Research article Special Issues

Tea Party Health Narratives and Belief Polarization: the Journey to Killing Grandma

  • Received: 16 June 2017 Accepted: 22 November 2017 Published: 27 November 2017
  • In the past decade the U.S. public has expressed varying degrees of skepticism about certain factual claims, and of “expertise” more broadly. Ideological and partisan belief polarization seems to have elevated public anxiety about topics ranging from climate change and vaccines to immigration and healthcare policy. Furthermore, polarized narratives about scientific, medical, and political topics have encouraged “directionally motivated cognition”, leading to a decline in institutional trust among some fractions of the U.S. political spectrum. Our case study of the Tea Party Patriots (TPP) (i.e. a political organization that promotes the Tea Party goals) uses data from 45 interviews, 80 hours of participant observation, and content analysis of movement literature, to examine the nature and nuance of health narratives employed by the Tea Party. Specifically, we explain a central narrative in TPP organizing that features “a villainous Left covertly seeking to harm U.S. citizens” as the root of three key TPP health care narratives: (1) Democratic health initiatives enslaving youth; (2) the political left profiting from covertly making Americans dependent on state’s health care programs; and (3) the left clandestinely seeking to violate the constitution as represented by their efforts to “kill grandma”. These narratives reflect the increased polarization of attitudes towards healthcare, as well as a broader distrust of the political left who, activists believe, are advancing a political agenda of social control. Ultimately, we argue that culturally driven healthcare narratives of the Tea Party have had a significant impact on right-wing public opinion and Republican politics regarding U.S. healthcare policy. Many Tea Party concerns are reflected in the Republican policy positions, including those related to the Affordable Care Act of 2010.

    Citation: Kristin Haltinner, Dilshani Sarathchandra. Tea Party Health Narratives and Belief Polarization: the Journey to Killing Grandma[J]. AIMS Public Health, 2017, 4(6): 557-578. doi: 10.3934/publichealth.2017.6.557

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  • In the past decade the U.S. public has expressed varying degrees of skepticism about certain factual claims, and of “expertise” more broadly. Ideological and partisan belief polarization seems to have elevated public anxiety about topics ranging from climate change and vaccines to immigration and healthcare policy. Furthermore, polarized narratives about scientific, medical, and political topics have encouraged “directionally motivated cognition”, leading to a decline in institutional trust among some fractions of the U.S. political spectrum. Our case study of the Tea Party Patriots (TPP) (i.e. a political organization that promotes the Tea Party goals) uses data from 45 interviews, 80 hours of participant observation, and content analysis of movement literature, to examine the nature and nuance of health narratives employed by the Tea Party. Specifically, we explain a central narrative in TPP organizing that features “a villainous Left covertly seeking to harm U.S. citizens” as the root of three key TPP health care narratives: (1) Democratic health initiatives enslaving youth; (2) the political left profiting from covertly making Americans dependent on state’s health care programs; and (3) the left clandestinely seeking to violate the constitution as represented by their efforts to “kill grandma”. These narratives reflect the increased polarization of attitudes towards healthcare, as well as a broader distrust of the political left who, activists believe, are advancing a political agenda of social control. Ultimately, we argue that culturally driven healthcare narratives of the Tea Party have had a significant impact on right-wing public opinion and Republican politics regarding U.S. healthcare policy. Many Tea Party concerns are reflected in the Republican policy positions, including those related to the Affordable Care Act of 2010.


    Rice (Oryza sativa) is a crop which is exposed to many environmental stresses. Inadequate water leading to drought stress is a common problem in upland cultivation systems. On average, rice needs 5,000 L of water to produce 1 kg of grain [1]. More than half of the 40 million hectares of rain-fed lowland rice worldwide suffers from water scarcity at some growth stage [2]. Drought stress reduces the rice growth, and severely affects the seedling biomass, photosynthesis, stomatal conductance, plant water relations and starch metabolism [3]. Depending on timing, duration and severity of the plant water deficit, the grain yield of some rice genotypes could be reduced by up to 81% under drought [4]. The application of potassium fertilisation has been reported to induce tolerance of plants to osmotic stress [5]. Potassium increases the plants' drought resistance through its functions in stomatal regulation, osmoregulation, energy status, charge balance, protein synthesis, and homeostasis [6]. In plants coping with drought stress, the accumulation of K+ may be more important than the production of organic solutes during the initial adjustment phase, because osmotic adjustment through ion uptake (such as K+) is more energy efficient [7].

