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Assessing burden tolerance amid the Medicaid Great Unwinding.

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Title: Assessing burden tolerance amid the Medicaid Great Unwinding.
Authors: Haeder, Simon F.1 (AUTHOR) sfhaeder@tamu.edu, Moynihan, Donald P.2 (AUTHOR) donald.moynihan@georgetown.edu
Source: Public Administration Review. Mar/Apr2025, Vol. 85 Issue 2, p547-566. 20p.
Subject Terms: *Empathy, Racism, Institutional racism, Medicaid, Public health
Abstract: The pandemic era ushered in a period of policy adaptation in how states deliver programs. One aspect of this experimentation is how burdensome safety net administrative processes should be. Using national surveys taken before and after the end of the public health emergency, we offer evidence of how tolerant the public is about burdens when allowed to choose between discrete policy implementation options. First, we show that burden tolerance beliefs are durable and largely unmovable, staying relatively consistent over time, and unaffected by experimental frames. Second, while there is varying support for specific strategies, the public is broadly supportive of tools that reduce burdens in Medicaid. Third, we find consistent predictors of burden tolerance: conservative beliefs and racial resentment are associated with support for burdens, while empathy toward others, belief in burdens as a form of systemic racism, and low administrative capital make people less tolerant of burdens. [ABSTRACT FROM AUTHOR]
Copyright of Public Administration Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Assessing burden tolerance amid the Medicaid Great Unwinding.
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  Data: <searchLink fieldCode="AR" term="%22Haeder%2C+Simon+F%2E%22">Haeder, Simon F.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> sfhaeder@tamu.edu</i><br /><searchLink fieldCode="AR" term="%22Moynihan%2C+Donald+P%2E%22">Moynihan, Donald P.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> donald.moynihan@georgetown.edu</i>
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  Data: <searchLink fieldCode="JN" term="%22Public+Administration+Review%22">Public Administration Review</searchLink>. Mar/Apr2025, Vol. 85 Issue 2, p547-566. 20p.
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  Data: *<searchLink fieldCode="DE" term="%22Empathy%22">Empathy</searchLink><br /><searchLink fieldCode="DE" term="%22Racism%22">Racism</searchLink><br /><searchLink fieldCode="DE" term="%22Institutional+racism%22">Institutional racism</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink>
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  Data: The pandemic era ushered in a period of policy adaptation in how states deliver programs. One aspect of this experimentation is how burdensome safety net administrative processes should be. Using national surveys taken before and after the end of the public health emergency, we offer evidence of how tolerant the public is about burdens when allowed to choose between discrete policy implementation options. First, we show that burden tolerance beliefs are durable and largely unmovable, staying relatively consistent over time, and unaffected by experimental frames. Second, while there is varying support for specific strategies, the public is broadly supportive of tools that reduce burdens in Medicaid. Third, we find consistent predictors of burden tolerance: conservative beliefs and racial resentment are associated with support for burdens, while empathy toward others, belief in burdens as a form of systemic racism, and low administrative capital make people less tolerant of burdens. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Public Administration Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/puar.13853
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      – SubjectFull: Racism
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      – SubjectFull: Institutional racism
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              Text: Mar/Apr2025
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