The visual rhetoric of Affordable Care Act advertising in social media
In fall 2013, many Internet users were startled by video ads set in doctors exam rooms that used suspenseful audio as well as body penetration imagery to discourage participation in insurance exchanges mandated by the Affordable Care Act (ACA). One spot featured a young woman expecting a pelvic exam by a physician. Instead, a man with a grotesque Uncle Sam mask and costume emerges threateningly with speculum in hand. On-screen verbiage cautioned young people against signing up for Obamacare as the ACA was coined even though they would likely incur fines. The present study examines visual rhetoric surrounding this groundbreaking and sweeping federal legislation to establish universal healthcare in the United States. It examines the most popular anti- and pro-Obamacare video ads according to Twitter activity during September 2013 in anticipation of the ACAs open enrollment October 1. The two negative ads were produced by the Tea Party-backed PAC Generation Opportunity. The two positive ads were produced by the states of Minnesota and Oregon. These ads are considered from several perspectives, including their promotional strategies, the nature of issues and advocacy advertising in social media, and the roles that visual shock value and humor play in persuasion. Next, SCT is explained, along with its method of fantasy theme analysis (FTA), which is then applied to the ads to explore their rhetorical force. The analysis points to the potential consequences of powerful and well-funded individuals and groups skillfully manipulating social media with visual rhetoric that benefits their causes and beliefs. Conclusions suggest that, to be successful, !"#$%#&' #" ") *+,-,$,./ 0
Obamacare ads should use rhetorical techniques that are deliberately provocative and humorous and likely to appeal to youthful audiences. It is important to note that this study is in the interpretist and humanistic tradition of scholarship and we do not claim generalizability of findings. Our goal is to increase our understanding of the meaning of these persuasive visual messages and consider the cultural and social appeals embedded in them. Interpretive theory has the capacity to challenge the guiding assumptions of the culture, to raise fundamental questions regarding contemporary social life, to foster reconsideration of that which is taken for granted, and thereby to generate fresh alternatives for social action (Gergen, 1982, 109). While we also believe there are great opportunities to examine these phenomena using social scientific approaches, rhetorical analysis offers valuable insight. Shabbir & Thwaites (2007), for example, called for qualitative studies that probe more deeply into the underlying latent meanings conveyed by individual advertisements (p. 83.) The following research questions guide this study: o How do the ads function rhetorically to create meaning? o What role does humor play? o Which ads result in social sharing? o What worldviews or rhetorical visions emerge from these ads and what are the implications for democratic discussion? Literature Review Anti- and Pro-Obamacare promotion A crucial element in the potential success of the ACA is participation of relatively young, healthy people in insurance exchanges. The younger demographic groups who !"#$%#&' #" ") *+,-,$,./ 1
need less healthcare and thus incur much lower costs than older demographic groups contribute to the pool of insured people, thus reducing overall costs. This approach is typical of almost all types of insurance (Linkins, 2013). Conservative factions such as Generation Opportunity are seeking to persuade young people to opt out of Obamacare and pay the fines associated with refusal to sign up. Generation Opportunity has financial ties to wealthy businessmen Charles and David Koch (Moody, 2013; Shear, 2013). The organization is deploying ads and participating in on-campus events such as sports venues and festivals. Similarly, Americans for Prosperity, another conservative Koch-linked interest group, is conducting an experiential campaign aimed at college students that includes booths, brand ambassadors, and giveaways (Moody, 2013). The Obama administration planned a multi-million dollar promotional blitz of its own beginning in late 2013 and leading up to the March 2014 enrollment deadline. Individual states also deployed campaigns encouraging participation. POLITICO reported that the U.S. Department of Health and Human Services had reserved at least $12 million in airtime starting at the October 1 open enrollment date. Airtime was purchased in Texas, Florida, Pennsylvania, Arizona, Georgia, Missouri, Ohio, Indiana, North Carolina, Oklahoma, Tennessee, Louisiana and Michigan. All states but one, Missouri, are led by Republican governors and many of these governors are promoting an anti-Obamacare agenda (Burns & Cheney, 2013). This $12 million in airtime supplements the $41 million PR contract awarded earlier in 2013 to the firm Weber Shandwick to encourage participation (Burns & Cheney, 2013). Anti-Obamacare groups also invested significant capital in video advertising. The !"#$%#&' #" ") *+,-,$,./ 2