    One of the strategies used by plants to overcome water stress is producing Late embryogenesis abundant (LEA) proteins. LEA proteins were initially discovered accumulating late in the embryogenesis of cotton seeds 25 years ago. LEA proteins were divided into several groups based on their different sequence/patterns or biased amino acid composition [7,8,9,10]. In addition, it was assumed that the majority of LEA proteins were hydrophilic due to biased amino acid composition [11] and natively unstructured, while some were in a folded structure. These proteins were also found accumulating in plant tissue that was exposed to environmental stress. LEA proteins play an important role in the dehydration tolerance mechanism as well as responding to cold and salinity stress [4,12,13,14,15]. The expression of the LEA gene is generally induced by accumulation of ABA and abiotic stress conditions such as cold and salinity stress, either in reproductive or vegetative tissues [8,16,17,18,19].

    Previous research studies have shown a small gap overlap between the gene's expression in vegetative tissues and in seeds, with a high level of expression found in seed tissues. A few papers have studied the functional properties of LEA proteins and shown that Arabidopsis dehydrin ERD10 binds to more water during drying than non-LEA control proteins [20,21] and the LEA proteins stabilise the dry sugar glasses on Typha latifolia [22] and Soybean [23]. These data indicate that LEA proteins are involved in cellular stabilisers during stress conditions. There exist a few reports on the expression of LEA genes of rice and other plants under environmental stress. However, there has been no documentation of LEA gene expression of rice under water stress, especially under potassium fertilisation to mitigate the drought effects. This information is important, and will be useful in rice cultivation under limiting water resources. It was hypothesised that the use of additional potassium fertilisation could mitigate the water stress effects by increasing rice tolerance to water stress by reducing the expression of the LEA gene and that this fertilisation would lead to better growth. A total of three treatments were involved, and these were arranged according to a completely randomized design (CRD), namely control (CF; Continuously flooding + 80 kg K2O/ha), water stress under standard potassium fertilisation (WS; Water Stress 25 days + 80 kg K2O/ha) and water stress under high potassium fertilisation (WSK; Water Stress 25 days + 120 kg K2O/ha). The aim of the present work was to study the LEA gene expression in, and the growth of, Malaysian Rice (MR220) exposed to water stress and potassium fertilisation; the purpose of this was to relate the expression of the LEA gene with the growth and yield of MR220 rice.

    A particular Malaysian rice variety (MR220) was grown in pots in a glasshouse at 28 ℃. At 15 Days After Sowing (15 DAS), the seedlings were transplanted into 9 new pots which were divided into 3 treatments, namely control (CF; Continuously flooding + 80 kg K2O/ha), water stress under standard potassium fertilisation (WS; Water Stress 25 days + 80 kg K2O/ha) and water stress under high potassium fertilisation (WSK; Water Stress 25 days + 120 kg K2O/ha). Each pot contained 4 seedlings, and during the earlier transplantation days (15–29 DAS), the water in the soil media was maintained at 5 cm level. Later, at 30 DAS, all water stress treatments were applied. For water stress treatments (WS and WSK), the rice seedlings were exposed to 25 days without any watering. The potassium fertilisation and timing for potassium rate treatments are summed up in Table 1. Other major fertilisers, such as Urea (46% N) and Triose super phosphate (46% P) were added as normal fertilisation and applied at 120 kg N/ha and 70 kg P2O5/ha respectively. Standard procedures of rice growing culture were followed throughout the studies.

    Table 1.  Schedule of potassium fertilization during the experiment.
    Treatments Description Potassium fertilisation schedule (muriate of potash; 60% K20)
    CF Continuously flooding + 80 kg K2O/ha (Control) 80 kg K2O/ha fertilisation split into two phases: 30%—3 leaves stage (15 DAS) 70%—booting (55 DAS)
    WS Water stress 25 days + 80 kg K2O/ha 80 kg K2O/ha fertilisation split into two phases: 30%—3 leaves stage (15 DAS) 70%—booting stage (55 DAS)
    WSK Water stress 25 days + 120 kg K2O/ha 120 kg K2O/ha fertilisation split into two phases: 30%—3 leaves stage (15 DAS) 70%—booting stage (55 DAS)

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    Determination of plant growth (plant height, number of tillers and number of leaves) and yield components (grain yield and straw biomass) was carried out on randomly tagged plants by 3 replicates for each treatment. Plant height was measured from the plant base to the tip of the plant leaves. Total tillers and leaves were counted on the same day that the plant height data were collected. Days to flowering was calculated from the days of sowing until the first appearance of a panicle. Grain yield per pot was obtained from the weight of filled grains calculated at 14% moisture. To find the straw biomass, shoots were harvested by cutting about 2 cm above the soil, which involved excluding the grain. Following this, the samples were oven dried at 70 ℃ for 72 hours and weighed. Data were analysed via Proc ANOVA using SAS 9.2 (32). A mean separation test between treatments was performed using Least Significant Different. LSD and standard error of differences between means were calculated with the assumption that data were normally distributed and equally replicated.

