Framing and Policymaker Evaluations of the Opioid Crisis

Several extremely influential theories, including the multiple streams approach and punctuated equilibrium theory, predict that dramatic policy change occurs when problems are reframed. However, there is little direct evidence of how framing messages influence policymaker attitudes, perceptions, and behaviors. In an online survey of local policymakers in Illinois, we find that different media frames of the opiate epidemic influence policymaker attitudes and attributions of responsibility. We conclude with some implications for framing theory and its role in theories of policymaking.

[1]  Joshua D. Kertzer,et al.  Experiments and Surveys on Political Elites , 2022, Annual Review of Political Science.

[2]  Michael Vuolo,et al.  Criminalized or Medicalized? Examining the Role of Race in Responses to Drug Use , 2021, Social Problems.

[3]  D. Bergan,et al.  Policymaker perceptions of citizen needs: heuristics, accuracy, and partisan differences , 2021, Behavioural Public Policy.

[4]  Heather M. Zoller,et al.  #March for Our Lives: Health Activism, Diagnostic Framing, Gun Control, and the Gun Industry , 2021, Health communication.

[5]  A. Case,et al.  Deaths of Despair and the Future of Capitalism , 2020 .

[6]  S. Walgrave,et al.  How Political Elites Process Information From the News: The Cognitive Mechanisms Behind Behavioral Political Agenda-Setting Effects , 2016 .

[7]  J. Niederdeppe,et al.  Criminal Activity or Treatable Health Condition? News Media Framing of Opioid Analgesic Abuse in the United States, 1998-2012. , 2016, Psychiatric services.

[8]  P. Dalawari,et al.  Racial Differences in Opiate Administration for Pain Relief at an Academic Emergency Department , 2015, The western journal of emergency medicine.

[9]  Judd R. Thornton,et al.  Political Sophistication and the Dimensionality of Elite and Mass Attitudes, 1980−2004 , 2015, The Journal of Politics.

[10]  R. T. Cole,et al.  Call Your Legislator: A Field Experimental Study of the Impact of a Constituency Mobilization Campaign on Legislative Voting , 2015 .

[11]  James N. Druckman,et al.  The Influence of Partisan Motivated Reasoning on Public Opinion , 2014 .

[12]  D. Weiner,et al.  Pain as the fifth vital sign: exposing the vital need for pain education. , 2013, Clinical therapeutics.

[13]  F. Baumgartner,et al.  Framing the Poor: Media Coverage and U.S. Poverty Policy, 1960–2008 , 2013 .

[14]  Thomas J. Leeper,et al.  Learning More from Political Communication Experiments: Pretreatment and Its Effects , 2012 .

[15]  R. Y. Shapiro.  Public Opinion and American Democracy , 2011 .

[16]  Sophie Lecheler,et al.  Getting real: the duration of framing effects , 2011 .

[17]  L. Aarøe.  Investigating Frame Strength: The Case of Episodic and Thematic Frames , 2011 .

[18]  P. Lantz,et al.  Communicating population health: print news media coverage of type 2 diabetes. , 2009, Social science & medicine.

[19]  J. Angrist.  Mostly Harmless Econometrics , 2008 .

[20]  S. Saha,et al.  Patient race and physicians' decisions to prescribe opioids for chronic low back pain. , 2008, Social science & medicine.

[21]  F. Baumgartner,et al.  Forum Section: The Two Faces of Framing , 2008 .

[22]  M. Fiorina,et al.  Political Polarization in the American Public , 2008 .

[23]  Kimberly Gross.  Framing Persuasive Appeals: Episodic and Thematic Framing, Emotional Response, and Policy Opinion , 2008 .

[24]  Rune Slothuus,et al.  More Than Weighting Cognitive Importance: A Dual‐Process Model of Issue Framing Effects , 2008 .

[25]  R. Blendon,et al.  News of disparity: content analysis of news coverage of African American healthcare inequalities in the USA, 1994-2004. , 2007, Social science & medicine.

[26]  Sei-Hill Kim,et al.  Talking about Poverty: News Framing of Who is Responsible for Causing and Fixing the Problem , 2007, Journal of health communication.

[27]  P. Squire,et al.  Measuring State Legislative Professionalism: The Squire Index Revisited , 2007, State Politics & Policy Quarterly.

[28]  C. T. Salmon,et al.  Unintended Effects of Health Communication Campaigns , 2007 .

[29]  Mike Gasher,et al.  Telling stories: news media, health literacy and public policy in Canada. , 2007, Social science & medicine.

[30]  P. Converse.  The nature of belief systems in mass publics (1964) , 2006, The Nature of Belief Systems Reconsidered.

[31]  James N. Druckman,et al.  Framing and Deliberation: How Citizens' Conversations Limit Elite Influence , 2003 .

[32]  Paul R. Brewer,et al.  Values, Political Knowledge, and Public Opinion about Gay Rights: A Framing-Based Account , 2003 .

[33]  Daniel J. O'Keefe,et al.  Message Properties, Mediating States, and Manipulation Checks: Claims, Evidence, and Data Analysis in Experimental Persuasive Message Effects Research , 2003 .

[34]  M. Commers.  Representations of preconditions for and determinants of health in the Dutch press , 2000 .

[35]  Dietram A. Scheufele,et al.  Framing as a theory of media effects , 1999 .

[36]  B. Westwood,et al.  Assessment of newspaper reporting of public health and the medical model: a methodological case study , 1999 .

[37]  James A. Stimson.  Public Opinion In America: Moods, Cycles, And Swings, Second Edition , 1999 .

[38]  Robert M. Entman,et al.  Framing: Toward Clarification of a Fractured Paradigm , 1993 .

[39]  M. Kent Jennings,et al.  IDEOLOGICAL THINKING AMONG MASS PUBLICS AND POLITICAL ELITES , 1992 .

[40]  William A. Gamson,et al.  News as Framing , 1989 .

[41]  K. Rasinski,et al.  THE EFFECT OF QUESTION WORDING ON PUBLIC SUPPORT FOR GOVERNMENT SPENDING , 1989 .

[42]  James N. Druckman,et al.  F RAMING T HEORY , 2007 .

[43]  D. Granberg,et al.  Attitude constraint and stability among elite and mass in Sweden , 1996 .