The document discusses the history and evolution of the US welfare system leading up to reforms under the Clinton administration. It describes how prior to Clinton, there were failed reform attempts in the 1960s-80s to update the system. Clinton succeeded where others failed by overhauling welfare in 1996, ending the AFDC program and replacing it with Temporary Assistance for Needy Families (TANF) which included job training programs and took further steps toward devolving responsibility to the states. The reforms aimed to make welfare a temporary safety net and incentivize work.
The document discusses social welfare programs in the United States. It covers topics such as how Americans' views of government assistance for the poor have changed over time, different types of welfare programs, and debates around universal health care. The key points are:
1) Americans have historically taken a more restrictive view than other nations on who is entitled to government assistance and have been slower to embrace the welfare state.
2) There are two kinds of welfare programs - majoritarian programs like Social Security that most citizens support, and client programs like Medicaid that are means-tested and face more questions about legitimacy.
3) Debates continue around ensuring access to health care for all Americans while containing costs and not reducing the quality
The document discusses and compares public and private health care systems around the world. It provides details on the public health care systems in countries like the UK, Mexico, Germany, and Canada. It notes that Canada's public health care system began in the 1940s and was pioneered by Tommy Douglas. The document also discusses private health care in countries like Canada and the US. It provides statistics on health care spending and outcomes in countries like Canada, the US, and Cuba. It discusses Michael Moore's documentary "Sicko" which compared various countries' health care systems.
What is welfare state?
How it can change people’s lives? How government can prepare good facilities for people?
What are the field of welfare services?
This document discusses definitions and criticisms of poverty in America. It notes that liberal critics believe the official poverty definition underestimates poverty, while conservative critics challenge elements of the definition as well. It also examines factors associated with poverty such as family structure, race, age, and wealth. Government social programs aimed at reducing poverty are outlined, along with debates around their effectiveness and potential disincentives.
This document summarizes an article that argues poverty is a women's equality issue and should be addressed through substantive equality rights in the Canadian Charter. It discusses how social and economic rights claims have been defeated by classifying them as non-justiciable. However, international human rights law does not support a strict division between civil/political rights and social/economic rights. Considering women's disproportionate experience of poverty and its impacts, the right to substantive equality must protect basic income security. Failing to acknowledge the gendered impacts of poverty risks narrowing the understanding of equality rights.
This document summarizes the history of poverty in America from the industrialization era to modern times. It discusses how poverty is measured using thresholds and guidelines, and analyzes poverty levels and the impact of government assistance programs. Specific agencies that help the poor are also outlined, including how healthcare reform like the Affordable Care Act and Promise Zone initiatives aim to reduce poverty rates. Wealth inequality in the U.S. is significant as shown in an included video.
The document discusses several aspects of public policymaking in the United States, including economic, social welfare, national security, environmental, energy, and healthcare policies. It provides details on key policies, challenges, and theories related to each of these areas. For example, it outlines the roles of monetary and fiscal policies in the economy, major social welfare programs, different perspectives on the government's role in healthcare, and historical approaches to foreign policy including isolationism and containment.
The document summarizes the findings of surveys of non-profits and individuals in Ohio regarding economic struggles and the social safety net. The surveys found that:
1) Non-profits saw large increases (average of 60%) in demand for services like food and shelter from 2008-2011. Many turned clients away due to lack of resources.
2) Individuals reported problems with health care, hunger, and meeting basic needs despite being employed. Over 80% of respondents earned less than $30,000 annually.
3) Both non-profits and individuals supported reforms like increasing funding for social programs, making health care more affordable, expanding job training programs, and raising eligibility levels for assistance.
The document discusses social welfare programs in the United States. It covers topics such as how Americans' views of government assistance for the poor have changed over time, different types of welfare programs, and debates around universal health care. The key points are:
1) Americans have historically taken a more restrictive view than other nations on who is entitled to government assistance and have been slower to embrace the welfare state.
2) There are two kinds of welfare programs - majoritarian programs like Social Security that most citizens support, and client programs like Medicaid that are means-tested and face more questions about legitimacy.
3) Debates continue around ensuring access to health care for all Americans while containing costs and not reducing the quality
The document discusses and compares public and private health care systems around the world. It provides details on the public health care systems in countries like the UK, Mexico, Germany, and Canada. It notes that Canada's public health care system began in the 1940s and was pioneered by Tommy Douglas. The document also discusses private health care in countries like Canada and the US. It provides statistics on health care spending and outcomes in countries like Canada, the US, and Cuba. It discusses Michael Moore's documentary "Sicko" which compared various countries' health care systems.
What is welfare state?
How it can change people’s lives? How government can prepare good facilities for people?
What are the field of welfare services?
This document discusses definitions and criticisms of poverty in America. It notes that liberal critics believe the official poverty definition underestimates poverty, while conservative critics challenge elements of the definition as well. It also examines factors associated with poverty such as family structure, race, age, and wealth. Government social programs aimed at reducing poverty are outlined, along with debates around their effectiveness and potential disincentives.
This document summarizes an article that argues poverty is a women's equality issue and should be addressed through substantive equality rights in the Canadian Charter. It discusses how social and economic rights claims have been defeated by classifying them as non-justiciable. However, international human rights law does not support a strict division between civil/political rights and social/economic rights. Considering women's disproportionate experience of poverty and its impacts, the right to substantive equality must protect basic income security. Failing to acknowledge the gendered impacts of poverty risks narrowing the understanding of equality rights.
This document summarizes the history of poverty in America from the industrialization era to modern times. It discusses how poverty is measured using thresholds and guidelines, and analyzes poverty levels and the impact of government assistance programs. Specific agencies that help the poor are also outlined, including how healthcare reform like the Affordable Care Act and Promise Zone initiatives aim to reduce poverty rates. Wealth inequality in the U.S. is significant as shown in an included video.
The document discusses several aspects of public policymaking in the United States, including economic, social welfare, national security, environmental, energy, and healthcare policies. It provides details on key policies, challenges, and theories related to each of these areas. For example, it outlines the roles of monetary and fiscal policies in the economy, major social welfare programs, different perspectives on the government's role in healthcare, and historical approaches to foreign policy including isolationism and containment.
The document summarizes the findings of surveys of non-profits and individuals in Ohio regarding economic struggles and the social safety net. The surveys found that:
1) Non-profits saw large increases (average of 60%) in demand for services like food and shelter from 2008-2011. Many turned clients away due to lack of resources.
2) Individuals reported problems with health care, hunger, and meeting basic needs despite being employed. Over 80% of respondents earned less than $30,000 annually.
3) Both non-profits and individuals supported reforms like increasing funding for social programs, making health care more affordable, expanding job training programs, and raising eligibility levels for assistance.
This document discusses poverty policy issues and provides information on defining and measuring poverty, the history of poverty in America, health insurance programs and the Affordable Care Act, poverty assistance agencies, and poverty rates. It defines poverty as having little income or means of support, and notes that poverty is most severe in populated cities and states. The document outlines how poverty is officially measured and lists many government agencies that provide assistance to the poor.
The document discusses various aspects of taxes in the United States including the constitutional basis for taxes, different types of taxes such as direct, indirect, and progressive taxes, and how tax revenue is spent by the government. It also covers public debt and borrowing, including who the government owes money to and why it borrows.