    With regards the isolation of total RNA, at 60 DAS, the fresh tissue samples from the plant leaves were pooled and homogenised under liquid nitrogen. Total RNA was isolated by using Trizol reagent (Invitrogen) according to the manufacturer's instructions. Approximately 30 µg of total RNA was treated with Rnase-free Dnase. The purity and concentration of total RNA were measured using a spectrophotometer (Nanodrop ND-1000 spectrophotometer (NanoDrop Technologies)). Only the RNA samples with 260/280 ratio (an indication of protein contamination) between 1.9–2.1 and 260/230 ratio (an indication of reagent contamination) greater than 2.0 were used for the analysis. The integrity of RNA samples was determined using agarose gel electrophoresis.

    First-strand cDNA was synthesised by reverse transcribing 5 µg of total RNA in a final reaction volume of 100 µL using a Bioteke Super RT Kit according to the manufacturer's instructions. The PCR mixture contained 2 µL of diluted cDNA, 10 µL of 2xSYBR Green PCR Master Mix (Applied Biosystem, USA), 8 µL of nuclease-free water and 1 µL of each gene-specific primer in a final volume of 20 µL. The primer sequences are listed in Table 2. PCRs with no template control (NTC) for each primer pair were also performed. The real time PCR was performed by employing CFX96 Touch System and software (CFX Manager) by BIORAD. The expression on 18S rRNA and GAPDH3 was determined by PCR and gel electrophoresis to normalise the data. The qRT-PCR was performed with the reference genes 18S rRNA and GAPDH3, while the cycle was as follows: 3 min at 95 ℃, 40 cycles of 3 min at 95 ℃ and 1 min at 56 ℃, melting curve analysis by 65 ℃ to 95 ℃ and hold stage at 10 ℃. The procedure was carried out according to the manufacturer's instructions (CFX 96 Real Time System, Biorad). Two biological replicates for each sample were used for qRT-PCR analysis and three technical replicates were analysed for each biological replicate. The quantitative variation between different treatments was evaluated using the 2(-Delta Delta C(T)) method [24], and the amplification of 18S rRNA and GAPDH3 were used as internal controls to normalise the data.

    Table 2.  Targeted gene (LEA 7) and reference genes (18S rRNA and GAPDH3) and their primer sequences used for real time PCR analysis.
    Gene Name Gene description Forward primer (5' → 3') Reverse primer (5' → 3')
    LEA 7 Late Embryogenesis Abundant ATCTGCTCCGCGTCAACTAC AGAGGTGCACGAAGAACCAG
    18S rRNA 18S ribosomal RNA CTACGTCCCTGCCCTTTGTACA ACACTTCACCGGACCATTCAA
    GAPDH3 Glyceraldehyde 3-phosphate dehydrogenase GGT GTC CAA GAA GAC CCT CG GAG GAT GCC TTG AGC TCG TT

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    The result indicated that the treatments significantly influenced the growth performance and grain yield (p ≤ 0.05; Table 3), but no significant on straw biomass. This was shown by the significant difference in plant height, number of leaves, number of tillers, days to flowering, and grain yield (Table 3). Generally speaking, it was found that WSK was not significantly different from WS in terms of days to flowering, although the application of WSK was shown to reduce the water stress effect by producing higher plant height, a greater number of leaves and a greater number of tillers compared to WS treatments. In addition, WSK obtained more yield, up to 63%, compared to WS, thus minimising yield reduction compared to CF. This result showed that increasing the potassium rate from 80 kg K2O/ha to 120 kg K2O/ha could minimise the water stress effect and enhance plant growth by shortening the number of days of flowering, optimising plant height, increasing the number of leaves and tillers, and enhancing grain yield under water stress condition.

    Table 3.  Growth and yield performance of MR220 variety as influenced by the treatments.
    Treatments Plant Height, cm Leaves No./hill Tillers No./hill Days to Flowering Grain yield (g/pot)
    CF 102.89 ± 0.44a 22 ± 0.33c 5 ± 0.17a 80 ± 1.25a 91.403 ± 1.99a
    WS 95.22 ± 0.45c 25 ± 0.44b 4 ± 0.29b 74 ± 1.20b 45.907 ± 3.19c
    WSK 98.78 ± 0.89b 29 ± 0.22a 5 ± 0.22a 77 ± 0.67b 75.163 ± 2.94b
    *Note: Data are means ± standard error of differences between means. Means not sharing a common single letter were significantly different at p ≤ 0.05.

