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one page on each topic of "life span development issues relating
to Mass incarcerations for racial inequality, Ethical issues
relating to mass incarceration for racial inequality, meant health
and call for reform" so four pages
Research Paper Rubric
Component 100% 75% 50% 25% 0
Basic
Requirements
Formatted correctly, at
least 500 words in
length, citation page
and internal citations
correct (APA format), at
least 2 cited peer
reviewed sources.
Does not meet required
page length, and/or
does not have 2 cited
peer reviewed sources.
Thesis
Statement
Engaging, challenging,
and clearly focuses the
paper. Effectively
stated in the
introduction and
carried throughout the
paper.
Clear and articulate,
engaging and clearly
focuses the paper, but
is not challenging. Is
effectively carried
throughout the paper.
Clearly stated in the
introduction, attempts
to be engaging, is
adequate, but lacks
insight and focus, and is
carried through the
paper.
Included in the
introduction, but is
vague. Lacks insight,
focus, and is not carried
throughout the paper.
Is vague or may be
lacking in the
introduction; is not
focused and lacks
development; is not
carried throughout the
paper.
Introduction Strong and effective, it
is engaging and clearly
defines the thesis, as
well as provides a
foundation for the body
of the paper.
Effective and engaging,
defines the thesis and
provides foundation for
the body of the paper.
Introduces the topic of
the paper and builds a
connection between
the topic, the thesis,
and the body of the
paper. Informative but
not engaging or strong.
Introduces the topic of
the paper loosely and
includes the thesis
statement. Provides
little information
regarding the topic.
Includes little more
than the thesis and
shows no demonstrable
knowledge of the topic
of the paper.
Content
Strongly and vividly
supports the thesis and
is reflective of strong,
thorough research.
Illustrates extensive
knowledge of the topic.
Every aspect of the
thesis is supported by
quality academic
research.
Strongly supports the
thesis and is reflective
of good, thorough
research. Illustrates
knowledge of the topic,
but could be extended.
Most aspects of the
thesis are supported by
quality academic
research.
Supports the thesis and
reflects research, and
illustrates adequate
knowledge of the topic.
Could be extended and
shows some gaps in
understanding of the
topic. Although there
may be some
inconsistencies with
support from quality
academic research.
Related to the thesis
but reflects inadequate
research and
knowledge of the topic,
and demonstrates a
lack of understanding.
There may be a lack of
support from quality
academic research.
Does not convey
adequate
understanding of the
topic, the research, or
the thesis. There are
many unsupported
aspects of the thesis
and the research lacks
quality sources.
Organization Effectively organized.
Logical structure of
points and smooth
transitions convey both
understanding of topic
and care in writing.
Well organized, but
may lack some
transitions between
ideas. Logical structure
of most ideas conveys
understanding of topic
and composition.
Ideas are logically
structured, but may
lack transitions
between ideas. Could
benefit from
reorganizing 1 or 2
ideas.
Some significant gaps in
organization are
present but the basic
framework of ideas is
logical. Overall
organization could be
improved.
Much of the paper lacks
organization of ideas,
making it difficult to
understand the ideas
expressed in the paper.
Citation Format APA format is used
accurately as needed
throughout the entire
paper.
APA format is used
throughout the entire
paper, but may show
variations or slight
inconsistencies of
format.
APA format is used
throughout the entire
paper, but may be
noticeably inconsistent
in format.
APA format is used
inaccurately and
inconsistently in the
paper.
APA is not used
(regardless of the
number of sources or
citations).
Conclusion Strongly and clearly
connects the thesis
statement to the
research to draw a
specific conclusion that
does not leave the
reader with questions
regarding the thesis.
Clearly connects the
thesis statement and
the research to draw a
clear conclusion that
draws the research to a
logical close.
Connects the thesis
statement and research
to draw a conclusion
regarding the research.
Restates the topic
statements throughout
the paper.
Restates the thesis and
the topic statements,
but does not draw any
specific conclusion
about the research or
the thesis.
