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Can Public Policy Influence Public Opinion? Studying Feedback Effects and Elite Influence Using the Affordable Care Act

Bibliographic Data

ID4294896
AuthorsMichael W Sances (0000-0003-0013-3738, Temple University, corresponding author)
Year2024
Volume140
Issue4
Pages799-806
Publication date2024-06-25
Open AccessYes
TypeARTICLE
VenuePolitical Science Quarterly (JOURNAL)
Journal identifiersISSN: 0032-3195 • E-ISSN: 1538-165X
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/psquar/qqae056
OpenAlexW4400017345
LanguageEN
Citations received2

Political elites often claim that the passage of new public programs will shift the political debate by influencing public opinion. These expectations also motivate elites to engage in messaging that they believe will further shape public opinion toward these new programs. In Stable Condition, Daniel J. Hopkins subjects these beliefs-and their social science analogues of policy feedback and opinion leadership-to rigorous and exhaustive scrutiny in a comprehensive assessment of how the Affordable Care Act (ACA) affected public opinion. Contrary to much of the elite and scholarly consensus, Hopkins finds little or no effect of the ACA or its attendant messaging wars on public opinion. In this essay, I highlight what I see as some of the key contributions of the book to the literature on policy feedbacks. One of these contributions is the strength of the empirical analysis, which convinces me that the author's conclusions about the ACA's limited effects are correct. In the latter part of the review, however, I question how much we can learn about feedback effects in general from this particular case, given the strategic considerations that informed the ACA's passage. Last, I re-evaluate the book's conclusions of opinion stability given longer-term trends in both policy and opinion

Elite · Political science · Politics · Public opinion · Public policy · Public relations · Gender Diversity and Inequality · Gender Politics and Representation · Gender, Labor, and Family Dynamics · Law · Public Administration

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae