In November 2017, Maine became the first state in the nation to vote on a key provision of the Affordable Care Act: the expansion of Medicaid. We analyze local voting results to identify characteristics of areas that support Medicaid expansion. Support is strongly correlated with voter...

A mainstream motivation for decentralized government is to enable public service investments to better align with political preferences that may differ by geographical region. This paper examines how political preferences determine local government provision of hospital services. We find that...

Many political pundits characterized the 2010 election as a referendum on President Obama’s health care reform law. The political science literature on issue voting, however, does not consistently demonstrate that these types of policy evaluations are central to citizens’ vote choices....

In 2008, a group of uninsured low-income adults in Oregon was selected by lottery for the chance to apply for Medicaid. Using this randomized design and state administrative data on voter behavior, we analyze how a Medicaid expansion affected voter turnout and registration. We find that Medicaid...

In 2008, a group of uninsured low-income adults in Oregon was selected by lottery forthe chance to apply for Medicaid. Using this randomized design and state administrative data onvoter behavior, we analyze how a Medicaid expansion affected voter turnout and registration.We find that Medicaid...