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Assessing burden tolerance amid the Medicaid Great Unwinding
Public Administration Review ( IF 6.1 ) Pub Date : 2024-07-23 , DOI: 10.1111/puar.13853
Simon F. Haeder 1 , Donald P. Moynihan 2
Affiliation  

The pandemic era ushered in a period of policy adaptation in how states deliver programs. One aspect of this experimentation is how burdensome safety net administrative processes should be. Using national surveys taken before and after the end of the public health emergency, we offer evidence of how tolerant the public is about burdens when allowed to choose between discrete policy implementation options. First, we show that burden tolerance beliefs are durable and largely unmovable, staying relatively consistent over time, and unaffected by experimental frames. Second, while there is varying support for specific strategies, the public is broadly supportive of tools that reduce burdens in Medicaid. Third, we find consistent predictors of burden tolerance: conservative beliefs and racial resentment are associated with support for burdens, while empathy toward others, belief in burdens as a form of systemic racism, and low administrative capital make people less tolerant of burdens.

中文翻译:


评估医疗补助大放松期间的负担承受能力



大流行时代开启了各国实施计划的政策调整时期。这项实验的一个方面是安全网管理流程应该有多么繁重。通过在公共卫生紧急情况结束之前和之后进行的全国调查,我们提供了证据,表明当允许公众在不同的政策实施选项之间进行选择时,他们对负担的容忍度如何。首先,我们证明负担承受信念是持久的,并且在很大程度上是不可改变的,随着时间的推移保持相对一致,并且不受实验框架的影响。其次,虽然对具体策略的支持各不相同,但公众普遍支持减轻医疗补助负担的工具。第三,我们发现了负担容忍度的一致预测因素:保守信念和种族怨恨与对负担的支持有关,而对他人的同情、对负担作为系统性种族主义形式的信念以及较低的行政资本使人们对负担的容忍度降低。
更新日期:2024-07-23
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