Fighting death with health inequality: The role of mortality cognition and shifting racial demographics in policy attitudes

Abstract

White Americans are predicted to soon comprise less than half of the U.S. population. Such demographic changes can affect political attitudes by threatening group status. The present studies built from this literature to examine a process in which information about such demographic shifts can also affect health policy attitudes, in part by increasing death-related thoughts, and that health inequalities may in turn buffer such cognitions. Three experiments (N = 1,651) adopted a causal chain approach to test these ideas. In Study 1, exposure to demographic changes decreased support for equitable health policies. In Study 2, the demographic manipulation increased death-thought accessibility, unless paired with information about worsening health inequalities. In Study 3, contemplation of mortality lessened both support for equitable health policies and resources allocated to health equity. Health inequalities may mitigate existential concerns raised by shifting racial demographics.