SlideShare a Scribd company logo
1 of 14
Econ 3300 Term Paper
The Socioeconomic Effects of Disability
Professor Brian Ferguson
Matthew Malinsky – 0756443
Introduction:
The World HealthOrganizationhasestimatedthatthere are approximately1billionpeopleaffectedby
some formof disabilityworldwide. Disabilityisanumbrellatermthatincludesimpairmentswhichisa
probleminbodyfunctionorstructure,activitylimitationswhichare definedasadifficultyencountered
by an individual inexecutingatask or action,and participationrestrictionsinlife situations(World
HealthOrganization, 2011). InCanada alone there were anestimated3.8millionadultCanadians
(13.7% of adultpopulation) thatreportedbeinglimitedinthe dailyactivities byadisability. Over11% of
Canadianadultssufferedfromone of the three mostprevalentdisabilitytypeswhichare pain,mobility,
and flexibility(StatCan,2012). From an economicstandpointitisimportanttorecognize thatdisability
doesnotonlyconstitute ahealthissue;itisa complex phenomenon,reflectingthe interactionbetween
the featuresof an individual andthe featuresof the societythathe orshe livesin. A disabilitycanbe
temporaryor episodic,meaningthatpeopleare notnecessarilyaffectedbyitcontinuously. InCanada
from1999 to 2004, only13% whoindicatedadisabilityreportedbeingaffectedbyitduringall 6 years
(StatCan, 2012).
The economicand social costsof disabilityare substantial,butcanbe problematictoquantifyasthey
include bothdirectandindirect costs(WorldHealthOrganization, 2011). Understandingthe costsand
implicationsof disabilityisimportantinthe formationof publicprogramsandservicesthatare created
for the purpose of assistingthose thatare affected. The effectsof disabilityare notonlyfeltbythe
individual,butalsobytheirfamilies,theiremployers,andsocietyasawhole. People withdisabilities
have generallypoorerhealth,lowereducationachievements,fewereconomicopportunitiesandhigher
ratesof povertythanthose individualswhoare unaffected. Asa resultof prevalentbarriers inmany
aspectsof the economy, there are huge disparitiesineducationandincome levelsforpeoplewith
disabilities,andmanyfall below the povertyline. Accordingtoanational studyconductedin2004, only
10% of Canadiansbelieve thatpeoplewithdisabilitiesare fullyincludedinsociety,withthe majorityalso
wantingtohelpimprove the livesof people withdisabilitiesandagree thatthe social benefitiswell
worththe cost(Environics, 2004). There are manyprograms,grants, andtax credits that are offered by
governments suchasSupplemental SecurityDisabilityInsuranceinthe UnitedStatesandthe Canada
PensionPlanDisabilityVocational RehabilitationProgramthatare inplace to mitigate the barriersthat
disabledindividualsface. Employersexperience the implicationsof disabilityinthe formsof insurance
costs andabsenteeismwhichisamajor businessissue formanyCanadianorganizationsasitdecreases
productivitysubstantially.
The aim of thispaper isto discuss andanalyze the socioeconomiceffectsof disabilityonthe individual
and societyasa whole. Economictheorywill be appliedtothe complex relationshipsbetweendisability,
poverty,education,andthe labourmarket. Itwill outline how people withdisabilitiesface exclusionin
varioussectorsof the economywhichresultsinincreasedsusceptibilitytopoverty. Lastly,
recommendationswillbe posedregardingthe economicapproachtodisabilityfromanindividual and
societal standpoint. Althoughthe majorityof datausedinthispaperhas beentakenfromstudies
conductedmainlyinNorthAmericawhichwill be the geographical focus,itwilltouchonsome
international studiesandthereforealsoadoptaglobal perspective.
Costsof Disability:
People withdisabilitiesare facedwithanarray of significantdirectandindirectcosts,whichmeansthat
theycan be difficulttoquantify. Notall of the costsare borne by individualswithdisabilities,withsome
beingpassedontofriendsandfamilyandothersbeingborne bysociety. The addeddirectandindirect
cost of havinga disabilitymeansthattoachieve the same minimumstandardof livingpeoplewith
disabilitiesrequiremore resources. Althoughitisevidentthatthe costsof disabilityare substantial,
comprehensive estimatesof the total costto an individualare scarce,eveninthe developednationsof
the world. Thiscan be problematicforgovernmentsandpolicymakersbecausequantifyingthe costsof
disabilityisimperative whendesigningpublicprogrammesaimedathelpingpeopleswithdisabilities.
There are manyfactors that contribute tothe difficultyinmeasuringthe costsof disability,withthe
mainreasonbeingthatthe definitionof disabilityoftenvariesnotonlyacrossnations,butevenacross
disciplineswhichmeansthatcomparingdataacross sourcescan be problematic. The limitedamountof
data regardingcostcomponentsof disabilityisanotherobstacle forresearchers,andthere isnoagreed
uponmethodforcost estimationwhichresultsinmanydifferentresultswhenattemptingtoanalyze
costs (Saunders,2006). Inorder to properlyaddressthe addedcostsof disabilityandassistindividuals
withthem,technical progressmustbe made forestimationtechniquesandmore reliable datais
requiredinordertoconduct accurate national level studies.
Althoughthe costsof disabilitycanbe difficulttomeasure,directcostsare substantiallyeasierto
calculate thanthe indirectcoststhat people withdisabilitiesface. The directcostsof disabilitycanbe
brokendownintotwosections:the addedexpense thatindividualsandtheirfamiliesface inorderto
achieve areasonable standardof livingwithadisability,anddisabilitybenefitsthatare distributed
throughnumerouspublicprogrammesand paidforbythe government(Zaidi,2005). To accomplisha
reasonable standardof livingequaltothatof non-disabledpeople,manyadditionalcostsare often
incurred. Thisrise incosts can be attributedtospendingonhealthcare services,specialformsof
transportation,personal assistance,laundryservicesandmanyotherexpensesthatfall withinthe wide
array of costsof livingwithadisability. Recentnationalstudieshave attemptedtoanalyze andquantify
the addedcosts of livingwithadisability,butthe numbersvarysubstantiallyfromnationtonation. In
the UnitedKingdomthe costestimatesfora disabilityrelativetototal income range from11% to 69%
(Zaidi,2005). An Australianstudyconcludedthatthe costs,whichwere dependentonthe severityof
the disability,fellwithin29%and 37% of total income (Saunders,2006). The variationof cost estimates
born byindividualswithdisabilitiesandtheirfamiliesmeansthatthere isnoagreeduponmethodfor
measuringandestimating.
The other formof directcost of disabilityisthe publicspendingondisabilityprogrammes,of which
nearlyall nationshave some formaimedatassistingpersonswithdisabilities. The costof these
programmesissubstantial,butasisthe case for assessingthe individual costof disability,noestimates
of a total cost model exist. These governmentfundeddisabilityprogramsrange fromhealthand
rehabilitationservices,labourmarketprogrammes,vocational educationandtraining,disabilitysocial
insurance benefits,socialassistance disabilitybenefitsincash,andvariousotherstogetherwith
administrativeoverheads(WorldHealthOrganization, 2011). For nationslike Canadathatare members
of the OrganizationforEconomicCo-operationandDevelopment(OECD),anaverage of 1.2% of total
GDP is spentoncontributoryandnon-contributorydisabilitybenefitsthatinclude full andpartial
disabilitybenefitsandearlyretirementschemestailoredtodisability orreducedworkcapacity(OECD,
2009). Boththe numberof recipientsandthe level of spendingonthese programmeshave increased
overthe last twentyyearswhichisposingseriousconcernregardingaffordabilityandthe longterm
sustainabilityof these typesof programmes (OECD,2009). The indirectcostsborne as a resultof
disabilityhave proventobe substantiallymore challengingtomeasure andanalyze. Fromaneconomic
standpointthe majorindirectcostsassociatedwithdisabilityisthe lossof productivityfrominsufficient
investmentinthe educationof disabledyouth,exitsfromthe labourmarketorseverelyreducedwork
resultingfromthe onsetof disability,andlastlythe lossof taxesfromthese individuals. The lossof
labourproductivitythatiscoupledwithalossintaxescan be borne both the disabledandtheirfamilies,
because itiscommonthat individualsreduce theirlabourhoursorexitthe workforce completelyin
orderto care for theirdisabledfamilymembers. These indirectcoststhatare borne bysocietyare very
complex intermsof estimatingbecauseitisdifficulttomeasure the productivityof apersonthathas
droppedfromthe labourforce resultingfromdisability. Therefore,reliable estimatesinthe lossin
productivityandtaxesare veryuncommon. A CanadianNational PopulationHealthSurveysuggested
that in1998 the lossof workthroughshort-termandlong-termdisabilitywas6.7% of total GDP
(StatCan,2011).
DisabilityandPoverty:
The study of the relationshipbetweendisabilityandpovertyvariesgreatlyfromcountrytocountry as a
resultof differingdefinitionsof disabilityandpovertystatus. Manyconceptual andmeasurementissues
can arise whenanalyzingthe relationshipbecauseof the multi-dimensional nature of povertyand