two Uncle Sam ads in this study were part of an initial $750,000 campaign by Generation Opportunity, with the goal to convince young adults to remain uninsured when the new health care law takes effect (Pickert, 2013). At this writing in March 2014, Obamacare opponents have run more than 30,000 television attack ads with spending by PACs accounting for 75%. Most ads have been run by Americans for Prosperity (Hispanic Business, 2014). Negative advertising via video spots has generated rich scholarship. While scholars have long debated the effects of attack political advertising, most research suggests the public is more influenced by attack ads, they pay more attention to them, recall them more accurately and remember them for a longer time (Garramone, 1985; Kaid and Boydston, 1987; Phau and Kensky, 1990). Issues advertising, young adults, and social media Issues or advocacy advertising is established in American politics as various social actors and interest groups seek to promote their agendas. Issues advertising refers to efforts to influence public policy as opposed to supporting a particular candidate or party (Bergen & Risner, 2012; Sethi, 1977). During the Clinton effort at healthcare reform in the mid-1990s, the Harry and Louise negative ad campaign was considered effective in derailing Clintons efforts (West, D, Heith, D. & Goodwin, C., 1996). After the U.S. Supreme Courts Citizens United decision in 2008 to allow unlimited funding for candidates and causes, a torrent of dollars poured into media of all kinds (Bergen & Risner, 2012). The most successful efforts have followed marketers strategies to integrate messages in multiple media and to encourage social sharing (Keller & Fay, 2012). Push advertising such as television commercials, online banner ads, and mobile !"#$%#&' #" ") *+,-,$,./ 3
spots are less and less effective as consumers find them intrusive and untrustworthy (Mahoney, 2013). Instead, marketers increasingly draw on individuals propensity to share interesting, scary, or amusing material with others via social networks or email. Peoples propensity for multi-screen viewing means that an ads reach can be vastly increased by relatively low cost. According to a recent Nielsen survey, 46% of smartphone owners and 43% of tablet owners use their devices as a second screen while watching television (Neilsen, 2013). With the explosion of social media in the past decade, the way people communicate has radically shifted. In a recent survey, 60% of Americans reported using social media (Ranie et al., 2012). Distant closeness (Van House, 2006), intimate visual co-presence (Ito, 2005) and findings regarding mobile blogs (Van House et al. 2005) together indicate an emerging way humans communicateby sharing virtual content. Sharing media has shifted from being merely a novel triviality to a primary online activity (Oeldorf-Hirsch & Sundar, 2010). Sites like Twitter, Facebook, YouTube, Pinterest and Tumblr are redefining how the media work by empowering users to share content and build community (Smith, 2009). These social networking sites include features like walls, blogs, bulletins, and profiles that are very attractive to young adult users (Urista, Dong, & Day, 2009). Twitter was created to be a tool for sharing status updates publicly, but now is rich with shared photos, videos, news stories and links. This new medium has created a generation of young adults whose identities are defined by the content they share online and the connections they share content with (Dye, 2007). Many users share their thoughts and feelings on social networking sites; they can be used to communicate with the public, or a more narrowly focused collection !"#$%#&' #" ") *+,-,$,./ 4
of family and friends (Cross, 2002). Social media platforms by their very definition provide individual users a way to express themselves online (boyd & Ellison, 2007). In social networking, users are motivated to participate for information sharing and seeking, emotional development and maintenance, community and civic involvement, offline support, and entertainment (Baltaretu & Balaban, 2010; Ellison, Steinfeld, & Lampe, 2006; Joinson, 2008; Kim et al., 2011; Lin et al., 2010; Stern & Taylor, 2007). Research indicates that people are motivated to share for different reasons on different platforms. In Baek et al. (2011), survey research found that information sharing was the dominant motivation on Facebook. Other motivations for sharing included entertainment and passing time. Twitter and Facebook bear a number of similarities, especially in terms of the emphasis on the status update. Therefore it isnt surprising that Holton et al. (2013) found similar motivations in survey research of Twitter use. However, unlike Facebook users, Twitter users are motivated to post links because of information seeking. Holton et al. (2013) reasons that this may be due to the format of Twitter, which invites conversation and feedback from followersand the user may not know all his or her followers. And Twitter, in part because of the limitation of only 140 characters, encourages succinct straightforward opinion and people are more liable to share opinions on Twitter than on other platforms (Lasorsa, Lewis & Holton, 2012). Unlike other social media sites, Twitter is an ongoing conversation about media events (Shamma, Kennedy and Churchill, 2009). Humor in visual rhetoric Humor has long been a tool for advertisers seeking to gain attention and liking from audiences (Gulas, & Weinberger, 2006; van Barren, Holland, & van Knippenberg, !"#$%#&' #" ") *+,-,$,./ 5