There is no conclusion;
it restates the thesis at
best.
Conventions Conventions of
standard written
English are used with
accuracy; there are few,
if any, minor errors.
Conventions of
standard written
English are used; there
may be several minor
errors of usage.
Conventions of
standard written
English are used;
however, there may be
a few major errors and
few minor errors of
usage.
Conventions of
standard written
English are used with
numerous major errors
and several minor
errors of usage.
The paper shows
significant errors in
conventions of
standard written
English.
Master of Arts in Human Services -
Social Policy and Program Evaluation – Final Paper – Fall 2019
Paper Due: Saturday December 7, 2019
· Part 1: Description of the underlying problem: Legislation is
typically introduced to address a perceived problem. What
problem is your bill attempting to address? Provide background
and statistical information that elucidates the causes, scope,
dynamics and trends relevant to the underlying problem as well
as who is impacted by the problem and how. Section Due
Week 5
· Part 2: Summary and status of current bill: If there is a
bill/law/policy already in place that you would like to amend or
replace- provide a summary of the history and status of the
current bill/law/policy. How would the amendment or
replacement change current policy? Section Due October 29,
2019
If there is no bill/law/policy related to your public policy focus,
describe the bill you would present. Summarize the bill’s major
provisions. What would the bill do? Has this or a similar bill
been introduced before? How would it change current policy?
Are there any current bills it would replace?
· Part 3: Create a two-page document that presents your
policy/bill/law. The position paper should describe the policy
you are proposing, summarizing its need, who it will impact,
how it will affect social policy. Full Paper Due December 4
Social Policy and Program Evaluation
· Part 2: Summary and status of current bill: If there is a
bill/law/policy already in place that you would like to amend or
replace- provide a summary of the history and status of the
current bill/law/policy. How would the amendment or
replacement change current policy? Section Due October 26,
2019
If there is no bill/law/policy related to your public policy focus,
describe the bill you would present. Summarize the bill’s major
provisions. What would the bill do? Has this or a similar bill
been introduced before? How would it change current policy?
Are there any current bills it would replace?
Consider a social welfare issue in the United States (see
handout for suggestions)
Post an introductory 2 page paper that introduces the issue and
policy you would like to create or change. Include the
following:
The social welfare issue you are interested.
Why you think the issue is important
Why policy should be created or changed.
The history of the social welfare program
/
Current Issues and Programs in Social
Welfare
in: 1970s and Beyond
(https://socialwelfare.library.vcu.edu/category/eras/1970s-and-
beyond/), Recollections
(https://socialwelfare.library.vcu.edu/category/recollections/),
The 1980s and Beyond
(https://socialwelfare.library.vcu.edu/category/eras/1980s-
beyond/)
Current Issues and Programs in Social Welfare
by Dr. Jerry Marx
(https://socialwelfare.library.vcu.edu/biography/marx-
jerry-d-ph-d/), Social Work Department, University of New
Hampshire
Note: This entry is the first in a two-part series about current
issues and programs in
social welfare. Dr. Marx’s companion piece is titled, “Current
Issues and Programs in
Social Welfare: From George W. Bush to Donald J. Trump.”
(http://socialwelfare.library.vcu.edu/recollections/current-
issues-programs-social-
welfare-2001-2017/)
A version of this essay may be found in Dr. Marx’s (2004)
book, Social Welfare: The
American Partnership (https://www.worldcat.org/title/social-
welfare-the-american-
partnership/oclc/51653237?referer=di&ht=edition). It is
reprinted here with
permission of the author.