disabilityandalsothe differingindefinitionsinternationally. The largestdifferencescanbe seenwhen
comparingdevelopedanddevelopingcountriesinregardstoestablishingacausal relationshipbetween
the two. People withdisabilitiesonaverage experience substantiallyworse educational andlabour
marketoutcomesandtherefore are more susceptible tofallingbelow the povertyline (WorldHealth
Organization, 2011). StatisticsCanadaclassifiesfamiliesandpeoplewholive alone orwithnon-related
othersas havinglowafter-tax incomeswhere theyspend20% or more than the average on food,
shelter,andclothing. Thislow-incomecut-off (LICO), alsoknownasthe povertyline, doesn’ttake into
account disabilityrelatedexpensesformedications,servicesandotherspecificcosts(StatCan,2009).
Notonlyare individualswithdisabilitiesfacedwithlimitedopportunitiestoearnincome,buttheir
medical expensesare generallymuchhigherthanthe average person. Ina 2009 OECD studycovering21
developednations,workingage people withdisabilitieswere foundtobe twice aslikelytobe
unemployedandthose that didhadjobswere more likelytobe workingpart-time andhave lower
socioeconomicstatus (WorldHealthOrganization, 2011). The socioeconomicstatusof anindividual is
oftenmeasuredasa combinationof education,income andoccupation andisrelevant toall aspectsof
behavioural andsocial science (AmericanPsychological Association,2007). Disabilitiescanaffectthe
socioeconomicstatusof entire families,because peoplewithdisabilitiesare more likelytoexperience
discriminationthatleadstofinancial difficultiesandeconomicdeprivation(Elwan, 1999).
In 2006 the overall povertyrate forCanadianadultswas10.5% whilst forpersonswithdisabilities itwas
14.4% whichtranslatesintonearly600,000 Canadiancitizens. Of these 600,000 individualslivingbelow
the povertyline withdisabilities,itwasdeterminedthat59% were women(PALS,2006). The prevalence
of disabilityincreasessteadilywithage with10.1% of working-age Canadiansreportedhavingadisability
in2012, comparedto 33.2% of Canadianseniorsaged65 andup. Althoughthere hasa limitedamount
of researchonthe socioeconomicstatusof people withdisabilitiesindevelopingcountries, ithasbeen
growingrecently. Asinthe case withdevelopednations,the majorityof studiesconductedhave found
that personswithdisabilitieshave loweremploymentratesandlowereducational attainmentthan
those without(WorldHealthOrganization, 2011). Howeveritisimportantto note that indeveloping
countriesthe evidence forthe relationshipbetweendisabilityandpovertyislessconclusivewhen
consideringassetownership,livingconditions,andincome andconsumptionexpenditures. Peoplewith
disabilitiesoftenrequire awide array of servicesthatcan range from minorandinexpensivetocomplex
and verycostly. These servicescanrelate topersonal care,accessto aids,participationineducationand
employment,andmodificationstothe home. Inbothdevelopedanddevelopingnationsthere are large
gaps inservice provisions forpeoplewithdisabilities,withunmetneedsespeciallyhighforwelfare,
assistive devices,educationandvocational training. Fromaneconomicstandpointitisclearthat not
onlyare povertyanddisability closelyrelated,buttheyare also entwinedinapositive feedbackloop.
Povertyincreasesthe riskof disabilitythroughlackof healthcare,poornutrition,anddangerousworking
and livingconditions,anddisabilityincreasesthe riskof povertythroughpooraccesstoeducationand
the labourmarketas a resultof exclusionandsocial stigmas(Elwan, 1999). People withdisabilitiescan
be caught in a viciouscycle of povertyanddisability,witheachbeingbothcausesandconsequencesof
the other.
DisabilityandEducation:
The global estimate forthe numberof childrenlivingwithdisabilitiesrangesbetween93millionand150
million(UN ChildrensFund,2005) dependingonthe definitionof disability. A 2001 Participationand
ActivityLimitationSurvey(PALS) estimatedthat155,000 Canadianchildren betweenthe agesof 5 and
14 have some formof disability(StatCan,2012). InCanada, almosthalf of parentsreportedhaving
experienceddifficultyinregardstoobtainingspecial educationfortheirchildregardlessof the type of
disabilityorthe severity. Althoughthe majorityof childrenduring2006 were havingtheirneedsmetto
some degree,17.3%of all childrenwithdisabilitieshadunmeteducational aidsneedsand24.3% had
special educationneedsunmet(PALS,2006). Over40% of Canadianchildrenwhose parentsfeltthey
neededspecialeducationwere notreceivinganyformandnearlyone infive childrendidnothave the
educationaidsthattheyrequired. The general consensusamongparentsregardingwhythere were
unmetneedsforspecial educationcame downtoa lack of servicesandstaffingwithinschools
nationwide (PALS, 2006). These unmetneedsamongotherare majorcontributingfactorstowhythere
are performance shortfallsbymanystudentswithdisabilities. These barrierstoeducationresultina
verysmall percentage of personswithdisabilitieseverpursuingapost-secondaryeducation,letalone
obtainingadegree,withonly6%of people withdisabilitiesbetweenthe agesof 16-63 havingobtaineda
bachelor’sdegree orhigherinthe UnitedStates(U.S.CensusBureau,2006)
Many individualsthatsufferfromdisabilitieshave historicallybeenexcludedfrommainstream
educationopportunities,whichfurthercontributetothe povertycycle thatmanyof these people are
trappedin. It is imperativethatnationsensure thattheyhave propereducationprogrammestailoredto
the needsof disabledpersons,becauseeducationcontributestohumancapital formationandtherefore
isa majorcontributingfactorof personal well-being. Thisdemonstratesagainhow disabilitydoesnot
onlyaffectthe individual,butcanhave substantial economicandsocial costs. By notprovidingdisabled
youththe toolsto succeedthrougheducationopportunities, nationsare likelytohave highernumbers
of individualsthatfall belowthe povertyline because educationisvital forparticipationinthe labour
force. A studyby the U.S. National Council onDisabilityrevealedthat25% of personswithdisabilities
that heldlessthana highschool degree comparedto66% of personswithoutadisability. Thistrendis
alsoaccurate inregards to holdingahighschool degree with36% of disabilitiesemployedcomparedto
76% withoutanda bachelor’sdegree with 55% of personswithdisabilitiesemployedand83% of those
withouta disabilityobtainingemployment (National Council onDisability,2008). A benefitof providing
suitable educationopportunitiesforpersonswithdisabilitiesthatisoftenoverlookisthe abilitytofight
the stigmathat surroundsdisability. Byincludingthese individuals,itincreasesthe familiarityand
reducesprejudice amongchildrenwhoare notdisabled. Fornationstopromote an equitable society
inclusive educationisimperative andall nationsof the worldneedtotake appropriate actiontoensure
that people withdisabilitieshave the opportunitytoreceive apropereducation.
Disabilityandthe LabourMarket:
Many of the largestbarriersthatpeople withdisabilitiesmustface are presentinthe labourmarket.
There are majordisparitiesinemploymentandearningsbetweenindividualswithdisabilitiesandthose
without,manyof whichare a resultof the stigmasurroundingthe termdisability. The relationship
betweendisabilityandthe labourmarketisaneconomicrelationshipineverysense andunderstanding
the effectsthatdisabilityhasonthe labourmarketfrom the perspectiveof the individual andsocietyis
imperative inpromotinganeconomicallysustainable society. Throughoutthe worldthere are
individualswithdisabilitiesworkinginawide array of positions,fromdoctorstofarmersto
entrepreneurs. Giventhe righttoolstosucceed,personswithdisabilitieshave the abilitytobe
productive membersof societyandbenefitthemselvesandsocietyasa whole. Thatbeingsaid,in
nationsall acrossthe globe people withdisabilitiesexperience substantiallylowerratesof employment
and those thatare employedgenerallyearnlessannually. These lowerratesof labourmarket
participation are majorfactorsthroughwhichdisabilitymay leadtopoverty(Mete,2008). Studies
conductedbyStatisticsCanadahave revealedthatdisabledmenof workingage earnonaverage $9,557
lessannuallythanthose withoutdisabilities,whereaswomenof workingage withdisabilitiesearn
$8,853 lessthantheirnon-disabledcounterparts(StatCan,2012). Althoughthere are large differences
inearnings,the largestissue formanyindividualswithdisabilitiesisobtainingemployment. According
to a 2013 study conductedby BMO financial group,only3in 10 small businessownershave hired
personswithdisabilitiesduringthatyear,andthat 69% of all small businessownersinCanadahadnever
hireda personwitha disability. The same studyrevealedthatalmost half of Canadiansbelieve that
hidingadisabilityfromaprospective employerwouldsubstantiallyincrease acandidate’schancesof
gettinghired,with48%of individualssurveyedadmittingthattheywouldbe more likelytoclimbthe
corporate ladderif they kepttheirdisabilitysecret. The largestbarrierstoenteringthe labourmarket
for individualswithadisabilityare lackof access,the stigmasurroundingdisability,discriminationandin
