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Two kinds of social welfare programs exist in the U.S.:◦ Benefit most citizens, no means test-given
without regard to income level (Example: Social Security and Medicare)
◦ Benefit a few citizens, means tested-must fall below a certain income level to receive benefits (Example: Medicaid and Food Stamps)
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The first type represents majoritarian politics, the second type represents client politics
Majoritarian problems: Who will pay and how much will they pay?
Client-oriented problems: Who should benefit and how much should they be served?
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The appeal of client-based, means-tested programs changes with popular opinion◦ Example: Aid to Families with Dependent
Children (AFDC) See p.508 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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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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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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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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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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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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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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Block grant program created to replace AFDC
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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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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