More Than Words? How Highlighting Target Populations Affects Public Opinion about the Medicaid Program.

CONTEXT: The Medicaid program provides health insurance coverage to a diverse set of demographics. We know little about how the policy community describes these populations (e.g., on Medicaid-related websites or in public opinion polls and policy writings) or whether and how these descriptions may affect perceptions of the program, its beneficiaries, and potential policy changes. METHODS: To investigate this issue, we developed and fielded a nationally representative survey of 2,680 Americans that included an experiment for priming respondents by highlighting different combinations of target populations of the Medicaid program as found in the Medicaid policy discourse. FINDINGS: Overall, we find that Americans view Medicaid and its beneficiaries rather favorably. However, there are marked differences based on partisanship and racial animosity. Emphasizing citizenship and residency requirements at times improved these perceptions. CONCLUSIONS: Racial perceptions and partisanship are important correlates in Americans' views about Medicaid and its beneficiaries. However, perceptions are not immutable. In general, the policy community should shift toward using more comprehensive descriptions of the Medicaid population that go beyond the focus on low income and that include citizenship and residency requirements. Future research should expand this work by studying descriptions in the broader public discourse.

COVID-19 and Motivated Reasoning: The Influence of Knowledge on COVID-Related Policy and Health Behavior.

Objective: The spread of misinformation about COVID-19 severely influences the governments' ability to address the COVID-19 pandemic. This study explores the predictors of accurate beliefs about COVID-19 and its influence on COVID-related policy and behavior. Methods: Data from an original survey collected by Lucid in July 2020 are used. Ordinary Least Squares regression (OLS) is used to predict accurate beliefs about COVID-19. Ordered logistic regression models are estimated to examine the relationship between COVID-19 knowledge, policy preferences, and health behavior intentions. Results: Ideology and education were found to have a positive effect on knowledge about COVID-19. Moreover, low levels of knowledge about COVID-19 were found to reduce support for mandatory vaccination policy and willingness to get a coronavirus vaccine when available. Conclusion: These findings will help policymakers develop communication strategies for the public on the coronavirus vaccination.

Lingering Legacies: Public Attitudes about Medicaid Beneficiaries and Work Requirements.

CONTEXT: This article provides a detailed picture of the mindset of Americans about Medicaid work requirements and the important roles that perception of deservingness and racial bias play in public attitudes. METHODS: The authors conducted a large original survey to investigate public attitudes toward work requirements. They analyzed the predictors of overall support for work requirements, correlates of who should be exempt from them, and attitudes toward work supports that make compliance with work requirements easier. FINDINGS: The authors found that public opinion is split relatively evenly when it comes to Medicaid work requirements in the abstract. When Americans are confronted with the complexities of the issue, important nuances emerge. The authors also found consistent evidence that support for work requirements is higher among conservatives, those who see Medicaid as a short-term program, and racially resentful non-Hispanic whites. They show that groups that have historically been framed as deserving see high levels of support for their exemption (e.g., the disabled and senior citizens). Finally, the authors found that Americans are supportive of policies that provide individuals with help when transitioning into the workforce. CONCLUSIONS: Americans' views of Medicaid and the populations it serves are complex and continue to be influenced by perceptions of deservingness and race.