some nation’soverprotectioninlabourlaws.
Many nationshave attemptedtoovercome the barrierstothe labourmarketthat manypersonswith
disabilitiesface byenactinglawsthatprohibitdiscriminationonthe basisof disability,setting
employmentquotas,andprovidingvocational rehabilitation andemploymentservices. Althoughthese
lawsand programsare beneficial,anumberof factorsstill impactlabourmarketoutcomessuchas
productivitydifferentialsandlabourmarketimperfectionsrelatedtodiscriminationandprejudice
(OECD,2010). It isimportantto note thatthese remediescreatedbynational governmentsonlyaffect
the formal economy,government-regulatedpublicandprivate sectoremployment. The informal
economyisgenerallyunregulatedandthisiswhere manypersonswithdisabilitiestendto work,with
over87% of India’s workingdisabledpopulationemployedwithinthissector (UN,2012). A contributing
factor forthe majorityof disabledindividualsworkingwithinthe informal sectoristhatthese people
oftenneedflexibleschedulesdue to healthmatters,sotheyworkpart-time jobswhichcanensure more
flexibility. Howeverpart-timejobsgenerallypaylowerwagesandoffersubstantiallylessbenefitsthana
full-time positiondoes. Manylow-incomehouseholdsmaynotbe able torecoverfromthe economic
shockimposedbyincome lossasa resultof lostwork hourswhena householdheadbecomesdisabled.
Personswithadisabilityindeedworkfewerworkhoursperyear,witha 6 yearstudyin Canada
identifyingagapof 1.6 yearsof lostwork time measuredinthe difference inworkhoursbetween
people withandwithoutadisability(StatCan, 2012). In Russiaon average,aone-stepdeteriorationin
healthstatusresultsina 14% wage decrease,buta one-stepdeteriorationindisabilityranking resultsin
a massive 30% wage decrease. Althoughsome saythatuniversal insurance programscansolve the
income lossproblemsresultingfromdisability, itisunclearif itwill be successfulbecause suchalarge
portionof the disabledpopulationoperatesinthe informal sector,whichmakesitchallengingtocollect
the insurance premiums(UN,2012).
It isimperative thatgovernmentsandemployersworldwidetake appropriate actiontomitigate the
manybarriersto entrythat personswithdisabilities face withinthe labourmarket. The processof
improvinglabourmarketopportunitiesforthese peoplerequiresgovernments,employers,andtrade
unionstorecognize theirrolesandtake assertive actiontoensure thatthese individualsare givenequal
opportunitytosucceedandachieve ahighqualityof living. Governmentsare able tobreakdownthese
barriersbychangingthe publicattitude regardingdisabilityandenactingandenforcingproperanti-
discriminatorylegislation. Bychangingthe attitudesof the public,governmentscanbegintocounteract
the substantial stigmathathasbuiltup overthe lastfew decadesregardingdisabledpersonsandtheir
competencyinthe labourmarket. Implementationof variouspubliclabourmarketprogrammesby
governmentsisalsoaway inwhichthese labourmarketbarrierscanbe overcome,whetheritis
vocational guidance andtrainingprogrammes,employmentservices,orsocial protectionprogrammes.
Employerscanalsomake great stridesforthe inclusionof disabled personsinthe workplace bymaking
reasonable accommodationsavailablewhere neededandhiringdisabledindividuals. The creationof
disabilitymanagementprogrammesisalsoamajorfactor inreducingthe presentbarriers,because this
reinforcesthe returntoworkfor those thathave become disabled. These employersponsored
programmesmustfocuson healthpromotionanddisabilityprevention,andonhelpingemployees
returnto work. Lastly,employersmustensure thatall of theirmanagersandHR staff understandthe
requirementsforaccommodating andemployingdisabledpersons andthatthere isno basisfor
discriminationwithintheirorganizations. Bytakingthese actions,nations andthe organizationsthat
operate withinthem canensure thattheyare promotingan economicallysustainablesocietywithequal
opportunitiesforall citizens.
Conclusion:
The socioeconomiceffectof disabilityisaveryappealingtopictome because myfatherhasbeen
battlingMultiple Sclerosisforthe last16 years. I have seenfirsthandthe economiceffectsof disability
and the massive coststhat the individual andsocietymustbearwhichisamajor contributingfactorfor
whyI chose thistopicto discuss. I understandthatthisisnot supposedtobe an opinionpiece, butI
wantedtoconnect myfatherto it somehow sointhe nextsectionIwill highlightthe economiceffects
that my father’sdisabilityhashadon our familyandthe Canadiangovernment. Twoyearsafterbeing
diagnosedhe wasletgofrom himjoband was unable to findfull-timeworkagainashe was walking
witha cane whichmade the prospectof findingajobdifficult. He was56 yearsoldat the time andwas
earning$150,000 annuallyandtherefore lost9years(had he workedupuntil retirement) of income for
a total of $1.35 milliondollars. Thisamountedto$65,000 annual losttax revenue tothe Canada
revenue agency,whichover9yearswouldhave amountedto$585,000, and $765,000 lostdiscretionary
income tomy family.
These amountsare onlya fractionof the economiccostsbaredby my familyandthe Canadian
government,becausethe majorityof the cost isthe full time care facilityhe livesin. Itcostsmy family
$20,400 annuallytoprovide afull time care facilitywhichtotalsto$163,200 over the course of hisstay
at thisfacility. The governmenthasprovidedmyfatherwithdisabilitypensionandCPPfromage 56 to
65 totaling$180,000 ($18,000 annually). The biggestcostforthe governmentisthe full-timefacility
care whichis$900 a day, translatingto$336,000 per yearand overthe course of 8 years ithas cost the
Canadiangovernment$2,688,000 to provide thiscare. The total cost to myfamilyisfoundbysumming
the lostincome andmonthlycare costsand subtractingthe disability/CPP incomereceived,whichtotals
$1,333,200 netcosts to my family. The total costto the Canadiangovernmentisfoundbysummingthe
care facilitycosts,losttax revenue,anddisabilitypension/CPPpaymentsforatotal cost of $3,453,000.
Regardlessof the severity,personswithdisabilitiesare facedwithsocial andeconomicbarriersinall
aspectsof theirlives. Governmentsandorganizationsmusttake appropriateactiontoensure thatthese
individualsare givenequalopportunityinregardstolabour andeducation. Governmentscanhelp
overcome these barriersinthe labourmarketbychangingthe stigmasurroundingdisabilityand
enactinganti-discriminatorylegislation. Organizationsneedtofocusonthe hiringof personswith
disabilitiesandthe utilizationof disabilitymanagementprogrammesinthe workplace. Regarding
education,we mustpromote inclusionof personswithdisabilitiesasthiswill furtherbreakdownthe
barriersand provide these peoplewithequalopportunitiestoobtainingemploymentpost-graduation.
By breakingdownthe presentbarriersinthe workplace andineducation,we canbegintoeliminate the
stigmasurroundingthe termdisability. Thiswill helptoendthe povertycycle thatmanypersonswith
disabilityinthe worldare trappedwithin,becausethroughequal opportunitymanymore will be able to
obtainwell-payingjobsandmanage the manycosts thatare associatedwithdisability.
Citations:
1. Blatt,Burton."DisabilityandEconomics:The NexusbetweenDisability, Education,and
Employment."DisabilityandEconomics.July1,2011. AccessedMarch 19, 2015.
2. "CommonMenuBar Links."Employmentamongthe Disabled.May1, 2009. AccessedMarch 19,
2015.
3. Conference Boardof Canada.(2009). How Canada Performs:A ReportCard on
Canada. RetrievedMarch15, 2015
4. "Disability&SocioeconomicStatus."Http://www.apa.org.January1,2014. AccessedMarch 19,
2015.
5. "DisabilityinCanada:InitialFindingsfromthe CanadianSurveyonDisability."Governmentof
Canada,StatisticsCanada.April 1, 2012. AccessedMarch 19, 2015.
6. "DisabilityManagementProgramsCanHelpEmployersCurbthe Costof Absenteeism."Disability
ManagementProgramsCan HelpEmployersCurbthe Costof Absenteeism.October8,2013.
AccessedMarch 19, 2015.
7. "Employment- ForPeople withDisabilities."Governmentof Canada,Service Canada.August24,
2012. AccessedMarch 19, 2015.
8. Lindenberg,Brian."DisabilityCosts:The RockyRoadAhead."BenefitsCanadaDisabilityCosts
The Rocky Road AheadComments.October20, 2014. AccessedMarch 19, 2015.
9. National Council onWelfare.(2009). Welfare Incomes,2006 and 2007. Ottawa:Author.
10. SaundersP.The costs of disabilityandincidence of poverty.Sydney,Social PolicyResearch
Centre,Universityof New SouthWales,2006.
11. Scott K,Mete C. Measurementof disabilityandlinkageswithwelfare,employment,and
schooling.In:Mete C,ed.Economic implicationsof chronicillnessanddisabilityinEastern
Europe and the FormerSovietUnion.Washington,WorldBank,2008
12. Sickness,DisabilityandWork:KeepingonTrackin the EconomicDownturn.Paris,Organisation
for EconomicCo-operationandDevelopment,2009 (BackgroundPaper).
13. The State of the World’sChildren2006: excludedandinvisible.NewYork,UnitedNations
Children’sFund,2005
14. Zaidi A,Burchardt T. Comparingincomeswhenneedsdiffer:equivalizationforthe extracostsof
disabilityinthe UK.Review of Income andWealth,2005,51:89-114. doi:10.1111/j.1475-
4991.2005.00146.x