The New Deal was President Roosevelt's response to the Great Depression and attempted to address its causes through relief, recovery, and reform programs. It provided direct assistance to the poor through programs like the WPA and CCC that created jobs. Recovery programs aimed to stimulate the economy through subsidies and industry regulations. Reform established institutions like the FDIC and SEC to stabilize the financial system. The New Deal permanently expanded the role of the federal government and changed public attitudes toward its responsibilities.
This document discusses Social Security in the United States. It provides background on the development of Social Security, including the factors that led to its creation in 1935 in response to poverty among the elderly. It also summarizes some of the major changes to Social Security over time, including the expansion of benefits. Finally, it analyzes Social Security from political, economic, and social perspectives and discusses some proposals for reforming the system to address concerns about its long-term solvency.
The document discusses proposals in Congress to address the federal budget deficit that could negatively impact families living in poverty through cuts to important social programs. It provides examples of proposed cuts to Medicaid, SNAP food assistance, child nutrition programs, and more. Advocates argue these cuts would increase poverty and hunger. The document encourages readers to educate themselves and contact their representatives to urge alternative approaches that protect vulnerable populations.
Universal Health Care in the United StatesShantanu Basu
The document discusses the current US healthcare system and theories of policy change. It analyzes how multiple problem streams, political conditions, and policy alternatives could converge to place healthcare reform on the policy agenda. Specifically, rising costs, decreased coverage, and poor outcomes have highlighted issues with the current system. Shifting public opinion and the upcoming presidential election may open a policy window to address universal healthcare.
This presentation discusses the history and key aspects of universal healthcare in the United States. It covers major healthcare programs and reforms over time like Medicare, Medicaid, and the Affordable Care Act. Key points of the ACA are explained, such as the individual mandate, health insurance exchanges, Medicaid expansion, and new regulations for insurance companies. The presentation also addresses criticisms around the cost of universal coverage and impacts on taxpayers, employers, and immigrants.
This document discusses different types of governmental structures and federalism in the United States. It describes unitary, confederal, and federal systems of government. It then outlines arguments for and against federalism, including dividing power to prevent tyranny, increasing citizen participation, and allowing states to experiment with public policies. It also discusses the constitutional basis for federalism in the US and how views of federalism have changed over time, moving from a dual federalism model to cooperative federalism with increased federal grants.
Medicaid was established in 1965 under President Lyndon B. Johnson as a federal-state program to provide health coverage for low-income individuals and families. It has since expanded coverage to additional groups like children, pregnant women, the disabled, and the elderly. States administer their own Medicaid programs within federal minimum guidelines for eligibility and covered services. Both the federal and state governments jointly fund Medicaid, with the federal contribution varying by state based on per capita income. Over time, Medicaid has grown to cover over 60 million Americans and account for a significant portion of state budgets.
The Right to Good Healthcare and Good Healthmbeach2
Report on health and human rights is based on research at Uplift International, a health and human rights NGO based in Seattle, Washington. Research used in presentation for 2009 National Academy of Public Administration\'s Social Equity and Leadership Conference at Rutgers University - Newark.
The document discusses the enormous costs of chronic disease to the US economy over the next 35 years, estimated to be $95 trillion. This would be almost five times the current annual US GDP. It notes that most chronic diseases are caused by an industrialized diet high in processed foods and low in fruits and vegetables. Fixing the food system by shifting to more sustainable agriculture and healthier whole foods could help avoid much of this economic burden and help fund important priorities. However, current government policies primarily support the commodity crops and processed foods that drive disease, rather than healthier options.
California pays a lot for health care, not so much for keeping people healthyΔρ. Γιώργος K. Κασάπης
California spends a lot on health care to treat its residents, but relatively little to ensure they are healthy, according to a new report. In 2018, for every $1 that California spent on health care services, it spent just $0.68 on other aspects of health, including social and public health services. That “other” figure is down by nearly half — from $1.22 — since 2007. While California’s total health care spending has grown nearly 150% since that year, spending on other services grew by around 40%. The report’s authors say that the state could rein in some of its $119 billion budget by cutting back on wasted costs, including unnecessary medical services. But it could also invest in community aspects of care tied to improved health, including raising the minimum wage and investing in public health, education, and other social programs.
The document summarizes an interview with Katie Robbins about the passage of the New York Health Act and the future of the single-payer movement in New York state. The key points are:
1) The New York Health Act would create a universal, publicly financed healthcare system for all New York residents and was passed by the New York State Assembly due to a coalition effort and grassroots organizing across the state.
2) While an important step, the bill still needs to pass the Senate and be signed by the governor to become law. Continued organizing will be needed to build further support.
3) Robbins has been involved in the single-payer movement since 2008 due to experiencing the deficiencies of the for
The document compares public and private health care systems around the world. It provides details on systems in countries like the UK, Mexico, Germany, Canada and the US. Public health care in Canada began in 1946 when Saskatchewan introduced free health care. Key acts in 1966 and 1984 further established Canada's national Medicare system. While Canada spends less per capita on health care than the US, it ranks higher in terms of quality and life expectancy.
Running Head POLITICS AND HEALTH CASE SYSTEMS IN USPOLITICS A.docxcharisellington63520
Running Head: POLITICS AND HEALTH CASE SYSTEMS IN US
POLITICS AND HEALTH CARE SYSTEM IN US. 12
Politics and Healthcare System in US
Student’s Name
Institution
Date
Abstract
It should be noted that the U.S health care delivery system is constantly undergoing transformation through new legislation or improvement and amendments of the existing legislations. Some of the most common areas that are often improved concern the financing sector, insurance sector, delivery sector and quality sector. New laws are often introduced in these sectors with the purpose of ensuring that the resultant health care is of high quality and that it is cheaper and accessible to many. Affordability is another crucial component of health care delivery system. The four basic functional components of the U.S. health care delivery system include financing, insurance, delivery and quality would be discussed.
The paper will explore and analyze the association between the politics and the health care reforms in the United States. The analysis will try to find out the role of politics in the key healthcare reforms such as Medicare, Medicaid, Managed care and even the most current act called Affordable Care Act. The paper will demonstrate that politicians have been using gaps in the healthcare system to campaign for their consideration for being elected as Congress or senetors. It will also demonstrate that some politicians such as Clinton plan to initiate reforms to suit their political interest. The paper will conclude by indicating how the politics and politicians manipulate the health care reform as their campaign strategies of winning voters.
Politics and healthcare system in USA
A closer look at the health care reform in United States reveals that any reform is politically orchestrated. In fact it is as if one of the campaign strategies of most of the politicians is to come up with a reform that can improve cost of care, quality of care and access to care. A closer look at the history of the United States reveals that politics started intervening in health care between 1930s and 1960s (Patel & Rushefsky, 1999). During this time, there was depression, unemployment insurance and hence the government was in pressure to provide cheaper if not free medical care or reimbursement for its cost (Patel & Rushefsky, 1999).