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    When comparing WS to CF, WS plants showed to have fewer days of flowering, thus illustrating that the imposition of water stress can enhance the efficiency of assimilate partitioning, which reduce time to flowering in rice. Although under water stress condition time to flowering was reduced this could also caused a reduction in plant height and number of tillers, which would have been unfavourable for plant growth performance. The reduction percentage of plant height was approximately 7.45% under WS, and 4% under WSK compared to the control. The present data showed that the WSK treatments could mitigate water stress effect and sustain plant growth performance. It was found that the imposition of water stress for 25 days with 120 kg K2O/ha in MR220 rice was able to mitigate water stress effects and showed the best practice in tackling water scarcity of rice cultivation in Malaysia. Similar results were also found by Hara [25], Khan [26], Lindhauer [27], Mohd Zain et al. [28] and Aown et al. [29], who showed that the vegetative growth of rice under abiotic stress can be improved with the application of potassium fertilisation.

    The primers in the current study were designed with amplicon lengths of 70 to 150 bp, yielding primers with an 18 to 24 base and a melting temperature of 58–62 ℃. 18S rRNA and GADPH3 were chosen as reference genes based on their stable expression in rice. 18S rRNA was found to be a reliable reference gene for normalisation of qRT-PCR data in rice [30]. GADPH3 was a suitable reference gene in measuring gene expression in sugarcane [31] and was compatible with rice, since rice is homologous to sugarcane. High-quality total RNA for each sample was isolated from leaves' tissue samples and reverse transcribed. Following this, for each biological replicate, the same cDNA pool was used for qRT-PCR analysis of each gene using gene-specific primers. Real time PCRs were performed in triplicate for each cDNA sample along with no template control in parallel for each gene. Agarose gel electrophoresis showed that LEA 7, GADPH3 and 18S rRNA amplified a single PCR product of desired size from cDNA pools (Figure 1).

    Figure 1.  Agarose gel (1.5%) stained with Midori Green showing amplification of a specific PCR product of expected size for each gene in rice study. (a) on LEA and GAPDH; (b) 18S rRNA (each sample lane is loaded with 20 µL of PCR product, while the marker lane is loaded with 2.5 µL of 50 ng/µL of DNA ladder) (NTC = No template control; LEA = LEA 7; GAPDH = GAPDH3; M = Fermentas 100bp DNA Ladder).

    Real time PCR analysis is very sensitive, highly specific, and has a large quantification range to seven orders of magnitude [32,33]. Thus, it has become the most common method in evaluating gene expression. The relative expression of the LEA 7 gene with 18S rRNA and GAPDH3 as the reference genes was determined using the 2(-Delta Delta C(T)), 2−ΔΔCTmethod [24]. The results are shown in Figure 2. Amplification efficiencies for the LEA 7, 18S rRNA and GAPDH3 genes were previously shown to be in the range of 99.5–100.5%. The relative expression of the LEA 7 gene was found to be 10.63- and 6.82-fold in WS and WSK respectively compared to the control (Figure 2). The result indicated that the induction of the LEA 7 gene in leaves tissue of rice was influenced by water stress and potassium rates. The increase of potassium fertilisation from WS (80 kg K2O/ha) to WSK (120 kg K2O/ha) under water stress 25 days condition was shown to reduce the expression of the LEA gene in WSK. The present result is in agreement with previous work focused on the alleviation of water stress with potassium fertilisation in rice, sunflowers, olives, sugarcane and fava beans [34,35,36,37,38,39].

    Figure 2.  Relative quantification of LEA 7 gene in the sample (WS relative to control sample and sample WSK relative to the control sample).

    Under water stress, plants receive and transmit stress signals to a cellular defence mechanism. One of the mechanisms involved is induction of the LEA proteins, which play an important role in drought tolerance [40,41]. It can be concluded, based on the present result, that water stress does enhance LEA gene expression and reduce plant growth performance, although this can be minimised by applying additional potassium fertiliser to the plant, thus suggesting that potassium plays a role in minimising plant abiotic stress, and especially water stress.

    The imposition of water stress for 25 days with additional 120 kg K2O/ha (WSK) was proven to reduce LEA gene expression accompanied by high performance in plant growth and grain yield. Meanwhile, water stress for 25 days with 80 kg K2O/ha (WS) was shown to lead to the highest induction of the LEA gene in tissues with a reduction in plant growth and grain yield. Therefore, increasing the amount of potassium fertiliser during water stress could reduce expressions of the LEA gene and thus act as one of the factors that could improve plant growth performance under drought condition.

    We sincerely thank the universities for the facilities and research funding [BK076-2017, GPF009B-2018 and Long-term Research Grant Scheme (LRGS)].

    The authors declare no conflict of interest.

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