(https://socialwelfare.library.vcu.edu)
https://socialwelfare.library.vcu.edu/category/eras/1970s-and-
beyond/
https://socialwelfare.library.vcu.edu/category/recollections/
https://socialwelfare.library.vcu.edu/category/eras/1980s-
beyond/
https://socialwelfare.library.vcu.edu/biography/marx-jerry-d-ph-
d/
http://socialwelfare.library.vcu.edu/recollections/current-issues-
programs-social-welfare-2001-2017/
https://www.worldcat.org/title/social-welfare-the-american-
partnership/oclc/51653237?referer=di&ht=edition
https://socialwelfare.library.vcu.edu/
https://www.vcu.edu/?utm_source=top-
image&utm_medium=branding&utm_campaign=brandingbar
/
Social Insurance Programs
Social Security
American social welfare, thanks to Franklin Delano Roosevelt
(/people/roosevelt-
franklin-delano/) and the Social Security Act
(/uncategorized/social-security-act-of-
1935/) of 1935, is furthered currently by two major categories
of cash support programs:
social insurances and public assistance.1 Social insurances are
based on the prior
earnings and payroll contributions of an individual, while public
assistance, commonly
known as “welfare,” is based on the financial need of an
individual. The primary social
insurance programs today in America are Old Age, Survivors,
and Disability Insurance,
Unemployment Insurance, and Workers Compensation.
Let’s begin with ((Old Age, Survivors, and Disability
Insurance)), commonly referred to
as “social security.” Social security, like other social
insurances, is an example of a
“universal” program, because American citizens are entitled to
participate in the
program as a social right.2 In other words, program
participation in not based on
financial need. Social security constituted one-fifth of all
federal government spending
in 1995.3 In that year, a total of $332.6 billion was spent on the
program. Funding for
social security actually comes from a payroll tax, which is
shared in an equal proportion
by the employer and employee. A practice begun during the
Nixon Administration,
social security benefits are adjusted when the cost of living
increases.4
To receive benefits, a person must contribute payroll taxes
during their working years.5
Those individuals contributing payroll taxes for a minimum of
10 years (i.e., 40 quarters
in social security eligibility terms) are covered permanently
under the program.
Individual benefit levels are determined by the level of covered
earnings (i.e., how much
money paid in) and the age of retirement.
The “disability insurance” part of social security assists adults
between the ages of 18
and 64 who are unable to engage in substantial employment.6
When the individual
turns 65 years of age, “disability benefits” automatically
become “old-age” benefits. To
receive disability benefits, an individual must show medical
proof of a disability and
proof that the disability prevents “gainful employment.”
“Survivors insurance” covers
children under 18 years of age, dependent parents, and
dependent widowers or widows.
These categories of recipients receive benefits when an insured
worker dies.
https://socialwelfare.library.vcu.edu/people/roosevelt-franklin-
delano/
https://socialwelfare.library.vcu.edu/uncategorized/social-
security-act-of-1935/
/
A fundamental point to remember is that social security is a
very effective anti-poverty
program! Most recipients are raised above the poverty line by
social security. In 1992,
only 14% of people aged 65 or older lived in poverty in the
United States – thanks in
large part to social security benefits!7
Unemployment Insurance
Unemployment insurance is a second major social insurance
program. Like social
security, unemployment insurance is an effective poverty
prevention program, although
it is a temporary aid.8 That is, unemployment benefits normally
last a maximum of 26
weeks. In 1994, a total of $22.7 billion was spent in the United
States on unemployment
insurance. Although governed by federal standards, individual
states determine
eligibility for unemployment benefits, the amount and duration
of the benefits, and the
amount that employers must contribute. In addition to state
administered programs,
there are three federal unemployment insurance programs.
These three federal
programs cover veterans, railroad workers, and federal
employees, respectively.
Funding for unemployment insurance is derived from an
employer payroll tax.
About 85% of the total American labor force is covered by
unemployment insurance.
Farmers, domestic workers, and self-employed workers are not
eligible for
unemployment benefits. In addition, few of the poor receive
unemployment insurance.
To illustrate, in 1995, only 36% of unemployed workers
actually received unemployment
benefits. The poor can be excluded from benefits for several
reasons. For example, a
poor individual can be excluded if that person worked less than
two of four quarters in
the qualifying year or if the person earned less than a minimum
level of dollars.
Depending on the state, this minimum level of income can range
from $130 to $5,400.