2011). Advertising practitioners tend to think that young audiences find humorous approaches more appealing (Madden & Weinberger, 1984). Strick et al (2011) found that associating a product with humor leads to greater likelihood of choosing the product and more favorable brand evaluations. Disturbingly, Shabbir & Thwaites (2007) found that humor was used as a masking device for deceptive advertising claims, particularly visual masking. Grazioli (2004) suggests humor in deceptive advertising can have a priming effect, changing how a consumer may process advertising claims. Audiences, young adults in particular, tend to seek out information and news in ways that are entertaining or humorous (Feldman, 2007). Young adults also use the Internet to seek out satire, irony, comedy and parodyall elements related to humor (Calavita, 2004). Holton and Lewis (2011) conducted a content analysis of tweets by the 500 journalists with the most followers on Twitter and found that humor served a connective function on social media. People often use humor in social media to communicate belonging. A study of forwarded emails (Duffy, Page & Young, 2012) suggests that individuals receive gratifications from receiving and sending humorous images and jokes with online contacts. Theorists posit that humor emerges from combinations of three factors: incongruity, arousal, and superiority (Gulas & Weinberger, 2007) and the mechanism all three have in common is what Gulas and Weinberger call the challenge to the normal order (p. 191). As they put it, The object of the humor is the butt of the joke (p. 41). Humor often carries the weight of values and morals. Kramer (2011) suggests the notion of humor ideologies that guide speakers in their production and consumption of humor (138). She argues that people believe certain types of humor and jokes carry !"#$%#&' #" ") *+,-,$,./ 6
moral weight (161) and confer credibility. Gruner (1997) argues that all humorous situations must have winners and losers and analysis needs to show who wins or loses. Drawing from Waszak (2013), this hierarchy between the person creating or delivering the joke (the agent) and the butt of the joke (the object) works as a form of othering by establishing a boundary between those that find pleasure in the joke (the audience) and those that are subject to the adversities of the joke. Santa Ana (2012) concludes that off- color humor creates a social boundary between those in on the jokes and those of the butt of the joke, arguing that no one of them, in this moment of satisfaction, can ever be one of us (40). Visual imagery is a frequent conduit for dark humor, able to frame a message that in words may be less acceptable and powerful. Common cultural allusions are often used to encourage audience understanding and participation in meaning construction. Smyth documents how pre-existing joke forms were used in commentary after the explosion of the space shuttle Challenger on liftoff (1986). Another common element of humor is script incompatibility (Kuipers, 2005), or what Oring called appropriate incongruity (1987). Such humor juxtaposes socially determined dichotomies such as real and unreal, taboo and non-taboo, innocent and devious (Kuipers, 2005). The humor derives from the friction generated by an inappropriate pairing, and many jokes use the lingo and jingles of television commercials or popular culture. To find the humor in a mashup of two incongruous domains, the audience must have familiarity with the domains being juxtaposed, as well as with any shared interpretations and cultural touchstones invoked in the jokes content. !"#$%#&' #" ") *+,-,$,./ 7
Humorous images and other visual persuasion often employ symbols commonly familiar within a culture that do not need an explanation; they communicate heuristically. This visual appropriation is a rhetorical action of taking over the meaning of something that is already known by way of visual reference. Thus, beyond the inherent influence of the audiovisual, the cultural rhetoric of images is a powerful tool: viewers have little difficulty interpreting these nonverbal displays. Also, dress, facial displays, clothing, gesture, camera framing, and other aspects of image content and form help shape the basis of inferences. Theoretical Approach and Methodology In examining the rhetoric of the anti- and pro-Obamacare advertising, we are guided by humor theory (Gulas, 2007, Gruner, 2004), visual rhetoric (Foss, 2005), and Symbolic Convergence Theory (SCT) with its associated method of Fantasy Theme Analysis (FTA). Developed by Ernest Bormann (Bormann, Cragan & Shields, 2003) and extended by many others, SCT is a general theory of communication and is related to symbolic interactionism. The theory posits that social reality is created through communication and applies a dramatistic metaphor to understanding phenomena. SCT- based rhetorical criticism offers understanding of how individuals and groups arrive at shared perspectives and worldviews or rhetorical visions in the parlance of SCT. Convergence involves not only intellectual co-orientation in which people come to have the same logical and rational negotiated meaning of symbols (Bormann, 1983, 102); it also involves sharing similar feelings and embracing the same values. SCT has been used in both social scientific and humanistic research (Cragan & Shields, 1992). !"#$%#&' #" ") *+,-,$,./ 89