In 1935, the Social Security Act of 1935 was formed to provide for unemployment compensation, old-age pensions and other benefits (Patel & Rushefsky, 1999). It should be noted that the political party in leadership had to be careful on how it handles the issue of health care lest it lose the confidence in people. Before the idea of insurance was introduced, the American Medical Association was strongly opposing it. On the other hand, the politicians and the ruling political government had to force it happen because that was the only option in which politicians could help its citizens and p.
Running Head POLITICS AND HEALTH CASE SYSTEMS IN USPOLITICS AND.docxcharisellington63520
Running Head: POLITICS AND HEALTH CASE SYSTEMS IN US
POLITICS AND HEALTH CARE SYSTEM IN US. 5
Politics and Healthcare System in USComment by James A Love: This is a good first outline. Please read the comments I have inserted below, and let me know if you have questions.
Name
School/College
September 11, 2015
Outline
Title: Politics and Healthcare System in US
Thesis: The healthcare delivery system in the US has undergone noticeable gradual improvements from the financing sector, insurance sector, delivery and quality sector even though many politicians politicize the gaps in healthcare for their own benefits with the pretense of initiating reforms to the sector.
I. Introduction
A. Politics started intervening in the healthcare sector between the years 1930 and 1960.Comment by James A Love: Were politics not involved in healthcare prior to the 1930s and 1960s? Be prepared to cite this assertion. What changed in the 1930s?
B. Thesis: The healthcare delivery system in the US has undergone noticeable gradual improvements from the financing sector, insurance sector, delivery and quality sector even though many politicians politicize the gaps in healthcare for their own benefits with the pretense of initiating reforms to the sector.Comment by James A Love: This claim will need citing for support.Comment by James A Love: This claim will need to supported with specific citations.
II. Background Comment by James A Love: The ‘background’ is appropriate here. It is essentially your ‘literature review’. I think you can use either section title, but you should include multiple citations of articles that discuss “politics in healthcare” spanning history.
A. The aim is to discuss the association between politics and healthcare and to try and find out the roles politics has played in reforming the healthcare sector.
III. Formation of acts to offer medical securityComment by James A Love: Section III, IV, and V seem like they should be the major subsections within section II.
A. Formation of social security act of 1935
a. Provide unemployment compensationComment by James A Love:
b. Provide old-age pensions
c. Other benefits
1. Provision of federal funds for hospital construction
B. Kerr-mills act of 1960
a. Federal matching payments
b. Elderly disabled and poor
IV. The election of some prominent leaders in the US
A. Kennedy, 1961
a. Kennedy kept the issue of elderly healthcare needs alive
B. Lyndon Johnson 1963
a. Initiated the Great Society’s War on Poverty Program
b. Medicare
C. Nixon
a. He signed various acts to extend community mental health centers
b. National Health Insurance Partnership Act
1. Family Health Insurance Plan
i. Offers health insurance to low income families
2. National Health Insurance Standards Act
i. Developing Health Maintenance Organizations
D. Jimmy carter
a. Supported national health insurance program
E. Clinton
a. He made changes in health insurance cove.
1. The document discusses the growth of the American welfare state from FDR's New Deal programs through modern social welfare policies under various presidents.
2. It examines debates around reforms to welfare, Social Security, Medicare, and the school choice movement. Key issues include funding entitlement programs and the appropriate role of government versus private industry.
3. Stakeholders disagree on the best approaches to designing and funding social welfare programs to help those in need while reducing risks and costs.
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Welfare Essay
Welfare1 The United States or The United Welfare States A Cost Benefit Analysis
The role of welfare within our society has always been controversial. This problem emphasizes the need to understand the roles of variable factors when pertaining to the subject of welfare within our society. The proposed analysis will address the phenomenon of welfare assistance and several factors which may contribute to the increase or decrease of welfare assistance to the poor in 4 ways: (1) by defining major concepts and any other concepts about which there is likely to be misunderstanding, (2) by further examining the past history pertaining to the subject of welfare assistance within the United States, (3) by developing the formulation of...show more content...But, regardless of how it is used, the preparation of a cost benefit analysis provides a useful framework for consideration of the possible effects of a proposed policy.
Past History of Welfare Assistance: One of the first welfare programs to provide income support to the poor was a federally backed plan called the Aid to Dependent Children (ADC) program. This legislation was introduced with the establishment of the Social Security program during the Great Depression. (Rowley, and Peacock 43) The ADC program which had started nearly sixty years ago is now better known as the Aid to Families with Dependent Children (AFDC) program, which provided a federal entitlement to economic support for single parents with children younger than 18 who fell below a threshold of assets and income (Rowley, and Peacock 44). Federal guidelines allowed for each state to set its own predetermined needs standards for families of diffe
Paper Writing Service - HelpWriting.net 👈
✅ Quality
You get an original and high-quality paper based on extensive research. The completed work will be correctly formatted, referenced and tailored to your level of study.
✅ Confidentiality
We value your privacy. We do not disclose your personal information to any third party without your consent. Your payment data is also safely handled as you process the payment through a secured and verified payment processor.
✅ Originality
Every single order we deliver is written from scratch according to your instructions. We have zero tolerance for plagiarism, so all completed papers are unique and checked for plagiarism using a leading plagiarism detector.
✅ On-time delivery
We strive to deliver quality custom written papers before the deadline. That's why you don't have to worry about missing the deadline for submitting your assignment.
✅ Free revisions
You can ask to revise your paper as many times as you need until you're completely satisfied with the result. Provide notes about what needs to be changed, and we'll change it right away.
✅ 24/7 Support
From answering simple questions to solving any possible issues, we're always here to help you in chat and on the phone. We've got you covered at any time, day or night.
The History of Welfare in America Essays
Welfare has been a safety net for many Americans, when the alternative for them is going without food and shelter. Over the years, the government has provided income for the unemployed, food assistance for the hungry, and health care for the poor. The federal government in the nineteenth century started to provide minimal benefits for the poor. During the twentieth century the United States federal government established a more substantial welfare system to help Americans when they most needed it. In 1996, welfare reform occurred under President Bill Clinton and it significantly changed the structure of welfare. Social Security has gone through significant change from FDR s signing of the program into law to President George W. Bush s...show more content...In his State of the Union speech on January 4, 1935, President Roosevelt told Congress that it was necessary to create federal unemployment and old age pension program, as well as benefits for single mothers and poor children. On August 18, 1935, President Roosevelt signed into law the Social Security Act. This was a federal retirement program for people over the age of sixty five, and it also created unemployment insurance. In 1936, Aid to
Families with Dependent Children was created to provide money to single mothers with children. In 1964, Congress approved a food stamp program to low income households. In
1965, Medicaid was created to provide health insurance for the poor, elderly, and disabled.
In 1974, the Supplemental Security Income program was established. In 1996, the U.S.
Congress passed a law and President Clinton signed it, which gave the states primary control regarding welfare,
Policy Analysis.The Older American's Act of 1965 to TodaySarah Smith
The Older Americans Act of 1965 was passed to address several problems facing older adults in the 1960s, including income insecurity, lack of access to quality health and social services, inadequate housing, and lack of opportunities for productive living. Before programs like Social Security and Medicare, over 30% of Americans over age 65 lived in poverty. The Act established the Administration on Aging and provided funding to states for community services, planning, and research regarding older adults. It has been reauthorized and amended several times to expand services, better coordinate programs, and address new issues like elder abuse and caregiver support.