More Related Content

What's hot

Future of-ageing christopher j johnson ph d
Future of-ageing christopher j johnson ph dFuture of-ageing christopher j johnson ph d
Future of-ageing christopher j johnson ph dAustin Aging2.0
 
Che 6305, issues and trends in community health 1
  Che 6305, issues and trends in community health 1   Che 6305, issues and trends in community health 1
Che 6305, issues and trends in community health 1 abhi353063
 
Newsletter 1 ESRC seminar series on poverty and fertility
Newsletter 1 ESRC seminar series on poverty and fertilityNewsletter 1 ESRC seminar series on poverty and fertility
Newsletter 1 ESRC seminar series on poverty and fertilitytizianaleone
 
The Augmented Sustainable Livelihood Framework (aSLF) -EJ Mensah
The Augmented Sustainable Livelihood Framework (aSLF) -EJ MensahThe Augmented Sustainable Livelihood Framework (aSLF) -EJ Mensah
The Augmented Sustainable Livelihood Framework (aSLF) -EJ MensahEmmanuel Joseph Mensah
 
Role of Women and Gender Approaches in DRR
Role of Women and Gender Approaches in DRRRole of Women and Gender Approaches in DRR
Role of Women and Gender Approaches in DRROxfam in Armenia
 
1 1 abstract—with the advent of the technologic
1 1  abstract—with the advent of the technologic1 1  abstract—with the advent of the technologic
1 1 abstract—with the advent of the technologicabhi353063
 
HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...
HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...
HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...IDS
 
research paper with ref
research paper with refresearch paper with ref
research paper with refSretta Clark
 
Unpaid Care Work: An Integral Contributor to Gendered Poverty and Intra-Hous...
Unpaid Care Work:  An Integral Contributor to Gendered Poverty and Intra-Hous...Unpaid Care Work:  An Integral Contributor to Gendered Poverty and Intra-Hous...
Unpaid Care Work: An Integral Contributor to Gendered Poverty and Intra-Hous...Prema Rahman
 
Woodbury, christine results of a disabilty awareness assignment nfsej v2...
Woodbury, christine results of a disabilty awareness assignment nfsej v2...Woodbury, christine results of a disabilty awareness assignment nfsej v2...
Woodbury, christine results of a disabilty awareness assignment nfsej v2...William Kritsonis
 
A new vision for adult social care
A new vision for adult social careA new vision for adult social care
A new vision for adult social carelizrichardson
 
Path Forward Series Finale II
Path Forward Series Finale IIPath Forward Series Finale II
Path Forward Series Finale IICHC Connecticut
 

What's hot (20)

Future of-ageing christopher j johnson ph d
Future of-ageing christopher j johnson ph dFuture of-ageing christopher j johnson ph d
Future of-ageing christopher j johnson ph d
 
Searchlight South Asia
Searchlight South AsiaSearchlight South Asia
Searchlight South Asia
 
Che 6305, issues and trends in community health 1
  Che 6305, issues and trends in community health 1   Che 6305, issues and trends in community health 1
Che 6305, issues and trends in community health 1
 
Session 19_Nancy Omolo
Session 19_Nancy OmoloSession 19_Nancy Omolo
Session 19_Nancy Omolo
 
Newsletter 1 ESRC seminar series on poverty and fertility
Newsletter 1 ESRC seminar series on poverty and fertilityNewsletter 1 ESRC seminar series on poverty and fertility
Newsletter 1 ESRC seminar series on poverty and fertility
 
Health Development and MFI
Health Development and MFIHealth Development and MFI
Health Development and MFI
 
The Augmented Sustainable Livelihood Framework (aSLF) -EJ Mensah
The Augmented Sustainable Livelihood Framework (aSLF) -EJ MensahThe Augmented Sustainable Livelihood Framework (aSLF) -EJ Mensah
The Augmented Sustainable Livelihood Framework (aSLF) -EJ Mensah
 
Role of Women and Gender Approaches in DRR
Role of Women and Gender Approaches in DRRRole of Women and Gender Approaches in DRR
Role of Women and Gender Approaches in DRR
 
1 1 abstract—with the advent of the technologic
1 1  abstract—with the advent of the technologic1 1  abstract—with the advent of the technologic
1 1 abstract—with the advent of the technologic
 
Child Protection and Poverty
Child Protection and PovertyChild Protection and Poverty
Child Protection and Poverty
 
HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...
HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...
HIV-related Citizenships: Exploring framings, identity and mobilisation of ma...
 
research paper with ref
research paper with refresearch paper with ref
research paper with ref
 
Adelaide ANZSWWER
Adelaide ANZSWWERAdelaide ANZSWWER
Adelaide ANZSWWER
 
4 community-mobilization-and-the-if
4 community-mobilization-and-the-if4 community-mobilization-and-the-if
4 community-mobilization-and-the-if
 
Social Protection
Social ProtectionSocial Protection
Social Protection
 
Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa
Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa
Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa
 
Unpaid Care Work: An Integral Contributor to Gendered Poverty and Intra-Hous...
Unpaid Care Work:  An Integral Contributor to Gendered Poverty and Intra-Hous...Unpaid Care Work:  An Integral Contributor to Gendered Poverty and Intra-Hous...
Unpaid Care Work: An Integral Contributor to Gendered Poverty and Intra-Hous...
 
Woodbury, christine results of a disabilty awareness assignment nfsej v2...
Woodbury, christine results of a disabilty awareness assignment nfsej v2...Woodbury, christine results of a disabilty awareness assignment nfsej v2...
Woodbury, christine results of a disabilty awareness assignment nfsej v2...
 
