Making What Government Does Apparent to Citizens: Policy Feedback Effects, Their Limitations, and How They Might Be Facilitated

Date01 September 2019
AuthorSuzanne Mettler
DOI10.1177/0002716219860108
Published date01 September 2019
Subject MatterGeneral Lessons
30 ANNALS, AAPSS, 685, September 2019
DOI: 10.1177/0002716219860108
Making What
Government
Does Apparent
to Citizens:
Policy Feedback
Effects, Their
Limitations, and
How They
Might Be
Facilitated
By
SUZANNE METTLER
860108ANN The Annals of The American AcademyMaking What Government Does Apparent To Citizens
research-article2019
Public policies sometimes generate “policy feedback
effects,” reshaping public opinion and political partici-
pation among beneficiaries or the public generally,
often with the effects of generating supportive constitu-
encies that help to sustain the program. Yet such effects
do not always occur; in fact, despite that Americans use
more social policies than ever, antipathy to government
runs high—evidence of a seeming “government-citizen
disconnect.” Policy design and delivery matters for
policy feedback, as policies that make government’s
role more visible may make more of an impression on
beneficiaries; yet political polarization and distrust in
government can interfere with such effects. In addi-
tion, those who are most aware of the government’s role
in social provision often participate least in politics, and
vice versa. This article considers strategies that public
officials and other civic and political leaders can use to
facilitate policy feedback effects.
Keywords: policy feedback; social policy; policy
design; Affordable Care Act; political
polarization; public opinion; political par-
ticipation
What a difference a few years can make. In
March 2010, President Barack Obama
signed into law the Affordable Care Act (ACA),
achieving a goal that his party had pursued for
decades: health coverage for working-age
Americans. Yet when the midterm elections
arrived that fall, not only did voters fail to
reward the Democrats, but instead they gave
the president’s party what he himself termed a
“shellacking,” as Republicans picked up several
seats in the Senate and regained control of the
House. GOP officials continued, right up
through the 2016 election, to rally their voters
Suzanne Mettler is John L. Senior Professor of American
Institutions in the Government Department at Cornell
University. She is the author of five books, including,
most recently, The Government-Citizen Disconnect
(Russell Sage Foundation 2018).
Correspondence: suzanne.mettler@cornell.edu
MAKING WHAT GOVERNMENT DOES APPARENT TO CITIZENS 31
through calls to repeal the ACA. After President Trump took office, however,
public opinion over the ACA shifted from mostly “unfavorable” to mostly “favora-
ble,” as Democrats and independents grew more supportive (Kaiser Health
Tracking Polls 2019). Congress proved unable to muster the votes to “repeal and
replace” health reform in the Senate, where three Republicans voted against the
measure. As Trump and members of his administration threatened to weaken
components of the ACA, moreover, the public grew more protective of it. By the
time the 2018 midterms arrived, safeguarding the ACA became a winning issue
for Democratic candidates, including several in “red” states. Also, voters in some
conservative states threw their approval to ballot initiatives that called on state
lawmakers to adopt the ACA’s expanded Medicaid provisions. In short, the ACA
did finally generate “policy feedback effects,” but these did not occur immedi-
ately or automatically when the law was enacted.
When lawmakers engage in herculean efforts to enact major legislation with
far-reaching social, economic, or other effects, it seems reasonable to assume that
Americans will take notice, appreciate the new law, and reward its proponents in
elections. But it is not that simple. It is not that policies do not matter to citizens:
indeed, they do, as people appreciate the specific social policies they use, and
rate them highly. But that reaction does not necessarily translate into broader
support for those policies, lawmakers, or the party who championed them, or
government generally; and it does not guarantee that they will vote or participate
in politics in other ways. Still, it can: policy feedback sometimes happens, as poli-
cies created at an earlier time influence subsequent political attitudes and behav-
ior. It all depends.
The contemporary polity features what I call a “government-citizen discon-
nect” (Mettler 2018).1 On one hand, Americans deeply disapprove of government.
Survey data show that Americans’ trust in the federal government and their sense
that it is responsive to people like them—which ran high during the mid-twentieth
century—have plummeted for decades and hover at low levels today. At the same
time, Americans in all states and all counties of the nation rely on the federal gov-
ernment more than ever for social benefits that help them to afford health care,
housing, higher education, and retirement, and to sustain them in times of eco-
nomic insecurity. According to data from the U.S. Bureau of Economic Analysis,
the portion of the average American’s income that comes from federal social
transfers has increased from 7 percent in 1969 to 17 percent in 2014 (author’s
calculations from U.S. Bureau of Economic Analysis 2016). Accounting for both
federal social transfers and tax expenditures for the same purposes, I find that use
of social benefits is common and widespread, with similar rates of use regardless
of income, partisanship, generation, and other divides (Mettler 2018, 54–80).
Simply put, we are all beneficiaries of government.
These two trends make for a paradoxical combination. Samuel Lubell, a politi-
cal scientist writing in the mid-twentieth century, predicted that as public policies
gained a larger role in Americans’ lives, citizens would become more affirming of
government, and politicians who protected social benefits would enjoy an easier
path to office (Lubell 1952). But while some evidence of such outcomes exists, so
does considerable evidence to the contrary. Over the past 40 years, conservatives

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