A poor person can also be excluded from unemployment
benefits if the individual was
terminated from a job for misconduct or quit voluntarily.
Furthermore, in most states,
time spent in job training can prevent an individual from
qualifying for unemployment
benefits, because the individual is not immediately available
and looking for work.
Workers’ Compensation
The third major social insurance program in the United States is
workers compensation.
In fact, it is the oldest major social insurance program in the
nation, dating back to the
Progressive Era at the beginning of the 1900s.9 Spending on
workers’ compensation (in
1988 dollar values) grew from 2 billion in 1950 to about 25
billion in 1993.10 Each state
/
oversees its own workers’ compensation program (with no
federal standards). The
program provides victims of work-related injuries with cash,
medical care, and to a
limited extent, rehabilitation services. It also compensates
survivors if an injury is fatal.
Like unemployment insurance, workers’ compensation does not
cover all workers. Farm
and domestic workers are not covered in many states. That said,
worker’s compensation
does reach about 87% of wage and salary workers in the United
States. State laws
generally specify a payment rate of two-thirds of the injured
worker’s previous pay. In
contrast to injuries, coverage for occupational illnesses is a
weak part of workers’
compensation. Most states only pay benefits for illnesses that
appear within “several”
years after the worker leaves a company. In other words, the
worker has a relatively
short amount of time to prove their case.
Contributions of American Business to Retirement Planning
Employers, as previously stated, contribute to the current U. S.
public social security
system. However, many older Americans rely on both social
security and private
pension plans after they retire. To illustrate, in 1988, over half
of wage and salaried
workers over age 24 took part in a pension plan.11 In that year,
about three-quarters of
workers in corporations employing over a thousand people were
covered by such plans,
while almost 80 percent of unionized workers participated in
private pension plans.
Many corporations (and other employers) offer “401(k)
retirement plans” where
employees typically contribute a small percentage of their
before-tax income to their
401(k) fund. These plans often include an employer contribution
as well.12 In addition,
“profit-sharing plans” are frequently offered to employees in
major American
corporations. In 1984, there were close to a half-million profit-
sharing programs in the
American business sector.13
Another retirement-related corporate benefit is the “employee
stock ownership plan.”14
The number of these plans in the American business sector grew
dramatically starting
in the mid-1970s. By 2000, there were 11,500 such plans,
covering 8.5 million
employees. In an employee stock ownership plan, the employee
invests some of their
wages or salary in their company’s stock and receives dividends
regularly like other
company investors. Upon retirement, the employee can either
take the company stock
from the fund or sell the shares back to the corporation.
/
The American government sector has played an important role
in the development of
these private plans. They are not just a good idea promoted by
the business sector alone.
Both the federal government and state governments have passed
legislation to
encourage business to offer these plans. For instance, between
1974 and 1985, Congress
passed sixteen pieces of legislation encouraging the
development of employee stock
ownership plans, while thirteen states passed similar laws.15
The American government has also encouraged the use of
another private retirement
option, “individual retirement accounts” (IRAs). Tax legislation
passed during the
Clinton Administration greatly increased opportunities for
Americans to use IRAs.16
The 1997 Tax Act, by increasing the income limits of those
eligible to make tax
deductible IRA contributions, will increase the number of
individuals and couples using
traditional IRAs. The law also created a new nondeductible IRA
that accumulates
income tax-free. In addition, the 1997 law facilitates the use of
IRAs to pay for higher
education expenses and first-time homes.
Critical Analysis: What About Enron?
In 2002, Americans were shocked by the news of several major
cases of corporate
accounting fraud.17 Corporations such as Enron, a major energy
company, and Worla
long distance and data systems company, purposely misled
investors and employees to
appear more profitable than they actually were. When such
companies file for
bankruptcy, employees can lose all or most of their retirement
savings. Can
corporations be trusted as a major source of retirement savings?
Are Enron and
WorldCom exceptions in the corporate world or are they
indicative of widespread
corporate corruption? Are they clear examples of why some
government regulation of
the business sector is needed?