A new vision for adult social care
A new vision for adult social careA new vision for adult social care
A new vision for adult social care
 
Path Forward Series Finale II
Path Forward Series Finale IIPath Forward Series Finale II
Path Forward Series Finale II
 

Similar to The Socioeconomic Effects of Disability

Economic growth and poverty reduction in nigeria an empirical investigation
Economic growth and poverty reduction in nigeria an empirical investigationEconomic growth and poverty reduction in nigeria an empirical investigation
Economic growth and poverty reduction in nigeria an empirical investigationAlexander Decker
 
Brief: Contributions from civil society to the construction of equity in Lati...
Brief: Contributions from civil society to the construction of equity in Lati...Brief: Contributions from civil society to the construction of equity in Lati...
Brief: Contributions from civil society to the construction of equity in Lati...FARO
 
COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015COUNTDOWN on NTDs
 
Prospects and challenges of implementing a sustainable national health insura...
Prospects and challenges of implementing a sustainable national health insura...Prospects and challenges of implementing a sustainable national health insura...
Prospects and challenges of implementing a sustainable national health insura...Alexander Decker
 
A STUDY ON POVERTY CONCEPTS AND PERSPECTIVES CONCEPTUAL PAPER
A STUDY ON POVERTY CONCEPTS AND PERSPECTIVES  CONCEPTUAL PAPERA STUDY ON POVERTY CONCEPTS AND PERSPECTIVES  CONCEPTUAL PAPER
A STUDY ON POVERTY CONCEPTS AND PERSPECTIVES CONCEPTUAL PAPERPedro Craggett
 
Harvard global economic burden non communicable diseases 2011
Harvard global economic burden non communicable diseases  2011Harvard global economic burden non communicable diseases  2011
Harvard global economic burden non communicable diseases 2011paulovseabra
 
Required Resources week 6Required TextLovett-Scott, M., & Pra.docx
Required Resources  week 6Required TextLovett-Scott, M., & Pra.docxRequired Resources  week 6Required TextLovett-Scott, M., & Pra.docx
Required Resources week 6Required TextLovett-Scott, M., & Pra.docxsodhi3
 
Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...
Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...
Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...Appiah Seth Christopher Yaw
 
4 postsRe Topic 2 DQ 1There are many factors that influence.docx
4 postsRe Topic 2 DQ 1There are many factors that influence.docx4 postsRe Topic 2 DQ 1There are many factors that influence.docx
4 postsRe Topic 2 DQ 1There are many factors that influence.docxdomenicacullison
 
Phasing out Animal Agriculture - J Mace
Phasing out Animal Agriculture - J MacePhasing out Animal Agriculture - J Mace
Phasing out Animal Agriculture - J MaceJenny Mace
 
Financing Report_WHS_FINAL
Financing Report_WHS_FINALFinancing Report_WHS_FINAL
Financing Report_WHS_FINALHamzah Shami
 
Community Health Financing as a Pathway to Universal Health Coverage: Synthes...
Community Health Financing as a Pathway to Universal Health Coverage: Synthes...Community Health Financing as a Pathway to Universal Health Coverage: Synthes...
Community Health Financing as a Pathway to Universal Health Coverage: Synthes...HFG Project
 
Tmih Michielsen Et Al. (2010) Transformative Social Protection In Health
Tmih Michielsen Et Al. (2010) Transformative Social Protection In HealthTmih Michielsen Et Al. (2010) Transformative Social Protection In Health
Tmih Michielsen Et Al. (2010) Transformative Social Protection In Healthjorismichielsen
 
A new health and development paradigm post-2015: grounded in human rights
A new health and development paradigm post-2015: grounded in human rightsA new health and development paradigm post-2015: grounded in human rights
A new health and development paradigm post-2015: grounded in human rightsLisa Hallgarten
 
Policy Brief 2, David Dingus
Policy Brief 2, David Dingus Policy Brief 2, David Dingus
Policy Brief 2, David Dingus David J Dingus
 
RUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docx
RUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docxRUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docx
RUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docxhealdkathaleen
 
2008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm6213
2008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm62132008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm6213
2008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm6213wvdamme
 

Similar to The Socioeconomic Effects of Disability (20)

Economic growth and poverty reduction in nigeria an empirical investigation
Economic growth and poverty reduction in nigeria an empirical investigationEconomic growth and poverty reduction in nigeria an empirical investigation
Economic growth and poverty reduction in nigeria an empirical investigation
 
Brief: Contributions from civil society to the construction of equity in Lati...
Brief: Contributions from civil society to the construction of equity in Lati...Brief: Contributions from civil society to the construction of equity in Lati...
Brief: Contributions from civil society to the construction of equity in Lati...
 
COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015COUNTDOWN Louis Niessen - Launch 2015
COUNTDOWN Louis Niessen - Launch 2015
 
Prospects and challenges of implementing a sustainable national health insura...
Prospects and challenges of implementing a sustainable national health insura...Prospects and challenges of implementing a sustainable national health insura...
Prospects and challenges of implementing a sustainable national health insura...
 
Pacific Alliance: Healthcare sector
Pacific Alliance: Healthcare sectorPacific Alliance: Healthcare sector
Pacific Alliance: Healthcare sector
 
Crises and Social Programs
Crises and Social ProgramsCrises and Social Programs
Crises and Social Programs
 
A STUDY ON POVERTY CONCEPTS AND PERSPECTIVES CONCEPTUAL PAPER
A STUDY ON POVERTY CONCEPTS AND PERSPECTIVES  CONCEPTUAL PAPERA STUDY ON POVERTY CONCEPTS AND PERSPECTIVES  CONCEPTUAL PAPER
A STUDY ON POVERTY CONCEPTS AND PERSPECTIVES CONCEPTUAL PAPER
 
Harvard global economic burden non communicable diseases 2011
Harvard global economic burden non communicable diseases  2011Harvard global economic burden non communicable diseases  2011
Harvard global economic burden non communicable diseases 2011
 
Required Resources week 6Required TextLovett-Scott, M., & Pra.docx
Required Resources  week 6Required TextLovett-Scott, M., & Pra.docxRequired Resources  week 6Required TextLovett-Scott, M., & Pra.docx
Required Resources week 6Required TextLovett-Scott, M., & Pra.docx
 
Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...
Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...
Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...
 
Global Health 2035 - The Lancet Commissions
Global Health 2035 - The Lancet CommissionsGlobal Health 2035 - The Lancet Commissions
Global Health 2035 - The Lancet Commissions
 
4 postsRe Topic 2 DQ 1There are many factors that influence.docx
4 postsRe Topic 2 DQ 1There are many factors that influence.docx4 postsRe Topic 2 DQ 1There are many factors that influence.docx
4 postsRe Topic 2 DQ 1There are many factors that influence.docx
 
Phasing out Animal Agriculture - J Mace
Phasing out Animal Agriculture - J MacePhasing out Animal Agriculture - J Mace
Phasing out Animal Agriculture - J Mace
 
Financing Report_WHS_FINAL
Financing Report_WHS_FINALFinancing Report_WHS_FINAL
Financing Report_WHS_FINAL
 
Community Health Financing as a Pathway to Universal Health Coverage: Synthes...
Community Health Financing as a Pathway to Universal Health Coverage: Synthes...Community Health Financing as a Pathway to Universal Health Coverage: Synthes...
Community Health Financing as a Pathway to Universal Health Coverage: Synthes...
 
Tmih Michielsen Et Al. (2010) Transformative Social Protection In Health
Tmih Michielsen Et Al. (2010) Transformative Social Protection In HealthTmih Michielsen Et Al. (2010) Transformative Social Protection In Health
Tmih Michielsen Et Al. (2010) Transformative Social Protection In Health
 
A new health and development paradigm post-2015: grounded in human rights
A new health and development paradigm post-2015: grounded in human rightsA new health and development paradigm post-2015: grounded in human rights
A new health and development paradigm post-2015: grounded in human rights
 
Policy Brief 2, David Dingus
Policy Brief 2, David Dingus Policy Brief 2, David Dingus
Policy Brief 2, David Dingus
 
RUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docx
RUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docxRUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docx
RUNNING HEAD DEMOCRATIC REPUBLIC OF THE CONGO GROUP PAPER1Run.docx
 
2008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm6213
2008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm62132008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm6213
2008 Ssm Art&Fhs Scale Up In S Afr Wvd Kk Gk Ssm6213
 

