(DUBLIN, Ohio – Oct. 7, 2015) An article recently published online
in the Journal of Health Politics, Policy and Law takes a
closer look at the contentious political maneuverings involved in
the expansion of Medicaid in Ohio, including Gov. John Kasich’s
The article’s author, Daniel Skinner, Ph.D., an assistant
professor of health policy in the Department of Social Medicine at
the Ohio University Heritage College of Osteopathic Medicine,
explores the complicated politics in Ohio following the 2012 U.S.
Supreme Court ruling in the National Federation of Independent
Businesses v. Sebelius case that made it optional for states to
expand Medicaid as authorized by the Patient Protection and
Affordable Care Act.
In the article Skinner explains that states skewing strongly
toward one political party or another mostly followed party lines
when deciding whether to expand Medicaid. However, in swing states,
the decision was more complicated. According to Skinner, the way
Ohio dealt with the Medicaid expansion was unique and tethered to
the political positioning of Kasich.
“Kasich’s strategy suited his policy goal of expanding Medicaid
and declaring his independence from the official party line while
providing opportunity for honing his political brand as a reformer
committed to conservative principles,” writes Skinner.
The Ohio Medicaid story, according to Skinner, reflects the
political transition occurring in the state.
"This is an excellent case study that reveals the complicated
role that Medicaid—a massively important program to millions of
people—plays in conservative states and details how at least one
conservative politician responds to the federal option to expand the
program," said JHPPL Editor Colleen Grogan, a professor at the
University of Chicago.
An advanced copy of the JHPPL article, “Medicaid
in Ohio: The Politics of Expansion, Reauthorization, and Reform”
can be found online.
Skinner is an expert in health care politics and policy. He is
currently developing a series of papers critically exploring the
policy dynamics of the Affordable Care Act.
The Ohio University Heritage College of Osteopathic Medicine is a
leader in training dedicated primary care physicians who are
prepared to address the most pervasive medical needs in the state
and the nation. Approximately 50 percent of Heritage College alumni
practice in primary care and 60 percent practice in Ohio. CARE LEADS