Another theoretical assumption is that dramatized moments and symbolic meanings can and do become part of wider discourses and disseminate or chain to larger publics and, as Bormann says, provides people with a social reality filled with heroes, villains, emotions, and attitudes (Bormann, 1981, 18.) Symbolic realities can be created in all types of discourse and can be deployed to accomplish instrumental objectives such as political and social action. FTA is a method of rhetorical criticism that guides the researcher in discovering the social realities of group members. It applies certain technical terms such as fantasy theme, a creative or imaginative interpretation of events which fulfills a psychological or rhetorical need (Bormann, 1983, 107). A fantasy theme is not something imaginary, but rather a way of interpreting events. The critic examines communication artifacts to find patterns of fantasy themes that can be sorted into broader categories of fantasy types. They will feature similar themes or storylines that may create a sense of community, shared beliefs, and purpose. This may lead or contribute to a rhetorical vision that constitutes social realities. While Symbolic Interactionism, SCT and FTA preceded the Internet by many years, scholars have noted how digital communication has been an accelerant for sharing, consensus building, and polarization (Duffy, Page, & Young, 2011). Artifact Selection Using Topsy Pro, a social media data analysis program that can analyze historic and current Twitter activity, we identified the top two pro-Obamacare ads and top two anti-Obamacare ads running in September 2013. Topsy collects all 400 million tweets each day and uses keywords in tweets to score sentiment toward specific issues. That !"#$%#&' #" ") *+,-,$,./ 88
sentiment score is then aggregated by specific hashtags or @ connections. It also measures retweets, tweet views or impressions, how many people retweet after each individual post or momentum, and how quickly retweets occur or acceleration. It unpacks the link to its original state in order to map inferences to the link and determine the relative influence of a given link, video, or webpage. We used Topsy in order to measure the degree of popularity of Obamacare ads and to determine the degree of chaining that occurred. The top two negative ads are Opt Out-The Exam-Creepy Uncle Sam and Opt Out-The Glove-Creepy Uncle Sam, both by Generation Opportunity; the top two supportive ads are Live Long in Oregon by Cover Oregon and Paul Goes Waterskiing by MNsure. We argue that these issue ads appropriated references to folklore, patriotic symbols, popular movies and music, and commercial advertising to craft messages that resonate with young audiences. They rely on a bricolage of visual rhetoric through the combined performance of human actors, stagecraft, and digital manipulation. Three ads heavily rely on visual cues and sound effects; only the Oregon ad equally combines words with images and sound. Findings and Discussion Creepy Uncle Sam Ads The two anti-Obamacare ads depict dramas of a young woman having a pelvic exam and a young man having a proctology exam. Their narratives suggest the rhetorical vision, Obamacare will turn healthcare into a horror show. Four pillars of this vision are the fantasy types: 1) Obamacare means omnipresent government surveillance and control over individual free will; 2) Young men and women who choose Obamacare !"#$%#&' #" ") *+,-,$,./ 80
are stupid, willing victims, and worthy of contempt; 3) Obamacare will humiliate and emasculate young men, and terrorize and molest young women; and 4) The U.S. is government a bully, a monster, and a torturer. These ads employ humor, fear appeals, shock value, and allusions to popular culture in their depictions of the doctor visit or rather, playing doctor dramas. Camera framing and angles communicate power and powerless positioning, emphasizing the doctors looking down grimly or sneeringly as their patients make distrustful or fearful facial expressions and adopt protective body postures. The ads are quite critical of the characters in their dramas. These anti-Obamacare ads have all three elements of humor: incongruity (creepy Uncle Sam as doctor in an exam room), arousal (a naive subject thats confronted with sexual violation), and superiority (any individual choosing Obamacare would be the butt of the joke.) The medical personnel are characterized as brusque and the young patients are portrayed as clueless and worthy of ridicule for choosing Obamacare (Figures 1 and 2):
Figure 2. Yes, I saw the ads and I figured, Why not? The U.S. government, portrayed by an oversized Uncle Sam playing doctor, is depicted as invasive and evil (Figures 3 - 6).
The Uncle Sam image, as a representation of the U.S. government, has long been used politically and commercially to denote both positive and negative power attributes. The humor attempt is constructed through initial incongruity: a buffoonish-looking character administering a womans most intimate medical exam and an invasive procedure on a young man. As one journalist aptly commented, it becomes an adversarial icon used in a sinister mashup of a torture porn movie and a lesser Burger King ad (Kees, Daily Dot). The Daily Shows Jon Stewart noted the cultural association with Burger Kings earlier King icon (Figure 7) known for invading peoples bedrooms in !"#$%#&' #" ") *+,-,$,./ 83
ads--a mascot that both the ad agency and client embraced as creepy and a humor trigger (Figure 8).
Figure 7.
Figure 8.
