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Do Local Governments Represent Voter Preferences? Evidence from Hospital Financing under the Affordable Care Act / Victoria Perez, Justin M. Ross, Kosali I. Simon.
- Format:
- Book
- Author/Creator:
- Perez, Victoria.
- Series:
- Working Paper Series (National Bureau of Economic Research) no. w26094.
- NBER working paper series no. w26094
- Language:
- English
- Physical Description:
- 1 online resource: illustrations (black and white);
- Other Title:
- Do Local Governments Represent Voter Preferences?
- Place of Publication:
- Cambridge, Mass. National Bureau of Economic Research 2019.
- Summary:
- A mainstream motivation for decentralized government is to enable public service investments to better align with political preferences that may differ by geographical region. This paper examines how political preferences determine local government provision of hospital services. We find that local governments in areas more supportive of public insurance expansion responded to such state action by increasing expenditures on hospitals, whereas those in areas that voted against such expansions used the savings to reduce property taxes. This finding suggests that local government financial responses indeed align with political preferences.
- Notes:
- Print version record
- July 2019.
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