The Socioeconomic Effects of Disability

  • 1. Econ 3300 Term Paper The Socioeconomic Effects of Disability Professor Brian Ferguson Matthew Malinsky – 0756443
  • 2. Introduction: The World HealthOrganizationhasestimatedthatthere are approximately1billionpeopleaffectedby some formof disabilityworldwide. Disabilityisanumbrellatermthatincludesimpairmentswhichisa probleminbodyfunctionorstructure,activitylimitationswhichare definedasadifficultyencountered by an individual inexecutingatask or action,and participationrestrictionsinlife situations(World HealthOrganization, 2011). InCanada alone there were anestimated3.8millionadultCanadians (13.7% of adultpopulation) thatreportedbeinglimitedinthe dailyactivities byadisability. Over11% of Canadianadultssufferedfromone of the three mostprevalentdisabilitytypeswhichare pain,mobility, and flexibility(StatCan,2012). From an economicstandpointitisimportanttorecognize thatdisability doesnotonlyconstitute ahealthissue;itisa complex phenomenon,reflectingthe interactionbetween the featuresof an individual andthe featuresof the societythathe orshe livesin. A disabilitycanbe temporaryor episodic,meaningthatpeopleare notnecessarilyaffectedbyitcontinuously. InCanada from1999 to 2004, only13% whoindicatedadisabilityreportedbeingaffectedbyitduringall 6 years (StatCan, 2012). The economicand social costsof disabilityare substantial,butcanbe problematictoquantifyasthey include bothdirectandindirect costs(WorldHealthOrganization, 2011). Understandingthe costsand implicationsof disabilityisimportantinthe formationof publicprogramsandservicesthatare created for the purpose of assistingthose thatare affected. The effectsof disabilityare notonlyfeltbythe individual,butalsobytheirfamilies,theiremployers,andsocietyasawhole. People withdisabilities have generallypoorerhealth,lowereducationachievements,fewereconomicopportunitiesandhigher ratesof povertythanthose individualswhoare unaffected. Asa resultof prevalentbarriers inmany aspectsof the economy, there are huge disparitiesineducationandincome levelsforpeoplewith
  • 3. disabilities,andmanyfall below the povertyline. Accordingtoanational studyconductedin2004, only 10% of Canadiansbelieve thatpeoplewithdisabilitiesare fullyincludedinsociety,withthe majorityalso wantingtohelpimprove the livesof people withdisabilitiesandagree thatthe social benefitiswell worththe cost(Environics, 2004). There are manyprograms,grants, andtax credits that are offered by governments suchasSupplemental SecurityDisabilityInsuranceinthe UnitedStatesandthe Canada PensionPlanDisabilityVocational RehabilitationProgramthatare inplace to mitigate the barriersthat disabledindividualsface. Employersexperience the implicationsof disabilityinthe formsof insurance costs andabsenteeismwhichisamajor businessissue formanyCanadianorganizationsasitdecreases productivitysubstantially. The aim of thispaper isto discuss andanalyze the socioeconomiceffectsof disabilityonthe individual and societyasa whole. Economictheorywill be appliedtothe complex relationshipsbetweendisability, poverty,education,andthe labourmarket. Itwill outline how people withdisabilitiesface exclusionin varioussectorsof the economywhichresultsinincreasedsusceptibilitytopoverty. Lastly, recommendationswillbe posedregardingthe economicapproachtodisabilityfromanindividual and societal standpoint. Althoughthe majorityof datausedinthispaperhas beentakenfromstudies conductedmainlyinNorthAmericawhichwill be the geographical focus,itwilltouchonsome international studiesandthereforealsoadoptaglobal perspective. Costsof Disability: People withdisabilitiesare facedwithanarray of significantdirectandindirectcosts,whichmeansthat theycan be difficulttoquantify. Notall of the costsare borne by individualswithdisabilities,withsome beingpassedontofriendsandfamilyandothersbeingborne bysociety. The addeddirectandindirect cost of havinga disabilitymeansthattoachieve the same minimumstandardof livingpeoplewith disabilitiesrequiremore resources. Althoughitisevidentthatthe costsof disabilityare substantial,
  • 4. comprehensive estimatesof the total costto an individualare scarce,eveninthe developednationsof the world. Thiscan be problematicforgovernmentsandpolicymakersbecausequantifyingthe costsof disabilityisimperative whendesigningpublicprogrammesaimedathelpingpeopleswithdisabilities. There are manyfactors that contribute tothe difficultyinmeasuringthe costsof disability,withthe mainreasonbeingthatthe definitionof disabilityoftenvariesnotonlyacrossnations,butevenacross disciplineswhichmeansthatcomparingdataacross sourcescan be problematic. The limitedamountof data regardingcostcomponentsof disabilityisanotherobstacle forresearchers,andthere isnoagreed uponmethodforcost estimationwhichresultsinmanydifferentresultswhenattemptingtoanalyze costs (Saunders,2006). Inorder to properlyaddressthe addedcostsof disabilityandassistindividuals withthem,technical progressmustbe made forestimationtechniquesandmore reliable datais requiredinordertoconduct accurate national level studies. Althoughthe costsof disabilitycanbe difficulttomeasure,directcostsare substantiallyeasierto calculate thanthe indirectcoststhat people withdisabilitiesface. The directcostsof disabilitycanbe brokendownintotwosections:the addedexpense thatindividualsandtheirfamiliesface inorderto achieve areasonable standardof livingwithadisability,anddisabilitybenefitsthatare distributed throughnumerouspublicprogrammesand paidforbythe government(Zaidi,2005). To accomplisha reasonable standardof livingequaltothatof non-disabledpeople,manyadditionalcostsare often incurred. Thisrise incosts can be attributedtospendingonhealthcare services,specialformsof transportation,personal assistance,laundryservicesandmanyotherexpensesthatfall withinthe wide array of costsof livingwithadisability. Recentnationalstudieshave attemptedtoanalyze andquantify the addedcosts of livingwithadisability,butthe numbersvarysubstantiallyfromnationtonation. In the UnitedKingdomthe costestimatesfora disabilityrelativetototal income range from11% to 69% (Zaidi,2005). An Australianstudyconcludedthatthe costs,whichwere dependentonthe severityof the disability,fellwithin29%and 37% of total income (Saunders,2006). The variationof cost estimates
  • 5. born byindividualswithdisabilitiesandtheirfamiliesmeansthatthere isnoagreeduponmethodfor measuringandestimating. The other formof directcost of disabilityisthe publicspendingondisabilityprogrammes,of which nearlyall nationshave some formaimedatassistingpersonswithdisabilities. The costof these programmesissubstantial,butasisthe case for assessingthe individual costof disability,noestimates of a total cost model exist. These governmentfundeddisabilityprogramsrange fromhealthand rehabilitationservices,labourmarketprogrammes,vocational educationandtraining,disabilitysocial insurance benefits,socialassistance disabilitybenefitsincash,andvariousotherstogetherwith administrativeoverheads(WorldHealthOrganization, 2011). For nationslike Canadathatare members of the OrganizationforEconomicCo-operationandDevelopment(OECD),anaverage of 1.2% of total GDP is spentoncontributoryandnon-contributorydisabilitybenefitsthatinclude full andpartial disabilitybenefitsandearlyretirementschemestailoredtodisability orreducedworkcapacity(OECD, 2009). Boththe numberof recipientsandthe level of spendingonthese programmeshave increased overthe last twentyyearswhichisposingseriousconcernregardingaffordabilityandthe longterm sustainabilityof these typesof programmes (OECD,2009). The indirectcostsborne as a resultof disabilityhave proventobe substantiallymore challengingtomeasure andanalyze. Fromaneconomic standpointthe majorindirectcostsassociatedwithdisabilityisthe lossof productivityfrominsufficient investmentinthe educationof disabledyouth,exitsfromthe labourmarketorseverelyreducedwork resultingfromthe onsetof disability,andlastlythe lossof taxesfromthese individuals. The lossof labourproductivitythatiscoupledwithalossintaxescan be borne both the disabledandtheirfamilies, because itiscommonthat individualsreduce theirlabourhoursorexitthe workforce completelyin orderto care for theirdisabledfamilymembers. These indirectcoststhatare borne bysocietyare very complex intermsof estimatingbecauseitisdifficulttomeasure the productivityof apersonthathas droppedfromthe labourforce resultingfromdisability. Therefore,reliable estimatesinthe lossin