This document discusses poverty policy issues and provides information on defining and measuring poverty, the history of poverty in America, health insurance programs and the Affordable Care Act, poverty assistance agencies, and poverty rates. It defines poverty as having little income or means of support, and notes that poverty is most severe in populated cities and states. The document outlines how poverty is officially measured and lists many government agencies that provide assistance to the poor.
The document discusses various aspects of taxes in the United States including the constitutional basis for taxes, different types of taxes such as direct, indirect, and progressive taxes, and how tax revenue is spent by the government. It also covers public debt and borrowing, including who the government owes money to and why it borrows.
The New Deal was President Roosevelt's response to the Great Depression and attempted to address its causes through relief, recovery, and reform programs. It provided direct assistance to the poor through programs like the WPA and CCC that created jobs. Recovery programs aimed to stimulate the economy through subsidies and industry regulations. Reform established institutions like the FDIC and SEC to stabilize the financial system. The New Deal permanently expanded the role of the federal government and changed public attitudes toward its responsibilities.
This document discusses Social Security in the United States. It provides background on the development of Social Security, including the factors that led to its creation in 1935 in response to poverty among the elderly. It also summarizes some of the major changes to Social Security over time, including the expansion of benefits. Finally, it analyzes Social Security from political, economic, and social perspectives and discusses some proposals for reforming the system to address concerns about its long-term solvency.
The document discusses proposals in Congress to address the federal budget deficit that could negatively impact families living in poverty through cuts to important social programs. It provides examples of proposed cuts to Medicaid, SNAP food assistance, child nutrition programs, and more. Advocates argue these cuts would increase poverty and hunger. The document encourages readers to educate themselves and contact their representatives to urge alternative approaches that protect vulnerable populations.
Universal Health Care in the United StatesShantanu Basu
The document discusses the current US healthcare system and theories of policy change. It analyzes how multiple problem streams, political conditions, and policy alternatives could converge to place healthcare reform on the policy agenda. Specifically, rising costs, decreased coverage, and poor outcomes have highlighted issues with the current system. Shifting public opinion and the upcoming presidential election may open a policy window to address universal healthcare.
This presentation discusses the history and key aspects of universal healthcare in the United States. It covers major healthcare programs and reforms over time like Medicare, Medicaid, and the Affordable Care Act. Key points of the ACA are explained, such as the individual mandate, health insurance exchanges, Medicaid expansion, and new regulations for insurance companies. The presentation also addresses criticisms around the cost of universal coverage and impacts on taxpayers, employers, and immigrants.
This document discusses different types of governmental structures and federalism in the United States. It describes unitary, confederal, and federal systems of government. It then outlines arguments for and against federalism, including dividing power to prevent tyranny, increasing citizen participation, and allowing states to experiment with public policies. It also discusses the constitutional basis for federalism in the US and how views of federalism have changed over time, moving from a dual federalism model to cooperative federalism with increased federal grants.
Medicaid was established in 1965 under President Lyndon B. Johnson as a federal-state program to provide health coverage for low-income individuals and families. It has since expanded coverage to additional groups like children, pregnant women, the disabled, and the elderly. States administer their own Medicaid programs within federal minimum guidelines for eligibility and covered services. Both the federal and state governments jointly fund Medicaid, with the federal contribution varying by state based on per capita income. Over time, Medicaid has grown to cover over 60 million Americans and account for a significant portion of state budgets.
The Right to Good Healthcare and Good Healthmbeach2
Report on health and human rights is based on research at Uplift International, a health and human rights NGO based in Seattle, Washington. Research used in presentation for 2009 National Academy of Public Administration\'s Social Equity and Leadership Conference at Rutgers University - Newark.
The document discusses the enormous costs of chronic disease to the US economy over the next 35 years, estimated to be $95 trillion. This would be almost five times the current annual US GDP. It notes that most chronic diseases are caused by an industrialized diet high in processed foods and low in fruits and vegetables. Fixing the food system by shifting to more sustainable agriculture and healthier whole foods could help avoid much of this economic burden and help fund important priorities. However, current government policies primarily support the commodity crops and processed foods that drive disease, rather than healthier options.
California pays a lot for health care, not so much for keeping people healthyΔρ. Γιώργος K. Κασάπης
California spends a lot on health care to treat its residents, but relatively little to ensure they are healthy, according to a new report. In 2018, for every $1 that California spent on health care services, it spent just $0.68 on other aspects of health, including social and public health services. That “other” figure is down by nearly half — from $1.22 — since 2007. While California’s total health care spending has grown nearly 150% since that year, spending on other services grew by around 40%. The report’s authors say that the state could rein in some of its $119 billion budget by cutting back on wasted costs, including unnecessary medical services. But it could also invest in community aspects of care tied to improved health, including raising the minimum wage and investing in public health, education, and other social programs.
The document summarizes an interview with Katie Robbins about the passage of the New York Health Act and the future of the single-payer movement in New York state. The key points are:
1) The New York Health Act would create a universal, publicly financed healthcare system for all New York residents and was passed by the New York State Assembly due to a coalition effort and grassroots organizing across the state.
2) While an important step, the bill still needs to pass the Senate and be signed by the governor to become law. Continued organizing will be needed to build further support.
3) Robbins has been involved in the single-payer movement since 2008 due to experiencing the deficiencies of the for
The document compares public and private health care systems around the world. It provides details on systems in countries like the UK, Mexico, Germany, Canada and the US. Public health care in Canada began in 1946 when Saskatchewan introduced free health care. Key acts in 1966 and 1984 further established Canada's national Medicare system. While Canada spends less per capita on health care than the US, it ranks higher in terms of quality and life expectancy.
Running Head POLITICS AND HEALTH CASE SYSTEMS IN USPOLITICS A.docxcharisellington63520
Running Head: POLITICS AND HEALTH CASE SYSTEMS IN US
POLITICS AND HEALTH CARE SYSTEM IN US. 12
Politics and Healthcare System in US
Student’s Name
Institution
Date
Abstract
It should be noted that the U.S health care delivery system is constantly undergoing transformation through new legislation or improvement and amendments of the existing legislations. Some of the most common areas that are often improved concern the financing sector, insurance sector, delivery sector and quality sector. New laws are often introduced in these sectors with the purpose of ensuring that the resultant health care is of high quality and that it is cheaper and accessible to many. Affordability is another crucial component of health care delivery system. The four basic functional components of the U.S. health care delivery system include financing, insurance, delivery and quality would be discussed.
The paper will explore and analyze the association between the politics and the health care reforms in the United States. The analysis will try to find out the role of politics in the key healthcare reforms such as Medicare, Medicaid, Managed care and even the most current act called Affordable Care Act. The paper will demonstrate that politicians have been using gaps in the healthcare system to campaign for their consideration for being elected as Congress or senetors. It will also demonstrate that some politicians such as Clinton plan to initiate reforms to suit their political interest. The paper will conclude by indicating how the politics and politicians manipulate the health care reform as their campaign strategies of winning voters.
