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Michael Shepherd

Assistant Professor of Health Management and Policy, University of Michigan-Ann Arbor
Chapter Member: Michigan SSN

About Michael

Shepherd's research focuses on the politics and policies associated with rural health disparities in the U.S. Shepherd's research on health politics and policy has appeared in the American Political Science Review, the Journal of Public Policy, the Journal of Rural Health, Legislative Studies Quarterly, Political Behavior, Political Communication, and the Proceedings of the National Academy of Sciences.

Contributions

Medicaid Cuts Will Harm Rural Republican Communities Most

    Miranda Elyse Yaver

In the News

Quoted by Jasmine Laws in "GOP Budget Threatens Rural Hospitals across Several States," Newsweek, July 18, 2025.
Quoted by Thomas B. Edsall in "Trump’s True Colors, Revealed," The New York Times, July 1, 2025.
Research discussed by Jason DeParle, in "Trump’s Bill Slashes the Safety Net That Many Republican Voters Rely On," The New York Times, June 26, 2025.
Quoted by Kaitlin Sullivan in "Proposed Medicaid Cuts Could Lead to Thousands of Deaths, Study Finds," NBC News, June 16, 2025.
Opinion: "Can Policies Make Rural Politics?," Michael Shepherd (with Jennifer M. Silva ), Jacobin, July 8, 2024.
Quoted by Emma Goldberg in "How ‘Rural Studies’ is Thinking about the Heartland," The New York Times, June 29, 2024.
Opinion: "Republicans Face Political Risks on Impeachment. But History Shows Not All is Lost," Michael Shepherd (with Jon Meacham), The Washington Post, December 17, 2019.

Publications

"Breaking Down or Charging Up? Developing a Theory of Place-Based Policy Embedding in Response to Clean-Energy Manufacturing Investments" (with Parrish Bergquist), Forthcoming.

Explores how big clean-energy manufacturing projects (like battery or EV plants) affect local communities—and whether they actually become integrated into local economies. Develops a framework for understanding when these investments lead to lasting local benefits versus when they remain isolated and fail to deliver broader economic gains.

"The Politics of Rural Hospital Closures" Political Behavior (2025).

Uses data on rural hospital closures from 2008 to 2020 to explore where and why hospital closures occurred as well as who–if anyone–rural voters held responsible for local closures. Findings show that despite closures being over twice as likely to occur in the Republican-controlled states that did not expand Medicaid, closures were associated with reduced support for federal Democrats and the Affordable Care Act following local closures.

"Measuring Disparities to Emergency Medicine With 200 Million Voter Records: The Case of Rural Hospital Closures" (with Christian Cox and Derek A. Epp). The Journal of Rural Health 41, no. 1 (2025).

Analyzes the distance to acute hospitals for 200 million Americans, revealing that lower-income and older Americans, groups that tend to have worse health overall, face the longest travel distances to hospitals—perhaps contributing to income and age-based health disparities. Findings also show that republicans have longer travels to emergency care than Democrats, adding to recent research on partisan health disparities.

"Physicians in Congress: Professional Backgrounds and Legislative Effectiveness" (with Alexandra Fountaine and Daniel Skinner). Legislative Studies Quarterly (2024).

Analyzes physician members of Congress (PMCs), showing they are significantly more effective at sponsoring and passing health-related legislation than their peers. Findings highlight the unique policy impact of professional background in legislative behavior.

"Access to Healthcare and Voting: The Case of Hospital Closures in Rural America" (with Christian Cox and Derek A. Epp). American Political Science Review (2024): 1 - 12.

Examines how rural hospital closures impact political participation. Results show that people living near a recently closed hospital were less likely to vote, especially older and lower-income individuals.

"Racializing COVID-19: Race-Related and Racist Language on Facebook, Pandemic Othering, and Concern About COVID-19" (with Priya Bhatt, Tara McKay, and Jonathan M. Metzl). Political Communication 42, no. 2 (2024): 286-305.

Examines how health-related discussions on social media became racialized during the COVID-19 pandemic, finding a sharp rise in race-related and explicitly racist language starting in March 2020. Results show that weekly increases in racist and race-related health language on Facebook are related to declines in concern for COVID-19 and heightened anti-Asian attitudes, especially for racially resentful white Facebook users.

"The Politics of Pain: Medicaid Expansion, the ACA and the Opioid Epidemic" Journal of Public Policy 42, no. 3 (2022): 409 - 435.

Explores how federalism shapes public perception and voting behavior. Finds that states that expanded Medicaid saw reduced severity in the opioid epidemic and increased support for the Democratic Party. Results imply that the Republican Party performed better in places where voters did not have access to Medicaid expansion and where the epidemic worsened, demonstrating an unintended consequence of federalism on policy feedback.

"Exit Strategy: Career Concerns and Revolving Doors in Congress" American Political Science Review 114, no. 1 (2020): 270 - 284.

Examines how congressional staffers’ future lobbying ambitions influence their behavior while still in government. Finds that staffers who later become lobbyists are linked to greater legislative productivity and increased bill sponsorship in high-demand lobbying areas like health and commerce—especially during their final terms.