of objective measures of cognitive and physical well-being and two objective measures of political participation, voting and contributing money to campaigns and parties. For voting, each aspect of health has a powerful effect on par with traditional predictors of participation such as education.
View Article and Find Full Text PDFJ Gerontol B Psychol Sci Soc Sci
January 2017
Objective: A growing literature documents the importance of physical attractiveness in young and middle adulthood for romantic, marital, and sexual relationships, but little is known about how attractiveness in adolescence matters to intimate relationships in later life. We ask: does attractiveness early in life convey ongoing benefits late in life, or do such benefits erode over time?
Methods: We use multivariate regression models and more than 50 years of data from the Wisconsin Longitudinal Study to examine the connections between adolescent physical attractiveness and intimate relationships (i.e.