Counterproductive Consequences of a Conservative Ideology

Medicaid expansion, a key part of the Affordable Care Act, has been opposed by conservative politicians despite its fiscal and public health benefits. In response, some Republican-led states have expanded Medicaid with new reforms, including requirements for cost sharing and behavioral incentives, that promote conservative political values tied to an ideology of personal responsibility. We examine this trend using Michigan’s Medicaid expansion as a case example. We explore the origins, evidence base, and possible consequences of these reforms. We argue that these reforms prioritize ideology over sound public health knowledge, deflecting attention away from the social, economic, and structural factors that influence the health of the poor, and may ultimately contribute to counterproductive public health and fiscal outcomes

Economic growth · Economics · Health care · Health care reform · Ideology · Incentive · Market economy · Medicaid · Moral responsibility · Political science · Politics · Public economics · Public health · Global Health Care Issues · Healthcare Policy and Management · Law · Medicine · Nursing · Public Administration · Health Policy

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