The Affordable Care Act (ACA) has vastly reduced racial health insurance disparities, but efforts continue to repeal this health care law. It is not clear, however, whether this policy is rejected because of its health care provisions, or if the ACA is interpreted primarily as a social welfare policy aimed at providing resources specifically to non-white Americans. In this paper, we assess whether the racial divide in opposition to the Affordable Care Act is unique to this law or represents a reflection of a longer history of racialized social welfare policies in the U.S. The for this research come from the American National Election Studies (ANES) 2016 Time Series Study which targets United States-based citizens aged 18 and older. We conducted logistic regression to understand how racial attitudes and support for social policies relate to opposition to the ACA. Perceptions of the ACA, especially among white Americans, were related to both support for affirmative action in hiring and education and racial resentment more generally. Attitudes toward the ACA were unrelated to support for policies that have not been explicitly framed as benefitting non-white Americans. As public debates related to whether to amend the ACA or repeal and replace it altogether continue, scholars and public health practitioners should emphasize the role that racism and racial resentment more specifically play in health policy debates.

《平价医疗法案》（ACA）大大减少了种族健康保险的差距，但仍在继续努力废除该医疗法律。但是，尚不清楚该政策是否由于其医疗保健规定而被拒绝，或者ACA是否主要被解释为旨在专门为非白人美国人提供资源的社会福利政策。在本文中，我们评估了与《平价医疗法案》相对的种族差异是该法律所独有的，还是代表了美国种族社会福利政策历史悠久的反映。本研究来自美国国家选举研究（ ANES）2016年时间序列研究，针对18岁以上的美国公民。我们进行了逻辑回归，以了解种族态度和对社会政策的支持与反对ACA的关系。ACA的认知，尤其是在美国白人中，与支持在招聘和教育中采取平权行动以及更普遍的种族怨恨有关。对ACA的态度与对政策的支持无关，这些政策尚未明确地定为使非白人美国人受益。随着有关是否修改ACA或完全废除ACA的公开辩论继续进行，学者和公共卫生从业人员应强调种族主义和种族怨恨在卫生政策辩论中的作用。与在雇用和教育方面对平权行动的支持以及更普遍的种族怨恨有关。对ACA的态度与对政策的支持无关，这些政策尚未明确地定为使非白人美国人受益。随着有关是否修改ACA或完全废除ACA的公开辩论继续进行，学者和公共卫生从业人员应强调种族主义和种族怨恨在卫生政策辩论中的作用。与在雇用和教育方面对平权行动的支持以及更普遍的种族怨恨有关。对ACA的态度与对政策的支持无关，这些政策尚未明确地定为使非白人美国人受益。随着有关是否修改ACA或完全废除ACA的公开辩论继续进行，学者和公共卫生从业人员应强调种族主义和种族怨恨在卫生政策辩论中的作用。