Politics and healthcare system in USA
A closer look at the health care reform in United States reveals that any reform is politically orchestrated. In fact it is as if one of the campaign strategies of most of the politicians is to come up with a reform that can improve cost of care, quality of care and access to care. A closer look at the history of the United States reveals that politics started intervening in health care between 1930s and 1960s (Patel & Rushefsky, 1999). During this time, there was depression, unemployment insurance and hence the government was in pressure to provide cheaper if not free medical care or reimbursement for its cost (Patel & Rushefsky, 1999).
In 1935, the Social Security Act of 1935 was formed to provide for unemployment compensation, old-age pensions and other benefits (Patel & Rushefsky, 1999). It should be noted that the political party in leadership had to be careful on how it handles the issue of health care lest it lose the confidence in people. Before the idea of insurance was introduced, the American Medical Association was strongly opposing it. On the other hand, the politicians and the ruling political government had to force it happen because that was the only option in which politicians could help its citizens and p.
Running Head POLITICS AND HEALTH CASE SYSTEMS IN USPOLITICS AND.docxcharisellington63520
Running Head: POLITICS AND HEALTH CASE SYSTEMS IN US
POLITICS AND HEALTH CARE SYSTEM IN US. 5
Politics and Healthcare System in USComment by James A Love: This is a good first outline. Please read the comments I have inserted below, and let me know if you have questions.
Name
School/College
September 11, 2015
Outline
Title: Politics and Healthcare System in US
Thesis: The healthcare delivery system in the US has undergone noticeable gradual improvements from the financing sector, insurance sector, delivery and quality sector even though many politicians politicize the gaps in healthcare for their own benefits with the pretense of initiating reforms to the sector.
I. Introduction
A. Politics started intervening in the healthcare sector between the years 1930 and 1960.Comment by James A Love: Were politics not involved in healthcare prior to the 1930s and 1960s? Be prepared to cite this assertion. What changed in the 1930s?
B. Thesis: The healthcare delivery system in the US has undergone noticeable gradual improvements from the financing sector, insurance sector, delivery and quality sector even though many politicians politicize the gaps in healthcare for their own benefits with the pretense of initiating reforms to the sector.Comment by James A Love: This claim will need citing for support.Comment by James A Love: This claim will need to supported with specific citations.
II. Background Comment by James A Love: The ‘background’ is appropriate here. It is essentially your ‘literature review’. I think you can use either section title, but you should include multiple citations of articles that discuss “politics in healthcare” spanning history.
A. The aim is to discuss the association between politics and healthcare and to try and find out the roles politics has played in reforming the healthcare sector.
III. Formation of acts to offer medical securityComment by James A Love: Section III, IV, and V seem like they should be the major subsections within section II.
A. Formation of social security act of 1935
a. Provide unemployment compensationComment by James A Love:
b. Provide old-age pensions
c. Other benefits
1. Provision of federal funds for hospital construction
B. Kerr-mills act of 1960
a. Federal matching payments
b. Elderly disabled and poor
IV. The election of some prominent leaders in the US
A. Kennedy, 1961
a. Kennedy kept the issue of elderly healthcare needs alive
B. Lyndon Johnson 1963
a. Initiated the Great Society’s War on Poverty Program
b. Medicare
C. Nixon
a. He signed various acts to extend community mental health centers
b. National Health Insurance Partnership Act
1. Family Health Insurance Plan
i. Offers health insurance to low income families
2. National Health Insurance Standards Act
i. Developing Health Maintenance Organizations
D. Jimmy carter
a. Supported national health insurance program
E. Clinton
a. He made changes in health insurance cove.
1. The document discusses the growth of the American welfare state from FDR's New Deal programs through modern social welfare policies under various presidents.
2. It examines debates around reforms to welfare, Social Security, Medicare, and the school choice movement. Key issues include funding entitlement programs and the appropriate role of government versus private industry.
3. Stakeholders disagree on the best approaches to designing and funding social welfare programs to help those in need while reducing risks and costs.
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Welfare Essay
Welfare1 The United States or The United Welfare States A Cost Benefit Analysis
The role of welfare within our society has always been controversial. This problem emphasizes the need to understand the roles of variable factors when pertaining to the subject of welfare within our society. The proposed analysis will address the phenomenon of welfare assistance and several factors which may contribute to the increase or decrease of welfare assistance to the poor in 4 ways: (1) by defining major concepts and any other concepts about which there is likely to be misunderstanding, (2) by further examining the past history pertaining to the subject of welfare assistance within the United States, (3) by developing the formulation of...show more content...But, regardless of how it is used, the preparation of a cost benefit analysis provides a useful framework for consideration of the possible effects of a proposed policy.
Past History of Welfare Assistance: One of the first welfare programs to provide income support to the poor was a federally backed plan called the Aid to Dependent Children (ADC) program. This legislation was introduced with the establishment of the Social Security program during the Great Depression. (Rowley, and Peacock 43) The ADC program which had started nearly sixty years ago is now better known as the Aid to Families with Dependent Children (AFDC) program, which provided a federal entitlement to economic support for single parents with children younger than 18 who fell below a threshold of assets and income (Rowley, and Peacock 44). Federal guidelines allowed for each state to set its own predetermined needs standards for families of diffe
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Every single order we deliver is written from scratch according to your instructions. We have zero tolerance for plagiarism, so all completed papers are unique and checked for plagiarism using a leading plagiarism detector.
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We strive to deliver quality custom written papers before the deadline. That's why you don't have to worry about missing the deadline for submitting your assignment.
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The History of Welfare in America Essays
Welfare has been a safety net for many Americans, when the alternative for them is going without food and shelter. Over the years, the government has provided income for the unemployed, food assistance for the hungry, and health care for the poor. The federal government in the nineteenth century started to provide minimal benefits for the poor. During the twentieth century the United States federal government established a more substantial welfare system to help Americans when they most needed it. In 1996, welfare reform occurred under President Bill Clinton and it significantly changed the structure of welfare. Social Security has gone through significant change from FDR s signing of the program into law to President George W. Bush s...show more content...In his State of the Union speech on January 4, 1935, President Roosevelt told Congress that it was necessary to create federal unemployment and old age pension program, as well as benefits for single mothers and poor children. On August 18, 1935, President Roosevelt signed into law the Social Security Act. This was a federal retirement program for people over the age of sixty five, and it also created unemployment insurance. In 1936, Aid to
Families with Dependent Children was created to provide money to single mothers with children. In 1964, Congress approved a food stamp program to low income households. In
1965, Medicaid was created to provide health insurance for the poor, elderly, and disabled.
In 1974, the Supplemental Security Income program was established. In 1996, the U.S.
Congress passed a law and President Clinton signed it, which gave the states primary control regarding welfare,
Policy Analysis.The Older American's Act of 1965 to TodaySarah Smith
The Older Americans Act of 1965 was passed to address several problems facing older adults in the 1960s, including income insecurity, lack of access to quality health and social services, inadequate housing, and lack of opportunities for productive living. Before programs like Social Security and Medicare, over 30% of Americans over age 65 lived in poverty. The Act established the Administration on Aging and provided funding to states for community services, planning, and research regarding older adults. It has been reauthorized and amended several times to expand services, better coordinate programs, and address new issues like elder abuse and caregiver support.