Current Issues in Social Insurance: The Viability of Social
Security
The American social security system is considered by many
observers to be seriously
flawed. Some of the key issues include sustainability, the
influence of the system on
economic growth, and the equity of the system for various
participants.18 With respect
to the sustainability issue, the U.S. social security system is a
“pay-as-you-go” system,
meaning that payroll taxes on today’s workers and employers
pay for the current social
security benefits of former workers (i.e., retired workers). The
sustainability of the
/
system can become an issue when the ratio of retirees to
workers becomes too large to
finance.19 In 1950, there were 0.14 retirees per worker in the
United States. By 2020,
with the aging of the “baby boomer” generation, there are
projected to be 0.29 retirees
per worker in the U.S., and by 2040, 0.39 retirees per worker
are expected. Thus,
policymakers are concerned about the long-term financial
viability of the currently
structured social security system. As discussed earlier in this
book, the Reagan
Administration raised the age for receiving social security
retirement benefits to 67.20
Policy alternatives considered in 2001 by President George W.
Bush to address the
sustainability of social security include raising payroll taxes,
lowering social security
benefits, tying future retirement benefits to inflation instead of
wage growth, and
privately-managed retirement savings accounts (also called
“private-investment
accounts).21
The last option, the private-investment accounts, would
establish personal retirement
accounts, managed by private pension and investment
companies, with part of the
social security tax currently paid by workers.22 Private-
investment accounts would
make America’s social security system more of a “public-
private partnership” than it is
today. Proponents of this policy option state the potential for a
higher rate of return on
retirement savings, thereby addressing the sustainability issue.
Opponents of this policy
proposal warn of the market risks and relatively high
administrative costs of private-
investment accounts.23
Public Assistance Programs
The second major category of American cash support programs
is called “public
assistance.” Public assistance programs are “selective”
programs in that benefits are
based on individual need. Need is determined by a test of
income – that is, a “means
test.”24 The three primary public assistance programs in the
United States are
Temporary Assistance to Needy Families, Supplemental
Security Income, and General
Assistance.
Temporary Assistance to Needy Families
The 1996 welfare reform enacted by the Clinton Administration
ended Aid to Families
with Dependent Children (AFDC) as an entitlement and
replaced the program with a
block grant, called “Temporary Assistance to Needy Families
(TANF).25 To receive
federal funds in the AFDC program, states had to provide
matching funds. With TANF,
/
states do not provide matching funds, but they do need to meet a
“maintenance of
effort” requirement. That is, states must maintain spending
equal to at least 75 percent
of their Fiscal Year 1994 spending on AFDC and related
services (such as child care and
emergency assistance). TANF gives states some flexibility in
administering federal
funds. For example, states can transfer up to thirty percent of
their TANF block grant
funding to either their Child Care Development Block Grant or
their Social Service
Block Grant.
The fundamental difference between the new TANF and former
AFDC programs is that,
under TANF, no individual or family is “entitled” to welfare.26
As a general rule,
individuals must participate in work activity within two years of
receiving assistance
and families are limited to a total of five years assistance in a
lifetime. If a program
participant refuses work requirements, states have the option to
reduce or eliminate
assistance to the whole family. This could include the loss of
Medicaid. The exception to
this provision is when the participant refuses work because they
cannot find or afford
child care (/programs/child-care/) for a child under six years
old. Yet, unlike the former
AFDC services, TANF does not guarantee that this needed child
care will be provided to
the participant.
Another important feature of TANF concerns minor parents.27
That is, minors who are
parents cannot receive TANF assistance unless they are living at
home with their
parents or in another adult-supervised setting. In addition, these
minors must attend
high school or an alternative educational or training program as
soon as their child is
twelve weeks old.
