US Physicians' Reactions To ACA Implementation, 2012-17

Lindsay Riordan, Rahma Warsame, Sarah Jenkins, Kandace Lackore, Joel E. Pacyna, Ryan M. Antiel, Timothy Beebe, Mark Liebow, Bjoerg (Bjorg) Thorsteinsdottir, Matthew Wynia, Susan Dorr Goold, Matthew DeCamp, Marion Danis, Jon C Tilburt

Research output: Contribution to journalArticle


Physicians play a key role in implementing health policy, and US physicians were split in their opinions about the Affordable Care Act (ACA) soon after its implementation began. We readministered elements of a prior survey of US physicians to a similar sample to understand how US physicians' opinions of the ACA may have changed over a crucial five-year implementation period (2012-17), and we compared responses across both surveys. Of the 1,200 physicians to whom we sent a survey in the summer of 2017, 489 responded (a response rate of 41 percent). A majority of respondents (60 percent) believed that the ACA had improved access to care and insurance, yet many (43 percent) felt that it had reduced the affordability of coverage. More physicians agreed in 2017 than in 2012 that the ACA "would turn United States health care in the right direction" (53 percent versus 42 percent), despite reporting perceived worsening in several practice conditions over the same time period. After we adjusted for specialty, political party affiliation, practice setting type, perceived social responsibility, age, and sex, we found that only political party affiliation was a significant predictor of support for the ACA in the 2017 results.

Original languageEnglish (US)
Pages (from-to)1530-1536
Number of pages7
JournalHealth affairs (Project Hope)
Issue number9
StatePublished - Sep 1 2019



  • health law
  • Health Policy
  • health reform

ASJC Scopus subject areas

  • Health Policy

Cite this

Riordan, L., Warsame, R., Jenkins, S., Lackore, K., Pacyna, J. E., Antiel, R. M., Beebe, T., Liebow, M., Thorsteinsdottir, B. B., Wynia, M., Goold, S. D., DeCamp, M., Danis, M., & Tilburt, J. C. (2019). US Physicians' Reactions To ACA Implementation, 2012-17. Health affairs (Project Hope), 38(9), 1530-1536.