Not the next IRA: how health savings accounts shape public opinion.

Not the next IRA: how health savings accounts shape public opinion.
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不是下一个 IRA:健康储蓄账户如何塑造公众舆论。

DOI:
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发表时间:
2009
影响因子:
4.2
通讯作者:
Jason Barabas
Jason Barabas
中科院分区:
医学3区
文献类型:
--
作者:
Jason Barabas

文献摘要

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学者们怀疑公共政策会影响公众舆论,但经验证据是混合的,当代理论提出了抵消预测。本研究探讨了两个据称相似的私人投资账户计划,不同的政治相关的方式。统计分析表明,个人退休账户(IRAs)和健康储蓄账户(HSAs)的所有者经历政策反馈效应,但方向相反。更具体地说,在一项全国性调查中,对受访者进行的匹配比较表明,伊拉参与者比没有IRA的个人更倾向于社会保障私有化。相比之下,HSA参与者不太可能喜欢消费者驱动的健康保险,其中个人有权做出选择。总体而言,研究结果表明,政策改变公众舆论的偏好,但效果取决于方案的设计和性能。
Scholars suspect that public policies affect public opinion, but the empirical evidence is mixed, and contemporary theories advance offsetting predictions. This study examines two allegedly similar private investment account programs that differ in politically relevant ways. Statistical analyses show that owners of Individual Retirement Accounts (IRAs) and Health Savings Accounts (HSAs) experience policy feedback effects, but in opposite directions. More specifically, matched comparisons of respondents in a national survey indicate that IRA participants are more likely to favor Social Security privatization than individuals without IRAs. In contrast, HSA participants are less likely to prefer consumer-driven health coverage in which individuals are empowered to make choices. Overall, the findings suggest that policies alter public opinion preferences but that the effects depend on programmatic design and performance.