The Social Security Act of 1935 Old-Age Assistance .docxchristalgrieg
The Social Security Act of 1935: Old-Age Assistance
Final Submission: Policy Analysis and Recommendation Paper
Southern New Hampshire University
HSE-330: Public Policy and Advocacy
Executive Summary
This paper provides the background analysis of the Old-Age Assistance under the Social Security Act of 1935. The specific legislation was examined the political, economic and the social events that set the stage for the legislation. The analysis of the effectiveness of the programs that address the needs of the beneficiaries and the urgency of the Old-age assistance to the social issue. The review of the advantages and disadvantages of the legislation including the legal and ethical matters, diversity issues and addressing legal and ethical concerns with further strategies. The paper also measures the current and future burdens of the social security act and tackled about who was the responsible for developing, and implementing the legislation. Due to the crisis of poverty that reflects the population’s burden. The research also includes additional organizations that are interested and implemented the act. In addition to the strategies for the building support and social protections.
Preface
The goal of the Social Security Act of 1935 is to support and provide universal welfare by implementing policies that will advocate old-age benefits. The Social Security Act allows and develops the states to make better and efficient provisions for those people in need. The Act provide and implement a compensation law for the needy senior citizens, persons with disabilities, unemployed, single mothers, cripple children, injured workers and blind persons. The act also includes public health and general welfare programs for the poor children and families. The Social Security Act of 1935 aims to organize a Social Security Board that will manage and administer the human welfare, to provide adequate plans and implement effective methods that will prevent potential problems of the state, a board that will organize to raise the revenue of the county for the general welfare by means of compensation, company expenses and the taxes, the organization that will protect the resources and associates of the federal government and provide assistance for all individual needs (Social Security Act of 1935). The outstanding program below the Social Security Act of 1935 is the Title I- Grants to States for Old-Age Assistance. The program was supported by the Social Welfare Organization, a part of a federal government organization. The Old-Age Assistance was authorized by the Senate and House of Representatives of the United States of America in Congress (Social Security (n.d.)).
Background
Briefly examine how major social, political, and economic events and other legislation have set the stage for the specific legislation you are considering.
One of the most sig ...
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which particular factors that earlier may have been somewhat weak.pdfarjunstores123
which particular factors that earlier may have been somewhat weak in bringing about national
health insurance later led to the passage of Medicare and Medicaid?
which particular factors that earlier may have been somewhat weak in bringing about national
health insurance later led to the passage of Medicare and Medicaid?
Solution
Often, when charity care was provided, private payers were charged more to make up the
difference, a practice referred to as cost-shifting or cross-subsidization. In 1965, Congress passed
the amendments to the Social Security Act and created the Medicare and Medicaid programs.
Thus, for the first time in US history, the govern-ment assumed direct responsibility to pay for
some of the health care on behalf of two vulnerable population groups—the elderly and the poor.
Medicaid and Medicare were designed to cover only the most vulnerable populations. The
proposals did not reengineer how the majority of the Americans would receive health care. The
growing elderly population was becoming a politically active force among middle-class
Americans..
which particular factors that earlier may have been somewhat weak.pdf
Clinton's Welfare Reform_essay
1. 1
To what extent did Clinton administration succeed in improving the United States welfare
system?
Introduction
The United States is a distinct welfare state compared to, for example, her European
counterparts. When ”…in 1998, the US spent 14.6 per cent of GDP on cash benefits, health
care and social services…the average figure for the then member states of the European
Union was 24.2 per cent and the average of the OECD countries was 20.8 per cent.”1
The
reason for the difference is partially cultural, partially political and to some extent social as
well. To emphasize this idea Ross argues that: “The very concept of government assistance
poses a philosophical dilemma for a society that favours individual responsibility, equality of
opportunity and risk-taking over the welfare state’s attempt to create greater equality of
result and contain the risks of the market place.”2
Waddan presents a similar analysis
through Esping Andersen’s three types of welfare regimes in capitalist economies: social
democratic welfare states, “conservative or corporate” welfare states and liberal states.3
He
emphasises that the United States belongs to the last group. The characteristics of the
liberal one compared to the first two are that the government has a relatively small role in
providing welfare to its citizens in the way that it provides “a safety net rather than a
comprehensive system of benefits and services” and that “it is individuals who are primarily
1
N. Barr, Economics of the Welfare State cited in A. Waddan, “Social Policy”, in G. Peele et al (ed.),
Developments in American Politics 5. Basingstoke: Palgrave Macmillan, 2006, p.218.
2
F. Ross, “Social Policy”, in G. Peele et al (ed.), Developments in American Politics 4, Basingstoke: Palgrave,
2002, pp.203-204.
3
G. Esping-Andersen, The Three Worlds of Welfare Capitalism cited in A. Waddan, “Social Policy” in G.Peele et
al, p.218.
2. 2
responsible for their own economic fate.” 4
Moreover, “there is a reliance on residual and
means tested rather than universal assistance programs.5
There have been attempts to renew or update the American welfare system already before
the Clinton administration, but it was only Clinton’s efforts that managed to be successful.
There were many reasons for this improvement in the United States welfare system, but
before these developments are viewed in more detail, it is essential to look more closely at
the word welfare. According to iAmerican Spirit Political Dictionary welfare means: “public
financial or other assistance (food stamps, for example) given to people who meet certain
standards of eligibility regarding income and assets.”6
In this essay the American welfare system is observed in depth. This essay will be divided
into five parts. Firstly, I will look at the history of the American welfare system. This means
prior to Clinton administration. Secondly, I will look at more closely what Clinton’s welfare
overhaul was all about. Thirdly, I will observe why the overhaul happened at that particular
time. And fourthly, I will look at what the impacts of the improvements were on the needy.
And lastly I will briefly summarise what Bush and Obama administrations have brought to
the American welfare system.
Discussion
The first type of welfare assistance from the state in the United States was for widowed
mothers and Civil war veterans leaving the rest of the needy at the mercy of charity.7
It was
only in the 1930s, when the Great Depression took place, when a fresh step needed to be
4
A. Waddan, “Social Policy”, in G. Peele et al (ed.).
5
ibid.
6
iAmerican Spirit Political Dictionary, http://www.iamericanspirit.com/, [accessed 6 March, 2013].
7
D.McKay, Controversies in American Politics and Society, Oxford: Blackwell 2002, p.151.
3. 3
taken by the government for the assistance of the needy. This extension in welfare
materialised in the New Deal programs that created a more extensive safety-net and
provided assistance for other social groups that had earlier been depended on people’s will
of giving. The major improvement in the American welfare system was the Social Security
Act of 1935. By this Act the government took the old, disabled and widowed under its wing.
It also “…created a non-discriminatory welfare system that was highly selective both in
terms of its eligibility criteria and in terms of benefits levels”.8
The main product of Social
Security act was Aid for Families with Dependent Children (AFDC) that provided welfare only
for mothers with children.
The next improvements in the American welfare system took place in the 1960s. This phase
of new programs is more commonly known as the Great Society. McKay argues that: “in
1961, for example, states were given the option also to include unemployed fathers under
the program.”9
Lyndon Johnson’s ‘War on Poverty’, declared in 1964 resulted in programs
from which some still exist today. He started important provisions such as Medicare (the
health insurance program for the aged, blind and disabled), Medicaid (the federal state
health insurance program for the poor) and Food stamp program (nowadays known as
Supplemental Nutrition Assistance Program, SNAP, which provides financial assistance for
purchasing food to poor and no-income people living in the United States). There were
other programs that were introduced as well, that among other things, covered housing and
education.
