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ap gov chap 19

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Chapter Nineteen Social Welfare
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Page 1: ap gov chap 19

Chapter Nineteen

Social Welfare

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Types of Programs

• Benefit most citizens, no means test (e.g., Social Security and Medicare)

• Benefit a few citizens, means tested (e.g. Medicaid and Food Stamps)

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Popular Support

• Majoritarian benefit programs are sacrosanct

• The appeal of client-based, means-tested programs changes with popular opinion

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Social Welfare in the United States

• The appeal of client-based, means-tested programs changes with popular opinion

• America has been slower than other nations to embrace the welfare state

• State and private enterprise play a large role in administering welfare programs

• Non-governmental organizations play a large role

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Who Benefits?

• The public insists that it be only those who cannot help themselves

• There is a slow, steady change in popular views, distinguishing between the deserving and the undeserving

• The American public prefers to give services, not money, to help the “deserving poor”

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Non-Governmental Organizations

• Contracts and grants are awarded to national non-profit organizations, such as Big Brothers Big Sisters, Jewish Federations, and Catholic Charities

• Charitable Choice: provision that allowed religious non-profit organizations to compete for grants to administer welfare-to-work and related policies

• Faith-based organizations playing prominent roles in urban welfare-to-work programs

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Social Security Act of 1935

• Insurance for the unemployed and elderly—workers contribute and benefit

• Everybody is eligible for insurance programs

• Assistance for dependent children, the blind, and the elderly

• Assistance programs are means tested

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Medicare Act of 1965

• Medical benefits were omitted in 1935 in order to ensure passage of the Social Security Act

• Covers medical care for the poor and pays doctors’ bills for the elderly

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Reforming Welfare Programs

• Problem: there will soon be insufficient people paying Social Security taxes to provide benefits for every retired person

• Most solutions are opposed by the public

• Health care issues will remain on the political agenda

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Table 19.2: Health Care Spending in the United States and Abroad, 2001

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Possible Solutions for Social Security

• Raising the retirement age to 70, freezing retirement benefits, and raising Social Security taxes

• Privatizing Social Security

• Combine the first two reforms, and allow citizens to invest a portion of their Social Security taxes into mutual funds

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Table 19.1: Public Views on Reforming Social Security

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Temporary Assistance for Needy Families (TANF)

• Block grant program

• Had strict federal requirements about work, limited how long families can receive federally funded benefits

• By 2003, welfare caseloads had declined nationally by 60%

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Figure 19.1: SSI, TANF, and Food Stamp Recipients, 1980-2002

U.S. Census Bureau, Statistical Abstract of the United States, 2003, 371, 374.

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Majoritarian Politics

• Costs and benefits are widely distributed– Examples: Social Security Act, Medicare Act

• Question of legitimacy: conservatives argued that nothing in the Constitution authorized the federal government to spend money this way

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Client Politics

• Family assistance politics are less about cost than about the legitimacy of beneficiaries– Example: TANF program

• Beneficiaries changed: 1996-2003, able-bodied adults had a harder time getting benefits, but child-care spending in most states rose by 50% or more


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