Other visual allusions to popular culture arise in this ad. Aimed at an age bracket familiar with the cult classic film The Hunger Games, viewers may identify the young man cast in The Glove ad (Figure 9) with the Hunger Games actor Josh Hutcherson (Figure 10). Their resemblance is markedly strong. The former is forced into a violent encounter by the government and the latter is forced into mortal combat for the amusement of powerful citizens. !"#$%#&' #" ") *+,-,$,./ 84
Figure 9. Actor in ad Figure 10. Actor in The Hunger Games
The primary fantasy type, Obamacare means omnipresent government surveillance and control over individual free will is established in the opening frame of both ads: Multiple old school television monitors suggest panoptical scrutiny (Figure 11). Young viewers likely to be familiar with the Matrix movie series may identify this scene with a similar one in The Matrix Reloaded, where the protagonist meets the Architect (of the Matrix) face to face in a large room whose walls are covered with television monitors (Figure 12) revealing a system enacted to control humanity, placing human agency against determinism. !"#$%#&' #" ") *+,-,$,./ 85
Figure 11. Opt Out-The Glove-Creepy Uncle Sam
Figure 12. The Matrix Revisited
The ads plots also evoke the horror film genre, as Uncle Sam sneaks up on unsuspecting victims in the examination room. It is common for the serial killer or mass murderer to sneak up on his unsuspecting victim. Then, when least expected, the killer makes his move. News sources across the Internet, from news blogs to traditional media, voiced similar reactions to the Generation Opportunity ads, repeatedly labeling them the Creepy Uncle Sam ads. !"#$%#&' #" ") *+,-,$,./ 86
A minimal script, strategic camera angles, and playfully suspenseful music-- evocative of the ominous Oompa Loompa score that young viewers may remember from the film Willy Wonka and the Chocolate Factory--contribute to the atmosphere of impending threat. No words are spoken after the attendant leaves the room; the music stirs expectations. The female patient, legs in stirrups, screams at the appearance of the grotesque Uncle Sam figure opening a speculum. The male patient huddles on the table, cringing as a leering Uncle Sam snaps his proctology exam glove. Both ads end with screen shots, white type reversed on black backgrounds, Dont let government play doctor and Opt Out of ObamaCare. A logical reading of the ads messages is that one would feel violated by having the government involved in any part of the doctor/patient relationship. However, the manner in which this position is presented subverts any rational message. As Burger King earlier embraced the creepy delivery of its King ad campaign as subversive marketing that generates attention and word-of-mouth, so too is the goal with the Creepy Uncle Sam spots. Generation Opportunity president Evan Feinberg told the Daily Caller, We think these videos went viral because we put ourselves in the minds of our friends, classmates, coworkers, and asked what would we find creepy? Funny? (Bedford, 2013). In their first 24 hours they did go viral, written up in over 100 publications with most noting the ads use of creepiness to break through the noise and get holy shit buzz. Within the first two weeks after uploading to YouTube, the videos accumulated more than three million hits combined. Data derived from Topsy indicated that the anti- Obamacare ad "The Exam" garnered more than 100,000 impressions on tweets linking to the video in less than two weeks. The related Koch brothers' ad "The Glove" displayed !"#$%#&' #" ") *+,-,$,./ 87
some popularity with 7,000 impressions, but not nearly the broad viewership of "The Exam." Further evidence of the breakthrough popularity of The Exam can be measured by a parody ad created by The Other 98%, Opt Out of Koch Propaganda, Not Obamacare (parody). Uploaded to YouTube after the initial ads appeared, within five days of its appearance the parody had generated more than 36,000 views. It repeated the Koch Brothers ad, changing only the end frames to read, Healthcare for All is not invasive. Mandatory Vaginal Probes Are. The Koch Brothers have helped elect Governors across America who support transvaginal ultrasound bills. By contrast, the pro-Obamacare ads received modest viewership. "Paul Goes Waterskiing" received 4,000 impressions and "Live Long in Oregon" received 3,000 impressions. Pro-Obamacare Ads The drama enacted by the Live Long in Oregon ad presents the overall rhetorical vision that Obamacare represents the spirit of Oregon (Figure 13). It is set outdoors with song, dance, and props that provide positive emotional tones and messages
Figure 13. Live Long in Oregon !"#$%#&' #" ") *+,-,$,./ 09
about diversity and harmony in nature. Its characters are multi-racial, of varying ages, and both male and female. Its settings appear to be limitless, encompassing various landscapes and climates. Its plot, as played out in the words to the song running throughout the ad, suggests that living well in Oregon is inclusive of all workers and life situations. Its actors all have equal agency. The drama enacted by Minnesotas Paul Goes Waterskiing ad presents the overall rhetorical vision that Its no joke: Even you could need Obamacare (Figure 14).