  • 6. productivityandtaxesare veryuncommon. A CanadianNational PopulationHealthSurveysuggested that in1998 the lossof workthroughshort-termandlong-termdisabilitywas6.7% of total GDP (StatCan,2011). DisabilityandPoverty: The study of the relationshipbetweendisabilityandpovertyvariesgreatlyfromcountrytocountry as a resultof differingdefinitionsof disabilityandpovertystatus. Manyconceptual andmeasurementissues can arise whenanalyzingthe relationshipbecauseof the multi-dimensional nature of povertyand disabilityandalsothe differingindefinitionsinternationally. The largestdifferencescanbe seenwhen comparingdevelopedanddevelopingcountriesinregardstoestablishingacausal relationshipbetween the two. People withdisabilitiesonaverage experience substantiallyworse educational andlabour marketoutcomesandtherefore are more susceptible tofallingbelow the povertyline (WorldHealth Organization, 2011). StatisticsCanadaclassifiesfamiliesandpeoplewholive alone orwithnon-related othersas havinglowafter-tax incomeswhere theyspend20% or more than the average on food, shelter,andclothing. Thislow-incomecut-off (LICO), alsoknownasthe povertyline, doesn’ttake into account disabilityrelatedexpensesformedications,servicesandotherspecificcosts(StatCan,2009). Notonlyare individualswithdisabilitiesfacedwithlimitedopportunitiestoearnincome,buttheir medical expensesare generallymuchhigherthanthe average person. Ina 2009 OECD studycovering21 developednations,workingage people withdisabilitieswere foundtobe twice aslikelytobe unemployedandthose that didhadjobswere more likelytobe workingpart-time andhave lower socioeconomicstatus (WorldHealthOrganization, 2011). The socioeconomicstatusof anindividual is oftenmeasuredasa combinationof education,income andoccupation andisrelevant toall aspectsof behavioural andsocial science (AmericanPsychological Association,2007). Disabilitiescanaffectthe
  • 7. socioeconomicstatusof entire families,because peoplewithdisabilitiesare more likelytoexperience discriminationthatleadstofinancial difficultiesandeconomicdeprivation(Elwan, 1999). In 2006 the overall povertyrate forCanadianadultswas10.5% whilst forpersonswithdisabilities itwas 14.4% whichtranslatesintonearly600,000 Canadiancitizens. Of these 600,000 individualslivingbelow the povertyline withdisabilities,itwasdeterminedthat59% were women(PALS,2006). The prevalence of disabilityincreasessteadilywithage with10.1% of working-age Canadiansreportedhavingadisability in2012, comparedto 33.2% of Canadianseniorsaged65 andup. Althoughthere hasa limitedamount of researchonthe socioeconomicstatusof people withdisabilitiesindevelopingcountries, ithasbeen growingrecently. Asinthe case withdevelopednations,the majorityof studiesconductedhave found that personswithdisabilitieshave loweremploymentratesandlowereducational attainmentthan those without(WorldHealthOrganization, 2011). Howeveritisimportantto note that indeveloping countriesthe evidence forthe relationshipbetweendisabilityandpovertyislessconclusivewhen consideringassetownership,livingconditions,andincome andconsumptionexpenditures. Peoplewith disabilitiesoftenrequire awide array of servicesthatcan range from minorandinexpensivetocomplex and verycostly. These servicescanrelate topersonal care,accessto aids,participationineducationand employment,andmodificationstothe home. Inbothdevelopedanddevelopingnationsthere are large gaps inservice provisions forpeoplewithdisabilities,withunmetneedsespeciallyhighforwelfare, assistive devices,educationandvocational training. Fromaneconomicstandpointitisclearthat not onlyare povertyanddisability closelyrelated,buttheyare also entwinedinapositive feedbackloop. Povertyincreasesthe riskof disabilitythroughlackof healthcare,poornutrition,anddangerousworking and livingconditions,anddisabilityincreasesthe riskof povertythroughpooraccesstoeducationand the labourmarketas a resultof exclusionandsocial stigmas(Elwan, 1999). People withdisabilitiescan be caught in a viciouscycle of povertyanddisability,witheachbeingbothcausesandconsequencesof the other.
  • 8. DisabilityandEducation: The global estimate forthe numberof childrenlivingwithdisabilitiesrangesbetween93millionand150 million(UN ChildrensFund,2005) dependingonthe definitionof disability. A 2001 Participationand ActivityLimitationSurvey(PALS) estimatedthat155,000 Canadianchildren betweenthe agesof 5 and 14 have some formof disability(StatCan,2012). InCanada, almosthalf of parentsreportedhaving experienceddifficultyinregardstoobtainingspecial educationfortheirchildregardlessof the type of disabilityorthe severity. Althoughthe majorityof childrenduring2006 were havingtheirneedsmetto some degree,17.3%of all childrenwithdisabilitieshadunmeteducational aidsneedsand24.3% had special educationneedsunmet(PALS,2006). Over40% of Canadianchildrenwhose parentsfeltthey neededspecialeducationwere notreceivinganyformandnearlyone infive childrendidnothave the educationaidsthattheyrequired. The general consensusamongparentsregardingwhythere were unmetneedsforspecial educationcame downtoa lack of servicesandstaffingwithinschools nationwide (PALS, 2006). These unmetneedsamongotherare majorcontributingfactorstowhythere are performance shortfallsbymanystudentswithdisabilities. These barrierstoeducationresultina verysmall percentage of personswithdisabilitieseverpursuingapost-secondaryeducation,letalone obtainingadegree,withonly6%of people withdisabilitiesbetweenthe agesof 16-63 havingobtaineda bachelor’sdegree orhigherinthe UnitedStates(U.S.CensusBureau,2006) Many individualsthatsufferfromdisabilitieshave historicallybeenexcludedfrommainstream educationopportunities,whichfurthercontributetothe povertycycle thatmanyof these people are trappedin. It is imperativethatnationsensure thattheyhave propereducationprogrammestailoredto the needsof disabledpersons,becauseeducationcontributestohumancapital formationandtherefore isa majorcontributingfactorof personal well-being. Thisdemonstratesagainhow disabilitydoesnot onlyaffectthe individual,butcanhave substantial economicandsocial costs. By notprovidingdisabled
  • 9. youththe toolsto succeedthrougheducationopportunities, nationsare likelytohave highernumbers of individualsthatfall belowthe povertyline because educationisvital forparticipationinthe labour force. A studyby the U.S. National Council onDisabilityrevealedthat25% of personswithdisabilities that heldlessthana highschool degree comparedto66% of personswithoutadisability. Thistrendis alsoaccurate inregards to holdingahighschool degree with36% of disabilitiesemployedcomparedto 76% withoutanda bachelor’sdegree with 55% of personswithdisabilitiesemployedand83% of those withouta disabilityobtainingemployment (National Council onDisability,2008). A benefitof providing suitable educationopportunitiesforpersonswithdisabilitiesthatisoftenoverlookisthe abilitytofight the stigmathat surroundsdisability. Byincludingthese individuals,itincreasesthe familiarityand reducesprejudice amongchildrenwhoare notdisabled. Fornationstopromote an equitable society inclusive educationisimperative andall nationsof the worldneedtotake appropriate actiontoensure that people withdisabilitieshave the opportunitytoreceive apropereducation. Disabilityandthe LabourMarket: Many of the largestbarriersthatpeople withdisabilitiesmustface are presentinthe labourmarket. There are majordisparitiesinemploymentandearningsbetweenindividualswithdisabilitiesandthose without,manyof whichare a resultof the stigmasurroundingthe termdisability. The relationship betweendisabilityandthe labourmarketisaneconomicrelationshipineverysense andunderstanding the effectsthatdisabilityhasonthe labourmarketfrom the perspectiveof the individual andsocietyis imperative inpromotinganeconomicallysustainable society. Throughoutthe worldthere are individualswithdisabilitiesworkinginawide array of positions,fromdoctorstofarmersto entrepreneurs. Giventhe righttoolstosucceed,personswithdisabilitieshave the abilitytobe productive membersof societyandbenefitthemselvesandsocietyasa whole. Thatbeingsaid,in nationsall acrossthe globe people withdisabilitiesexperience substantiallylowerratesof employment
  • 10. and those thatare employedgenerallyearnlessannually. These lowerratesof labourmarket participation are majorfactorsthroughwhichdisabilitymay leadtopoverty(Mete,2008). Studies conductedbyStatisticsCanadahave revealedthatdisabledmenof workingage earnonaverage $9,557 lessannuallythanthose withoutdisabilities,whereaswomenof workingage withdisabilitiesearn $8,853 lessthantheirnon-disabledcounterparts(StatCan,2012). Althoughthere are large differences inearnings,the largestissue formanyindividualswithdisabilitiesisobtainingemployment. According to a 2013 study conductedby BMO financial group,only3in 10 small businessownershave hired personswithdisabilitiesduringthatyear,andthat 69% of all small businessownersinCanadahadnever hireda personwitha disability. The same studyrevealedthatalmost half of Canadiansbelieve that hidingadisabilityfromaprospective employerwouldsubstantiallyincrease acandidate’schancesof gettinghired,with48%of individualssurveyedadmittingthattheywouldbe more likelytoclimbthe corporate ladderif they kepttheirdisabilitysecret. The largestbarrierstoenteringthe labourmarket for individualswithadisabilityare lackof access,the stigmasurroundingdisability,discriminationandin some nation’soverprotectioninlabourlaws. Many nationshave attemptedtoovercome the barrierstothe labourmarketthat manypersonswith disabilitiesface byenactinglawsthatprohibitdiscriminationonthe basisof disability,setting employmentquotas,andprovidingvocational rehabilitation andemploymentservices. Althoughthese lawsand programsare beneficial,anumberof factorsstill impactlabourmarketoutcomessuchas productivitydifferentialsandlabourmarketimperfectionsrelatedtodiscriminationandprejudice (OECD,2010). It isimportantto note thatthese remediescreatedbynational governmentsonlyaffect the formal economy,government-regulatedpublicandprivate sectoremployment. The informal economyisgenerallyunregulatedandthisiswhere manypersonswithdisabilitiestendto work,with over87% of India’s workingdisabledpopulationemployedwithinthissector (UN,2012). A contributing factor forthe majorityof disabledindividualsworkingwithinthe informal sectoristhatthese people