Supplemental Security Income
The Supplemental Security Income program, better known as
“SSI,” was established
during the Nixon Administration.28 It was essentially a
restructuring of the Social
Security Act’s public assistance programs for blind and older
Americans. The program
assists poor people aged 65 or older as well as blind people and
people with
disabilities.29 SSI recipients have grown from 4 million in 1974
to 6.5 million in 1995. A
total of $27.2 million was spent on SSI benefits in 1995. Of this
amount, the federal
government provided $23.5 million.
https://socialwelfare.library.vcu.edu/programs/child-care/
/
People with disabilities are the largest group of SSI clients,
representing 77% of total
recipients in 1995. “Disability” is defined under SSI guidelines
as a “physical or mental
impairment that prevents substantial employment activity and
has lasted or probably
will last for at least a year or may result in death.”30 Those who
are mentally ill or
mentally retarded constitute about fifty percent of working-age
people with disabilities.
General Assistance
The third major public assistance program in the United States
is called “general
assistance.”31 It is a program for the needy who do not qualify
for previously described
federal assistance. Forty-one states and the District of Columbia
offer general
assistance, although in some states, only certain counties
provide assistance. As its
name suggests, the program provides general “safety net” help
to the poor. Benefits
include cash and/or in-kind payments. Similar to TANF, twenty-
one states require
“employable” adults to work or enter job training in order to
maintain eligibility for
general assistance benefits. Some states also impose time limits
on all or certain
categories of their general assistance caseload.
Current Issues in Public Assistance: A Critical Analysis of
Welfare Reform
There are many issues of concern to the social work profession
regarding the Temporary
Assistance to Needy Families (TANF) program.32 The 1996
Personal Responsibility and
Work Opportunity Act, which established TANF, contained no
explicit requirement that
poor families get cash assistance. That is, under this welfare
reform legislation, states
can opt to limit aid to vouchers or services. These features of
the new approach to public
assistance present a threat to the social work principle of self-
determination, because
they provide less flexibility to caseworkers and clients in the
use of welfare assistance.
The provision of the law allowing states to reduce spending on
welfare to 75% of Fiscal
Year 1994 state spending and the ability to transfer TANF funds
to child care or social
service block grants does give states some flexibility. However,
there are potential
negative ramifications to this aspect of the law as well. TANF
funds spent on other
services could result in less basic subsistence support to poor
families. Such transfers of
public assistance may “rob Peter to pay Paul.”
Other issues concerning TANF involve the potential use of
private organizations to
deliver “public” assistance and the right of clients to appeal
TANF decisions. Under the
1996 legislation, TANF can be administered and distributed by
private nonprofit or for-
/
profit entities. What are the possible outcomes if this takes
place in certain states? On
the positive side, competition for TANF contracts may reduce
costs to states. In
addition, service delivery by less bureaucratic organizations
(than government) may
improve service quality. Yet, on the negative side of the debate,
the introduction of the
profit-motive into public assistance may reduce service access
and quality to highly
needy, and therefore, “costly” clients. The former federal law
regarding public assistance
was very specific in guaranteeing clients the right to appeal
decisions against them. The
1996 legislation, however, is more general on this issue. States
must submit their own
plans, which may vary considerably in the protection of client
rights.
A final issue regards the ability of states to deny cash assistance
and Medicaid to adults
who do not meet work requirements. In such cases, which
sectors of society are
responsible for providing the safety net? Will we revert to the
colonial system of church-
administered relief? Are today’s church organizations willing
and able to offer
substantially increased services? Even if such organizations are
funded under the
“charitable choice” clause of the 1996 welfare reform, are these
religious organizations
the best qualified service providers?
Did You Know?
Welfare reform got its major push from city and state
government.33 These levels of the
public sector began experiencing severe budget crises during
the 1970s and 80s. A
primary example was New York City. New York experienced a
fiscal crisis in 1975.
Public assistance, among other things, was blamed for the city’s
fiscal problems,
precipitating a movement to reform city welfare. During the
1980s, other cities followed
New York’s example. At the same time, state governments
around the country began
asking for “waivers” of federal regulations concerning public
assistance. As a result,
many features of TANF, including time limits and teen parent
restrictions, had already
been implemented at the state level when the 1996 federal
legislation was enacted.