Figure 14. Paul Goes Water Skiing. It is a simply constructed animation, also set outdoors, depicting the mythical hero Paul Bunyan comically crashing into landhis boat piloted by trusted companion Babe, the blue ox. With its folkloric references and nave form, the ad relies on a humorous fear appeal. The setting suggests dangers lurking in nature for outdoorsmen in the state, with a plot revolving around random and unexpected accidents, even in familiar territory. Its cartoonish quality supports its playfully serious message. While these two ads ranked most tweeted of all pro-Obamacare ads as of the date of this study, their low numbers in social media offer little evidence of chaining. !"#$%#&' #" ") *+,-,$,./ 08
Conclusion Our research questions asked: How do the ads function rhetorically to create meaning? What role does humor pay? What ads were socially shared or chained? What worldviews or rhetorical visions emerge from these ads? Notably, the anti-Obama ads quickly resonated within social and traditional media, as our Topsy research and Internet searches reveal, due to their insinuation and shock value. Their visual narratives used cultural appropriation, incongruity, and dark humor as agents to drive these anti-Obamacare ads to social media resonance. The take- away message, that if you sign up for Obamacare the government will stick it to you as suggested by the metonymic speculum and gloved fingerscreates participants of the spectators. In terms of humor theory, this ad draws on several elements of humor: distraction from counter-argumentation, superiority and incongruity (Gulas & Weingarter, 2007). The Creepy Uncle Sam spots were remarkably successful in becoming viral. The top pro-Obamacare ads had little success in social sharing and even the most popular of the two, Paul Bunyan, was a distant third behind Uncle Sam. The humorous elements in Paul Bunyan relied on the incongruity of a crudely but cleverly animated Paul, his Blue Ox (piloting the boat), and a gentler motif of superiority. The anti- Obamacare ads, while tasteless and deceptive, chained through traditional and social media and presented a vision of a deviant and ominous government that Americans would naturally disdain. The pro-Obamacare ads which were mild, and mildly amusing, downplayed the role of government while highlighting the benefits of helping others who are experiencing misfortune. Ironically, the images that ACA opponents use to !"#$%#&' #" ") *+,-,$,./ 00
discourage enrollment are similar to the laws proposed by some conservativesas the parody video notedrequiring transvaginal procedures for women who seek abortions (Lithwick, D., 2013). It is evident that the most successful anti-Obamacare ads use rhetorical techniques that are deliberately provocative and humorous, and likely to appeal to youthful audiences. They may have inspired pro-Obamacare groups to deploy new ads; for example, a controversial series of ads featured young people doing silly and dangerous activities. Called Brosurance, one ad features young men attempting handstands on a beer keg (Ferner, 2013). As noted earlier, sizable resources will support pro-Obama ads in 2014. As the debate heightens, the Super PAC funded by the billionaire Koch brothers, Americans for Prosperity (AFP), will target legislators who supported Obamacare. It is unclear how much will be allocated, but as of March, 2014, the AFP has spent over $30 million (Lowery, 2014). While pro-Obamacare promotion may ultimately be well funded and successful, the anti-Obamacare persuasive messages are visually persuasive, yet ethically challenged, and portend negative health outcomes for the young people they target. With this analysis of Obamacare ads and their rhetorical strategies, we seek to move theory of visual rhetoric forward. In particular, gaining greater understanding of how audiovisual rhetoric works in online venues will be important steps in future research. References Action Figures: How Second Screens are Transforming TV Viewing. (2013). Nielsen, 2013(27 September). Retrieved from http://www.nielsen.com/us/en/newswire/2013/action-figures--how-second- !"#$%#&' #" ") *+,-,$,./ 01
