1/ Interesting @TCFdotorg report about ballot access & health policy. Some good stuff & lots of poli sci citations. It's worth noting that these grafs reflect precisely what I find in chap 4 of #FragmentedDemocracy 
2/ Drawing on pre-ACA data (indeed, health politics & policy were happening pre-ACA), I find that Medicaid beneficiaries living in states that expanded benefits were more likely to participate in politics, while those living in sates that reduced them were less likely to do so
3/ But I want to make an important note about my approach to this kind of work. While I draw on survey data & offer quant analyses in #FragmentedDemocracy, I also make a point of highlighting & centering the voices, experiences & perspectives of Medicaid beneficiaries.
4/ Fully grasping "mechanisms" requires a deep understanding of how policy decisions affect actual people's lives and shaper policy beneficiaries sense of their place in the political community.
5/ To be clear, this isn't about qual vs. quant. I use both, sometimes together, sometimes singularly. This is about the big picture. For that picture to be clear, I believe we must make a point of talking to the people we wish to see more fully incorporated into the polity.
6/ This is also not a criticism of @TCFdotorg report on healthy policy & electoral barriers. It was a fine report, a worthwhile contribution to the larger discourse on these issues. But as I read it, I kept thinking about all of the Medicaid beneficiaries I have talked to.
7/ Even since writing the book, Medicaid beneficiaries have continued to share their experiences with me. For many of them, reform will have to go well beyond removing electoral barriers in order to meaningfully bring them into the political community. Especially people of color.
This doesn't mean that discussion of electoral reform isn't important. I'm all for it. Still, (my) qualitative work on health policy experiences suggests that electoral barriers are only a beginning. Listening to the people experiencing this stuff will push us further than that.
