How could a little-known Republican possibly have won a competitive U.S. 
      Senate race in Massachusetts, the bluest of blue states? A new study by 
      a team of Hoover researchers indicates that the culprit is the 
      unpopularity of health care reform, and it likely means that Democrats 
      will face even greater challenges later this year in less liberal states 
      than Massachusetts.
    
“While the majority party historically loses seats in midterm elections, 
      the stunning Democratic loss of Ted Kennedy’s Senate seat in 
      Massachusetts signals a midterm Republican rebound of striking 
      proportions”
    
      “While the majority party historically loses seats in midterm elections, 
      the stunning Democratic loss of Ted Kennedy’s Senate seat in 
      Massachusetts signals a midterm Republican rebound of striking 
      proportions,” says Hoover deputy director David W. Brady.
    
    
      The recent study polled voters in the eleven states most likely to have 
      competitive Senate races in November on their opinions about health care 
      reform and how they might vote in November. The interviews were 
      conducted from January 6 to 11 with 500 registered voters in Arkansas, 
      Colorado, Connecticut, Delaware, Florida, Louisiana, Missouri, Nevada, 
      North Dakota, Ohio, and Pennsylvania. The respondents were selected from 
      a nonpartisan YouGov PollingPoint panel to be representative of the 
      registered voters in each state.
    
    
      Health care reform is significantly more popular in some of these states 
      than in others, the study shows; where it is unpopular—which includes 
      most states—the Democratic Senate candidates will face uphill battles. 
      Calculated by the relationship between voters' support for health care 
      reform and the spread between the Democrat and Republican candidates’ 
      vote share, the state-by-state findings indicate that support for health 
      reform varies from a low of 33 percent in North Dakota to a high of 48 
      percent in Nevada. Democrats trail Republicans in six of the states; 
      three are toss-ups; in two, Democrats have a solid lead.
    
    
      How is it possible to conclude that the health reform bill itself is to 
      blame and not just that these are more conservative states? First, the 
      study asked voters if they knew how their incumbent senators had voted 
      on the bill passed on Christmas Eve; about two-thirds answered 
      correctly. Even now, long before the Senate campaigns have intensified, 
      voters know where the candidates stand on health care. Second, 
      voters were asked about their preference for Democrat versus Republican 
      candidates in a generic House race. The results indicated that the 
      higher the level of opposition to health reform, the greater the 
      likelihood that the state’s voters supported Republicans.