Political scientists often characterize state and local governments as marginal and highly
constrained in policymaking. However, I suggest that in recent decades state governments …

Whether public policy affects electoral politics is an enduring question with an elusive
answer. We identify the impact of the highly contested Patient Protection and Affordable …

Although a growing body of literature has emerged to study medical tourism and address the
policy challenges it creates for national health care systems, the comparative scholarship on …

Health policy in the United States has been shaped by the political, socioeconomic, and
ideological environment, with important roles played by public and private actors, as well as …

There is a large body of literature devoted to how “policies create politics” and how feedback
effects from existing policy legacies shape potential reforms in a particular area. Although …

National responses to COVID-19 depend in part on national health care financing
arrangements. Yet the pandemic itself has not only strained system capacity, it has–through …

The Covid-19 pandemic produced more significant immediate intergovernmental conflict in
the US than in Australia and Canada. This article considers three variables for this cross …

This article assesses the politics and partial success of Congress in repealing the Affordable
Care Act (ACA), known as Obamacare, with particular attention to lobbying by governors …

Abstract As formulated by Jacob Hacker, the concept of policy drift turned institutional
theories of public policy on their heads by suggesting that consequential policy changes …

What does federalism do to welfare states? This question arises in scholarly debates about
policy design as well as in discussions about the right political institutions for a country. It …