The Mediating Effect of Public Opinion on Public Policy: Exploring the Realm of Health Care

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Examines how public opinion has influenced health care policy.
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Overview

Examines how public opinion has influenced health care policy.
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Product Details

  • ISBN-13: 9780791460535
  • Publisher: State University of New York Press
  • Publication date: 7/28/2004
  • Series: SUNY series in Public Policy Series
  • Pages: 224
  • Product dimensions: 6.20 (w) x 9.10 (h) x 0.70 (d)

Meet the Author

Richard E. Chard is a Senior Research Associate at the Association of American Medical Colleges.

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Table of Contents

Acknowledgments

1. Health Policy Change

Why Has Health Care Dominated the Policy Agenda?
Explanations from Social Science
Overview

2. Exploring the Foundations of Dynamic Policy Change

Path Dependence
The Importance of Public Opinion in Shaping Health Care Policy
American Health Care Policy
The Dynamic Nature of Health Care Reform?
Incrementalism versus Dynamism in Health Care

3. Path Dependence and Policy Change

Introduction
Social Constructions and Medicare
How the Elderly Lost and Regained Their Health Insurance
Analyzing Change
Does the Mood Really Matter?
Conclusion

4. Presidents as Advocates, Entrepreneurs, and Agenda Setters

Introduction
Presidents as Advocates and Entrepreneurs
Policy Change Research
The Presidents and Their Policies
Data and Methods
Results
Discussion
Conclusion

5. Healthy,Wealthy, and Wise?

Introduction
Theories of Information
The Failure of the Health Security Act
Information and Policy Support
Measuring and Testing Knowledge
A Model of Reciprocal Causation
Results
Conclusion

6. Examining the Impact of Countervalent Messages on Policy Support

Introduction
Media Effects: Negative Advertsing and "Harry and Louise"
The Media and the Health Security Act
Study One: Testing the Strength of the Countervalent Information Message
Study Two: Understanding the Effects of Political Sophistication
Discussion
Conclusion

7. Media Effects and Policy Opinions

Introduction
Media Priming
Media Coverage and Information about the Health Security Act
Study One: Data and Methods
Study One: A Model of Priming Effects on 1996 Presidential Vote Intentions
Study One: Results and Discussion
Study Two: An Experimental Test of Media Priming of Health Care in the 2000 Presidential Race
Study Two: Data and Methods
A Model of Priming Effects on Candidate Evaluations
Study Two: Results and Discussion
Conclusions

8. Dynamic Health Policy Change

Introduction
The Public Mood and National Health Care Spending
Health Policy History and Presidential Activity
The Rise and the Demise of the Health Security Act
Conclusion

Methodological Appendix

Notes

References

Index

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Sort by: Showing all of 3 Customer Reviews
  • Anonymous

    Posted December 27, 2004

    Professors! This is a great book for college courses

    I am using this book in my course in political science and I would suggest that other professors adopt this book as well. It is written in a way that makes it accessible and useful to both graduate students and undergraduate students. Do not be frightened away by the emphasis on health care, Chard uses that as a 'convenient' policy area to really paint a broad picture of the relationship between public policy and public opinion. I have shared it with my colleagues (at a highly selective college) and they are adopting it in areas as diverse as a course on public opinion, a course in sociology, a course in economics (evolutionary), a course in methodology and statistics and of course, there is my own public policy course. Highly recommended.

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  • Anonymous

    Posted October 21, 2004

    Outstanding Book about Politics

    This is a great book for anyone who wants to understand how public opinion influences public policy and how the media in turn influences public opinion. To be sure--as other reviewers have noted--the statistics in this book are as arduous as the title is long, but they are used to make a point and the text explains the point clearly so that even those with just a passing knowledge of data and analysis will understand, for example, that Harry and Louise eroded the average support for Clinton's health care plan by 5%--enough to sink it. For those 'techies' out there, the methods appendix is a neat feature (it is too bad that this is not linked online)--it explains the methods used and, I think, supports the results in the book. Overall--it is a great resource for anyone who is interested in how policy outcomes and public opinion are influenced, swayed, changed, etc. (that is all of you future James Carvilles and Karl Roves out there!).

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  • Anonymous

    Posted July 19, 2004

    Best Public Policy Book Ever

    I received my copy shortly after it was released (July 15) and started reading! At first, I was a little concerned (any book with a 'methods appendix' concerns me), but Chard really makes it easy to understand what he is doing with the data. Rather than giving chapter after chapter of his opinion, as many recent books do, Dr. Chard uses data to show what is happening--how political rhetoric in general and the media in particular can impact public policy by changing public opinion. I especially liked the chapter where he explains the power of the president in shaping public debate and shows that the media can quickly change public opinion by repeating misleading soundbites when an issue is complex like the Health Security Act. Overall, this is a fascinating read and a good resource, especially in this election year.

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