screens-are-transforming-tv-viewing.html Bedford, C. (2013). BEDFORD: Creepy Uncle Sam is the best political mascot since normal Uncle Sam. Retrieved from http://dailycaller.com/2013/09/20/bedford- creepy-uncle-sam-is-the-best-political-mascot-since-normal-uncle- sam/#ixzz2gWFWDvfZ Baltaretu, C. M., & Balaban, D. C. (2010). Motivation in using social network sites by Romanian Students. Journal of Media Research (June), 67-74. Bergan, D. & Risner, G. (2012).The Power of Citizen-Group Public-Policy Advertising: Messages Don't Need Third-Party Validation to Increase Salience among Pockets of Voters. Journal of Advertising Research. Vol. 52 Issue 4, p405-420. Boyd, D. Ellison, N.(2007). Social network Sites: Definition, History and Scholarship. Journal of computer-mediated communication, 26. Brader, T. (2005). Striking a responsive chord: How political ads motivate and persuade voters by appealing to emotions. American Journal of Political Science, 49,2, pp. 388-405. Burns, A., & Cheney, K. (2013, 5 September). Obama Administration plans $12M ad buy to promote health law, POLITICO. Calavita, M. (2004). Idealization, inspiration, irony: Popular communication tastes and practices in the individual political development of Generation X'ers. Popular Communication, 2(3), 129-151. Cover Oregon (Video). Live Long in Oregon. Retrieved from http://www.youtube.com/watch?v=Xv2UUcXCo9g de Vries, R., van den Hooff, B., & de Ridder, J. (2006). Explaining knowledge sharing: The role of team communication styles, job satisfaction, and performance beliefs. Communication Research, 33(2), 115. Dye, J. (2007, May). Meet Generation C: Creatively connecting through content. EContent. Retrieved from http://www.econtentmag.com/Articles/Editorial/Feature/Meet-Generation-C- Creatively-Connecting-Through-Content-35942.htm Ellison, N., Steinfield, C., & Lampe, C. (2006). Spatially bounded online social networks and social capital: The role of Facebook. Paper presented at the Annual !"#$%#&' #" ") *+,-,$,./ 02
Conference of the International Communication Association. Dresden, Germany, June 19-23. Feldman, L. (2007). The news about comedy: Young audiences, The Daily Show, and evolving notions of journalism. Journalism, 8(4), 406-427. Franke-Ruta, G. (2013). Creepy anti-Obamacare Ads Suggest where Uncle Sam Wants to Stick It. The Atlantic, Sept. 13. Retrieved from http://www.theatlantic.com/politics/archive/2013/09/creepy-anti-obamacare-ads- suggest-where-uncle-sam-wants-to-stick-it/279825/ Ferner, M. (2013). Brosurance Obamacare ad targets young, keg stand loving guys (Oct. 22). Retrieved from http://www.huffingtonpost.com/2013/10/22/obamacare-ads_n_4145201.html Garramone (1985). Effects of negative political advertising: The roles of sponsor and rebuttal. The Journal of Broadcasting and Electronic Media, 29, Spring, 147-59. Generation Opportunity (Video). Opt Out- The Exam Creepy Uncle Sam. Retrieved from http://www.youtube.com/watch?v=R7cRsfW0Jv8 ____ (Video). Opt Out The Glove- Creepy Uncle Sam. Retrieve from http://www.youtube.com/watch?v=BsN75nt1aUU Gergen, K. (1982). Toward Transformation in Social Knowledge. Spring-Verlag, New York, p. 109. Grazioli, S. (2004). Where did they go wrong? An analysis of knowledgeable Internet consumers to detect deception over the Internet. Group Discussion and Negotiation, 13(2), 149-172. Gruner, C. R. (1997). The Game of Humor. New Brunsick, NJ: Transaction Publishers. Gulas, C. G. & Weinberger, M. G., (2006). Humor in Advertising. M. E. Sharpe: Armonk, NY. Hispanic Business. (2014). News Column: Koch brothers step up anti-Obamacare campaign. Retrieved from http://www.hispanicbusiness.com/2014/3/14/koch_brothers_step_up_antiobamaca re_campaign.htm. Holton, A., & Lewis, S. (2011). Journalists, social media, and the use of humor on Twitter. Electronic Journal of Communication, 21(1/2). !"#$%#&' #" ") *+,-,$,./ 03
Holton, A. E., Baek, K., Coddington, M., & Yaschur, C. (2013). Soliciting Reciprocity: Socializing, communality, and other motivations for linking on Twitter. Paper presented at the International Symposium on Online Journalism, Austin, Texas. Ito, M. (2005). Intimate visual co-presence. Paper presented at the Workshop on Pervasive Image Capture and Sharing, 7th International Conference on Ubiquitous Computing, Tokyo, Japan. Joinson, A. N. (2008, April 5-10, 2008). 'Looking at', 'looking up' or 'keeping up with' people? Motives and uses of Facebook. Paper presented at the 26th Annual SIGCHI Conference on Human Factors in Computing Systems, Florence, Italy. April 5-10, 2008. Kaid, L.L. & Boydston (1987). An experimental study of the effectiveness of negative political advertisements. Communication Quarterly, 35, Spring, 193-201. Keller E. & Fay, B. J. (2012). Word-of-Mouth Advocacy: A New Key to Advertising Effectiveness. Journal of Advertising Research. Dec2012, Vol. 52 Issue 4, p459- 464. Kim, Y., Sohn, D., & Choi, S. M. (2011). Cultural difference in motivations for using Social network sites: A comparative study of American and Korean college students. Computers in Human Behavior, 27, 365-372. Kramer, Eise. 2011. The playful is political. Language in Society (40), 137-68. Kuipers, Giselinde. 2005. Where was King Kong when we needed him?: Public discourse, digital disaster jokes, and the functions of laughter after 9/11. The Journal of American Culture 28(1), 7084. Lasorsa, D. L., Lewis, S. C., & Holton, A. E. (2012). Normalizing Twitter: Journalism practice in an emerging communication space. Journalism Studies, 13(1), 19-36. Linkins, J. (2013). Anti-Obamacare Ads, beer cozies pitched to college students get them To Opt Out. Huffington Post, 9-19-2-13. Li t hwi ck, D. (2012). Vi rgi ni as Proposed Ul t rasound Law Is an Abomi nat i on. Sl at e, ret ri eved from ht t p: / / www. sl at e. com/ art i cl es/ doubl e_x/ doubl ex/ 2012/ 02/ vi rgi ni a_ul t rasound_l aw_women_who_want _an_abort i on_wi l l _be_forci bl y_pen et rat ed_for_no_medi cal _reason. ht ml !"#$%#&' #" ") *+,-,$,./ 04