There has been three, what McKay calls ‘failed reform attempts’ since the 1960s. The first
one took place during Nixon’s administration (1969-74). He proposed a Family Assistance
8
ibid.
9
ibid. p.152.
4. 4
Plan (FAP) that “offered guaranteed income for all parents with young children, tied to a
strong incentive scheme.”10
What this meant was that “as parents’ income rose so their
welfare benefits would fall…”11
Although this plan was not successful, his administration did
manage to change the welfare and social security agenda. Social Security Income (SSI,
welfare benefits for elderly and disabled with insufficient social security benefits) and
Earned Income Tax Credits (EITC, tax refund for low- and medium-income individuals and
couples, primarily for those who have qualifying children) were introduced.
Carter (1977-1981) did try to renew the welfare agenda as well, but the number of welfare
recipients had increased and the national fiscal condition had deteriorated in the country.
Therefore McKay argues that “as a result as FAP-type of reform would have proved both
expensive and politically unpopular.”12
He tried to push through a reform called Better Jobs
and Income Plan (BJIP). This program combined public service employment, a cash
assistance program to replace AFDC, SSI and Food Stamps and an expanded EITC, but the
Congress did not approve of it.
The Reagan (1981-1989) administration took a different stand in welfare. Reagan was for
devolution in welfare. He proposed a reform where states would be responsible for AFDC
and Food Stamps and federal government for Medicaid, with the addition that the states
would get assistance from the federal government, but only until 1991. But the economy
was in recession and the states were not ready to grow their responsibility in welfare.
However, Reagan managed to pass “the Family Support Act in 1988, which gave states the
10
ibid. p.153.
11
ibid.
12
McKay p.154.
5. 5
option of waiving AFDC rules in favour of state-run programs that increased the incentive to
work and reduced truancy among families on welfare.”13
President Clinton came into power in 1993 and served for two consecutive terms. His
attempts for welfare reform were different between the two terms. Therefore it is essential
to look at what was achieved by one term at a time.
The welfare budget had been increasing from president to president since the 1930s and
Clinton’s wishes for the welfare overhaul were definitely ambitious from the previous
presidents. In order to underline this, McKay argues that “so much had the agenda changed
from the 1960s that the underlying assumption of the legislative debate was that, the
disabled aside, welfare should be given only as a stopgap until poorer Americans could
return to work or receive training in preparation for entering the labour force.”14
Clinton’s
main agenda was a system of universal health care. Despite of his attempts, the health care
reform failed, but this did not stop him, the opposite Clinton concentrated all his energy on
welfare. According to Ross:” The spectacular collapse of this plan [health care],
overshadowed important achievements, such as the 1993 expansion of the EITC, the Family
and Medical Leave Act (granting employees up to twelve weeks of unpaid leave for family
and medical reasons), a rise in the minimum wage from $4.25 to $5.15 per hour and
improved regulation of the managed care industry.”15
She goes on further stating that “ This
last assured new mothers of a minimum 48 hours postnatal hospital stay (the aptly named
“drive through baby bill”), increased the flexibility of health insurance with the ‘portability’
13
Ibid p.155.
14
Ibid p.156.
15
F. Ross, “Social Policy” in G. Peele et al (ed.), p.207.
6. 6
bill, and required mental health to be treated in the same way as physical health.”16
According to Katz EITC, that got expanded during Clinton’s first term, is a very significant
program in reducing poverty. He argues that” the EITC is the federal government’s fastest
growing entitlement program and it is most effective means of lifting children out of
poverty.17
The main change in the Clinton administration’s welfare reform was that it ended AFDC
program that had been running since the 1930s. This transformation, that took place in
1996, is generally known as The Personal Responsibility and Work Reconciliation Act
(PRWORA), where AFDC was replaced with Temporary assistance to Needy Families (TANF).
TANF included the main federal job training program, Job Opportunity and Basic Skills
Training (JOBS). It also was a step towards devolution: “TANF was to be administered
entirely by states” and “each state was given enormous flexibility over how it ran its TANF
program so long as it used the federal money in manner ‘reasonably calculated to
accomplish the purposes of TANF’.”18
Ross argues that “states have a high incentive to
enforce work mandates for two reasons: firstly because each state was obliged to
demonstrate that 35 per cent of welfare recipients were working for a minimum of twenty
hours per week by FY 1997 (…) otherwise it could have its grant cut by 5 per cent of the
following year and by an addition two percent for each year of non-compliance (up to a
total of 21 percent). And, secondly the states continue to receive the same block grant from
the federal government irrespective of their caseload.19
16
ibid.
17
M.B.Katz, The Price of Citizenship: redefining America’s welfare state, New York: Henry Holt, 2002, p.294
18
McKay, Controversies in American Politics and Society, p.156
19
Ross, “Social Policy” in G. Peele et al (ed.), p.208
7. 7
In addition, TANF program limited welfare recipient’s eligibility to five years maximum and
obliged them to undergo training if appropriate. Moreover, non-exempt adults [disabled
and those with very young children] who are not working must participate in community
service two months after they start receiving benefits. Katz argues that with the
introduction of TANF “ two groups would lose benefits completely: legal immigrants, except
those who have worked in the United States for more than ten years, and those associated
with military”.20
Also, “able-bodied childless individuals between ages eighteen and fifty
would receive benefits for only three months in any 36-month period unless they worked at
least twenty hours per week or participated in an acceptable employment or training
program”.21
The PRWORA did not only transform the cash benefit system, but also made cuts in the
Food stamps program. This slash was not without result. Katz argues that “in the 1996
welfare bill, Republicans won 27.7 billion worth of cutbacks in food stamps.22
This reform was all about workfare in a way of changing the attitudes of the needy. Ross
asserts that “it is important to recognize that PRWORA was designed to change the
behaviour of the poor more than reduce the cost of welfare, which constituted one percent
of the federal budget.23
Or as Katz points out “the ‘new politics of poverty’ observed
political scientist Lawrence Mead, was about dependence, not money”24
.
20
Katz, The Price of Citizenship, p.303.
21
ibid.
22
ibid.
23
Ross, “Social Policy” in G. Peele et al (ed .) p.208
24
Katz, The Price of Citizenship, p.320
8. 8
Ross argues that “Clinton’s second term agenda can be best described as incremental”25
She
states that “he did amend elements of the PRWORA as part of the 1997 balanced budget
deal and the same agreement slashed Medicare spending by 112 billion over five years.”26
President Clinton did restore most of the cuts in food stamps, assured medical coverage for
disabled children and enlarged the budget for Medicaid plus made more people to be under
the SSI. “Overall, approximately 13 billion in welfare-related spending was restored. The
incremental revisions softened the harshest elements of American welfare experiment.”27
Zuckerman argues similarly: “the final regulations announced in April 1999, contains
exceptions to the rules, which make the bill less rigid.”28
Many reasons can be viewed to have contributed to the situation that the reform took place
at that particular time in 1996. Two of the reasons can be directly linked to the President
Clinton himself. First of all President Clinton was very ambitious to change the policies of
both the health and welfare systems during his presidency. And since he failed in the first
one, he did not want to be seen as a failure in both of his attempts or as Ross puts it
“anxious to respond to the conservative mood of the country and in need of a major
domestic achievement, Clinton embraced a largely Republican vision of welfare
restructuring (albeit after two earlier presidential vetoes)29
Thus, he made everything
possible to make the welfare reform a reality.