  • 11. oftenneedflexibleschedulesdue to healthmatters,sotheyworkpart-time jobswhichcanensure more flexibility. Howeverpart-timejobsgenerallypaylowerwagesandoffersubstantiallylessbenefitsthana full-time positiondoes. Manylow-incomehouseholdsmaynotbe able torecoverfromthe economic shockimposedbyincome lossasa resultof lostwork hourswhena householdheadbecomesdisabled. Personswithadisabilityindeedworkfewerworkhoursperyear,witha 6 yearstudyin Canada identifyingagapof 1.6 yearsof lostwork time measuredinthe difference inworkhoursbetween people withandwithoutadisability(StatCan, 2012). In Russiaon average,aone-stepdeteriorationin healthstatusresultsina 14% wage decrease,buta one-stepdeteriorationindisabilityranking resultsin a massive 30% wage decrease. Althoughsome saythatuniversal insurance programscansolve the income lossproblemsresultingfromdisability, itisunclearif itwill be successfulbecause suchalarge portionof the disabledpopulationoperatesinthe informal sector,whichmakesitchallengingtocollect the insurance premiums(UN,2012). It isimperative thatgovernmentsandemployersworldwidetake appropriate actiontomitigate the manybarriersto entrythat personswithdisabilities face withinthe labourmarket. The processof improvinglabourmarketopportunitiesforthese peoplerequiresgovernments,employers,andtrade unionstorecognize theirrolesandtake assertive actiontoensure thatthese individualsare givenequal opportunitytosucceedandachieve ahighqualityof living. Governmentsare able tobreakdownthese barriersbychangingthe publicattitude regardingdisabilityandenactingandenforcingproperanti- discriminatorylegislation. Bychangingthe attitudesof the public,governmentscanbegintocounteract the substantial stigmathathasbuiltup overthe lastfew decadesregardingdisabledpersonsandtheir competencyinthe labourmarket. Implementationof variouspubliclabourmarketprogrammesby governmentsisalsoaway inwhichthese labourmarketbarrierscanbe overcome,whetheritis vocational guidance andtrainingprogrammes,employmentservices,orsocial protectionprogrammes. Employerscanalsomake great stridesforthe inclusionof disabled personsinthe workplace bymaking
  • 12. reasonable accommodationsavailablewhere neededandhiringdisabledindividuals. The creationof disabilitymanagementprogrammesisalsoamajorfactor inreducingthe presentbarriers,because this reinforcesthe returntoworkfor those thathave become disabled. These employersponsored programmesmustfocuson healthpromotionanddisabilityprevention,andonhelpingemployees returnto work. Lastly,employersmustensure thatall of theirmanagersandHR staff understandthe requirementsforaccommodating andemployingdisabledpersons andthatthere isno basisfor discriminationwithintheirorganizations. Bytakingthese actions,nations andthe organizationsthat operate withinthem canensure thattheyare promotingan economicallysustainablesocietywithequal opportunitiesforall citizens. Conclusion: The socioeconomiceffectof disabilityisaveryappealingtopictome because myfatherhasbeen battlingMultiple Sclerosisforthe last16 years. I have seenfirsthandthe economiceffectsof disability and the massive coststhat the individual andsocietymustbearwhichisamajor contributingfactorfor whyI chose thistopicto discuss. I understandthatthisisnot supposedtobe an opinionpiece, butI wantedtoconnect myfatherto it somehow sointhe nextsectionIwill highlightthe economiceffects that my father’sdisabilityhashadon our familyandthe Canadiangovernment. Twoyearsafterbeing diagnosedhe wasletgofrom himjoband was unable to findfull-timeworkagainashe was walking witha cane whichmade the prospectof findingajobdifficult. He was56 yearsoldat the time andwas earning$150,000 annuallyandtherefore lost9years(had he workedupuntil retirement) of income for a total of $1.35 milliondollars. Thisamountedto$65,000 annual losttax revenue tothe Canada revenue agency,whichover9yearswouldhave amountedto$585,000, and $765,000 lostdiscretionary income tomy family.
  • 13. These amountsare onlya fractionof the economiccostsbaredby my familyandthe Canadian government,becausethe majorityof the cost isthe full time care facilityhe livesin. Itcostsmy family $20,400 annuallytoprovide afull time care facilitywhichtotalsto$163,200 over the course of hisstay at thisfacility. The governmenthasprovidedmyfatherwithdisabilitypensionandCPPfromage 56 to 65 totaling$180,000 ($18,000 annually). The biggestcostforthe governmentisthe full-timefacility care whichis$900 a day, translatingto$336,000 per yearand overthe course of 8 years ithas cost the Canadiangovernment$2,688,000 to provide thiscare. The total cost to myfamilyisfoundbysumming the lostincome andmonthlycare costsand subtractingthe disability/CPP incomereceived,whichtotals $1,333,200 netcosts to my family. The total costto the Canadiangovernmentisfoundbysummingthe care facilitycosts,losttax revenue,anddisabilitypension/CPPpaymentsforatotal cost of $3,453,000. Regardlessof the severity,personswithdisabilitiesare facedwithsocial andeconomicbarriersinall aspectsof theirlives. Governmentsandorganizationsmusttake appropriateactiontoensure thatthese individualsare givenequalopportunityinregardstolabour andeducation. Governmentscanhelp overcome these barriersinthe labourmarketbychangingthe stigmasurroundingdisabilityand enactinganti-discriminatorylegislation. Organizationsneedtofocusonthe hiringof personswith disabilitiesandthe utilizationof disabilitymanagementprogrammesinthe workplace. Regarding education,we mustpromote inclusionof personswithdisabilitiesasthiswill furtherbreakdownthe barriersand provide these peoplewithequalopportunitiestoobtainingemploymentpost-graduation. By breakingdownthe presentbarriersinthe workplace andineducation,we canbegintoeliminate the stigmasurroundingthe termdisability. Thiswill helptoendthe povertycycle thatmanypersonswith disabilityinthe worldare trappedwithin,becausethroughequal opportunitymanymore will be able to obtainwell-payingjobsandmanage the manycosts thatare associatedwithdisability.
  • 14. Citations: 1. Blatt,Burton."DisabilityandEconomics:The NexusbetweenDisability, Education,and Employment."DisabilityandEconomics.July1,2011. AccessedMarch 19, 2015. 2. "CommonMenuBar Links."Employmentamongthe Disabled.May1, 2009. AccessedMarch 19, 2015. 3. Conference Boardof Canada.(2009). How Canada Performs:A ReportCard on Canada. RetrievedMarch15, 2015 4. "Disability&SocioeconomicStatus."Http://www.apa.org.January1,2014. AccessedMarch 19, 2015. 5. "DisabilityinCanada:InitialFindingsfromthe CanadianSurveyonDisability."Governmentof Canada,StatisticsCanada.April 1, 2012. AccessedMarch 19, 2015. 6. "DisabilityManagementProgramsCanHelpEmployersCurbthe Costof Absenteeism."Disability ManagementProgramsCan HelpEmployersCurbthe Costof Absenteeism.October8,2013. AccessedMarch 19, 2015. 7. "Employment- ForPeople withDisabilities."Governmentof Canada,Service Canada.August24, 2012. AccessedMarch 19, 2015. 8. Lindenberg,Brian."DisabilityCosts:The RockyRoadAhead."BenefitsCanadaDisabilityCosts The Rocky Road AheadComments.October20, 2014. AccessedMarch 19, 2015. 9. National Council onWelfare.(2009). Welfare Incomes,2006 and 2007. Ottawa:Author. 10. SaundersP.The costs of disabilityandincidence of poverty.Sydney,Social PolicyResearch Centre,Universityof New SouthWales,2006. 11. Scott K,Mete C. Measurementof disabilityandlinkageswithwelfare,employment,and schooling.In:Mete C,ed.Economic implicationsof chronicillnessanddisabilityinEastern Europe and the FormerSovietUnion.Washington,WorldBank,2008 12. Sickness,DisabilityandWork:KeepingonTrackin the EconomicDownturn.Paris,Organisation for EconomicCo-operationandDevelopment,2009 (BackgroundPaper). 13. The State of the World’sChildren2006: excludedandinvisible.NewYork,UnitedNations Children’sFund,2005 14. Zaidi A,Burchardt T. Comparingincomeswhenneedsdiffer:equivalizationforthe extracostsof disabilityinthe UK.Review of Income andWealth,2005,51:89-114. doi:10.1111/j.1475- 4991.2005.00146.x