Liu, I. L. B., Chen, C. M. K., & Lee, M. K. O. (2010, July). Understanding Twitter usage: what drives people to continue to tweet. Paper presented at the Pacific Asia Conference on Information Systems, Taipei, Taiwan. Lowery, W. (2014). Democrats anti-Koch strategy is risky. Washington Post (March 17). Retrieved from http://www.washingtonpost.com/blogs/the- fix/wp/2014/03/17/democrats-anti-koch-strategy-is-risky/ Mahoney, S. (2013). As contempt for push grows, branded content rises. Mediapost.com. Retrieved March 26, 2013 from http://www.mediapost.com/publications/article/196541/as-contempt-for-push- grows-branded-content-rises.html#axzz2P90IZetR MNsure (Video). Paul Goes Water Skiing. Retrieved from http://www.youtube.com/watch?v=MSZn6X8JRVw Moody, C. (2013). Yahoo! News July 31, 2013 8:45 AM. Retreived on Sept. 29 from http://news.yahoo.com/conservative-groups-continues-effort-to-warn-against- enrolling-in-health-care-law-124543669.html Nielsen, (2013). Action figures: How second screens are transforming TV. Retrieved March 29, 2014 from: http://www.nielsen.com/us/en/newswire/2013/action-figures--how-second- screens-are-transforming-tv-viewing.html Oeldorf-Hirsch, A., & Sundar, S. (2010). Online Photo Sharing as Mediated Communication. Conference Papers -- International Communication Association, 1. Oring, Elliott. 1987. Jokes and the discourse on disaster. The Journal of American Folklore 100 (397), 27686. Pfau, M. & Kensky, H.C. (1990). Attack Politics: Strategy and Defense. 1990. Santa Barbara, CA: Praeger. Pickert, K. (2013, 19 September). Spread Your Legs for Uncle Sam: The real meaning of the creepy new anti-Obamacare ads. TIME. Ranie, L., Smith, A., Schlozman, K. L., Brady, H., & Verba, S. (2012). Social media and political engagement. Washington, D.C.: Pew Research Center. !"#$%#&' #" ") *+,-,$,./ 05
Santa Ana, O. (2009). Did you call in Mexican? The racial politics of Jay Leno immigrant jokes. Language in Society 38(1), 23-45. Sethi, S. P. Advocacy Advertising and Large Corporations: Social Conflict, Big Business Image, The News Media, and Public Policy. Lexington, MA: Lexington Books, 1977. Shabbir, H. & Thwaites, D. (2007). The use of humor to mask deceptive advertising: Its no laughing matter. Journal of Advertising (36)2, 75-85. Shamma, D. A., Kennedy, L., & Churchill, E. F. (2009, October). Tweet the debates: understanding community annotation of uncollected sources. In Proceedings of the first SIGMM workshop on Social media (pp. 3-10). ACM. Shear, M. D. (2013). Ad campaigns compete as health rollout looms. New York Times, Sept. 21. Retrieved from http://www.nytimes.com/2013/09/22/us/politics/reignited-battle-over-health- law.html?pagewanted=1&_r=1 Strick, M., van Barren, R. B., Holland, R. W. & van Knippenberg, A. (2011). Humor in Advertisements Enhances Product Liking by Mere Association. Psychology of Popular Media Culture, Vol. 1(S), 1631 Smith, T. (2009). The social media revolution. International journal of market research, 51(4), 559-561. Smyth, Willie. 1986. Challenger jokes and the humor of disaster. Western Folklore 45(4), 24360. Stern, L. A., & Taylor, K. (2007). Social networking on Facebook. North Dakota Journal of Speech and Theater, 20, 9-20. The Other 98% (Video). Opt Out of Koch Propaganda, Not Obamacare (parody). Retrieved from http://www.youtube.com/watch?v=y8s7vgnAmoE/ The Matrix Revisited. http://www.criticalcommons.org/Members/ccManager/clips/matrixreloadedarchit ectmontage.mov/view Urista, M. A., Dong, Q., & Day, K. D. (2009). Explaining why young adults use MySpace and Facebook through uses and gratifications theory. Human Communication, 12(2), 215-229. !"#$%#&' #" ") *+,-,$,./ 06
Van House, N., Davis, M., Ames, M., Finn, M., & Viswanathan, V. (2005). The uses of personal networked digital imaging: An empirical study of cameraphone photos and sharing (p. 1856). Proceedings of the CHI'05 extended abstracts on Human factors in computing systems, ACM. Van House, N. (2006). Distant closeness: Cameraphones and public image sharing. Paper presented at the UBICOMP'06 PICS Workshop. Waszak, A. 2013 The contributions of rape humor to a rape-prone society. Lake Forest College Publications http://publications.lakeforest.edu/allcollege_writing_contest/20 West, D., Heath, D., and Goodwin, C. (1996). Harry and Louise go to Washington: Political advertising and health care reform. Journal of Health Politics, Policy & Law, 21 (1) 35-68.