Secondly, President Clinton wanted to stand out as a representative of the Democratic
Party. Or how Waddan puts it: “Clinton had never defended the old AFDC program – indeed
25
Ross, “Social Policy” in G.Peele et al (ed.) p.214
26
ibid.
27
ibid. p.209
28
D.M. Zuckerman, ‘Welfare reform in America: A Clash of Politics and Research’, Journal of Social Issues,
Winter 2000, p.597.
29
Ross, “Social Policy”, p.207
9. 9
his pledge to “end welfare as we know it” in the 1992 campaign was a primary basis of his
claim to be a “different type of Democrat” – but the plan advanced by Republican leaders
did go well beyond his own reform agenda.”30
In addition, Republicans won in the 1994 congressional election and gained majority both in
the House and in the Senate, which gave them great policy making power. Zuckerman
asserts that: “the result was that every congressional committee was chaired by a
Republican instead of a Democrat and composed primarily of Republican rather than
Democrats.”31
Indeed, McKay argues that “although hailed as a bipartisan effort, it
[PRWORA] had all the hallmarks of a Republican rather than Democratic piece of
legislation.”32
Also, there were demographic changes taking place in the country. As we have already
learned the welfare budget had been increasing during the past decades before Clinton
administration and the safety net for the old makes a great part of it. Ross argues that “an
ageing population combined with an expansion in early retirement and increased longeavity
into old age, place obvious stress upon the health and pension sectors.”33
This meant that
Clinton had to do something about the welfare before the “baby boomers” started retiring.
Ross also argues that it was in the public’s interest to make people work rather than staying
on welfare.34
The media played an essential role in educating the public. Zuckerman argues
30
Waddan, “Social Policy” in G.Peele et al (ed.) p.221
31
Zuckerman, ‘Welfare reform in America’, p.591
32
McKay, Controversies in American Politics and Society , p.156
33
Ross, “Social Policy” in G.Peele et al (ed.), p.205
34
ibid. p.217
10. 10
that: “the media were also influential and tended to focus on the shortcomings of the
welfare program that was in place, AFDC.”35
It is clearly proved by researches that the amount of people on welfare declined evidently
since the reform was put into practise. “The caseload has dropped by 50 percent since the
PRWORA was enacted and close to 30 percent of welfare recipients who remain in the rolls
are working.”36
Before the impacts of the 1996 reform are viewed it is important to give
some background information that clearly illustrates other reasons for the decline of the
welfare recipients. All the theorists agree on one fact which is not related to the 1996
reform: more people got out of welfare rolls because of the economic boom from mid-90s
onwards.37
Also, McKay argues that other federal programs, including the expansion of EITC
encouraged many erstwhile welfare recipients to take up work38
Katz argues in similar lines:
“The impact of the EITC on poverty signalled the program’s success. It lifted more children
out of poverty than any other safety net program.”39
The impacts of the reform on the
needy are divided. On the other hand disabled and old people were still covered, but poor
people were left out of the renewed safety net in many ways. Mckay argues that While the
old and disabled remain protected by the federal government, the status of assistance for
the poor has changed out of recognition.40
However, Ross argues that poverty has declined in numbers but that the depth of it is still
alarming. There are several reasons to this phenomenon. She argues that
35
Zuckerman, ‘Welfare Reform in America’, p. 592
36
J.Handler, ‘Something Old, Something New’, cited in Ross, “Social Policy” in G. Peele et al (ed.), p.210
37
Mckay, Controversies in American Politics and Society, p.157
38
ibid.
39
Katz, The Price of Citizenship, p.296
40
Mckay, Controversies in American Politics and Society, p.158
11. 11
“One of the chief explanations as to why the drop in welfare caseload has not brought a
proportionate decline in poverty is that the low wage labour market, where the vast
majority of welfare recipients find jobs has stagnated despite America’s economic boom”.
She goes on further arguing “that Children’s Defence Fund and National Coalition for the
Homeless found that many families who moved from welfare lacked the three most basic
necessities of life: food, shelter (or stable housing) and medical care.”41
Children’s Defence
Fund from 1998 also reveals that “nearly two out of three recipients had lower income than
during the three months they left welfare” in Wisconsin.42
Katz argues more about food and hunger in the United States after the reform. He states
that: “the great decline in food stamp rolls did not signify a correspondingly massive
reduction in hunger.”43
Bush administration’s agenda for welfare is commonly known as ‘compassionate
paternalism’. It made the welfare requirements stricter, expected faith-based organisations
to become more involved in government funded human service programs and was more
aggressive in reducing out-of wedlock births and promoting marriage44
. Altogether, it was
re-enforcing the Clinton administration’s agenda.
Obama administration on the other hand has taken a step back from the reform. It gives the
states more flexibility in taking care of the unemployed by offering them a waiver from
TANF. This reminds more of the Reagan system with AFDC. Some people argue that this
41
Ross, “Social Policy” in G. Peele et al (ed.), p.212
42
Chidren’s Defense Fund, “Welfare to What: Early Findings to Family Hardship and Well-being” cited in Ross
Ross, “Social Policy” in G. Peele et al (ed.) p.210
43
Katz, The Price of Citizenship, p.305
44
S.W. Allard, National Poverty Center, http://npc.umich.edu/publications/u/working_paper07-18.pdf,
[accessed 6 March, 2013]
12. 12
agenda guts the reform, because people would not need to work in order to receive the
benefits45
but others say that this is not true, because if a state has a better program of
tackling unemployment than TANF, they can use it instead46
.
Conclusion
The United States has always been and still is after Clinton’s reform quite a minimal welfare
state. It does provide for the old and disabled, but definitely neglects the poor. Because of
increasing welfare costs and demographic pressures, something was expected to be done to
the American welfare system by President Clinton. What happened at the end was partly
because of his own ambitiousness, partly because of Republican majorities in the
government and also because of the public’s concern about wasting money for ‘able bodied’
people, who can provide for themselves when they work hard enough.
What Clinton administration managed to improve was the welfare situation for the old and
disabled, but left the poor in a difficult situation that was in many ways even worse than
before the overhaul. The administration tried everything in order to change the attitudes of
the poor; that they have to work in order to be eligible for benefits and assistance from the
government. This came as a shock and made many people falling in between the work and
the benefit. If you had none, you had nothing.
The Clinton administration managed to tie work and benefit together and this type of
workfare created a poorer and hungrier society than before dividing in fact the haves from
the have-nots in a sharper way.
45
E. Kiely & R. Moss, http://www.factcheck.org/2012/08/does-obamas-plan-gut-welfare-reform/, [accessed 6
March, 2013]
46
R. Ponnuru, http://www.bloomberg.com/news/2012-07-23/obama-puts-democrats-back-in-welfare-reform-
trap.html [accessed 6 March, 2013]
13. 13
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