Partisanship and Trust in Personal Doctors: Causes and Consequences

O’Brian, Neil A. and Thomas Bradley Kent

British Journal of Political Science, 2025, vol. 55, -

Abstract: In the first decades of the twentieth century, the gap in age-adjusted mortality rates between people living in Republican and Democratic counties expanded; people in Democratic counties started living longer. This paper argues that political partisanship poses a direct problem for ameliorating these trends: trust and adherence in one’s personal doctor (including on non-COVID-19 related care) – once a non-partisan issue – now divides Democrats (more trustful) and Republicans (less trustful). We argue that this divide is largely a consequence of partisan conflict surrounding COVID-19 that spilled over and created a partisan cleavage in people’s trust in their own personal doctor. We then present experimental evidence that sharing a political background with your medical provider increases willingness to seek care. The doctor-patient relationship is essential for combating some of society’s most pressing problems; understanding how partisanship shapes this relationship is vital.

Date: 2025
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