title: Federal health policies in the United States: an alternative explanation.
abstract: Since 1980 there has been an unprecedented shift in federal expenditures away from health and social welfare; an "electoral mandate" to reduce government's role is widely cited as justification. Yet, a survey of all major opinion polls of the past decade shows that electoral behavior and popular opinion are not synonymous. In exploring the historical ideological roots of this disjunction, the post- New Deal rise of "interest group" over "class" behavior is noted; "depoliticization" of political issues and "abstentionism" in voting follow. Rather than a realignment, recent elections represent a dealignment from regressive choices.
mesh_terms: D003709:Democracy; D006291:Health Policy / Q000191:economics*; D011057:Politics; D011632:Public Assistance / Q000639:trends*; D011639:Public Opinion; D012923:Social Class; D012946:Social Welfare; D013660:Taxes; D014481:United States