Health Services
Medicare and Medicaid
The federal government supports a number of health services
for the poor, including
services for war veterans, Native Americans, women and
children.34 It also supports a
national network of community health centers, meant to
supplement the services of
/
private physicians, particularly in low-income communities.
Medicare and Medicaid,
however, are the two major public health care programs in the
United States.
Established during the Johnson Administration and the “Great
Society,” both programs
are “in-kind” services, meaning no cash support is given
directly to the individual.35
Medicare covers most hospital and medical costs for people
aged 65 and over as well as
for those on social security disability.36 Medicare is provided
without regard to the
individual’s income. Social security recipients, railroad retirees,
federal and state
government employees, in addition to some people with kidney
disease or a permanent
disability are eligible for Medicare. Medicare is the second
largest domestic program,
second only to the social security program. In 1996, Medicare
benefits totaled $186
billion. The program is funded by a payroll tax paid by
employers and employees.
There are two parts to the Medicare program: Part A and Part B.
Part A is basic hospital
insurance. It covers most costs of hospitalization, post-hospital
extended care, and
home health services. Part B is an optional supplementary
medical insurance. It assists
in covering the costs of physicians’ fees, diagnostic tests,
medical supplies, and
prescription drugs.
The second major public health program, Medicaid, is basically
a federal grant to
states.37 Medicaid helps to finance health care for the poor.
About 74% of Medicaid
recipients are on public assistance. In 1996, the federal
government paid 57% of the
total costs of Medicaid, while the states funded the remaining
portion. In 1996, the
federal government’s budget for Medicaid was $86 billion.
Federal regulations specify
the basic health services that must be offered under Medicaid.
Yet, services are
primarily administered by individual states including decisions
regarding the duration
of services and optional services. Medicaid is a “vendor
system.” That is, payments are
made directly to the service provider. Most recipients of
Medicaid are TANF families.
However, the most Medicaid dollars go to people who are blind
or have other
disabilities. Furthermore, most Medicaid spending on older
Americans is for nursing
home care.
Private Insurance and the Managed Care System
Millions of Americans, of course, obtain private health
insurance through their
employer. To better control the rising costs of health care,
employers in the United
States have increasingly utilized “managed care.” Although
forms of managed care have
/
existed on the West Coast and in the Northeast since the 1930s
and 40s, respectively,
“health maintenance organizations” or “HMOs” were introduced
nationally in the
1970s.38 Health care consumers under managed care select a
“primary care physician”
from a network of health care providers. Unless they are
experiencing an emergency,
those needing medical attention usually see their primary care
physician first. If needed,
the primary care physician will then make a referral for more
specialized services. Thus,
the primary care physician serves as a gatekeeper in managing
health care services and
costs.39
In most managed care models, health care is provided to a
defined number of enrollees
in the health care plan.40 Under “capitation-based” plans, all
revenue for participating
service providers is earned upfront through a contractual
agreement between the
employer and managed care organization. The HMO or other
managed care entity,
therefore, receives a fixed dollar amount per enrollee per
month. Consequently, the
services of physicians and hospitals participating in the
managed care system become
cost-centers that need to be managed to stay within the
contracted budget. The aim is to
create an incentive to keep people well (i.e., prevention) and to
serve clients in the most
cost-effective manner when they do need health care.
Current Issues in Managed Care
The fundamental problem with managed health care is the
conflict between the goals of
high quality and low costs.41 More specifically, managed care
becomes a problem for
health care consumers when minimizing costs takes priority
over patient needs and
quality health care. Since the emergence of managed care, many
issues related to this
fundamental problem have come to the attention of consumers,
social workers, and
policymakers.42 The downgrading of personnel qualifications to
save money was an
immediate concern. In addition, patients were faced with
predetermined service cut-off
dates. Women giving birth, for example, were given hospital
stay limits based on cost
considerations. Patients also perceived policies regarding the
use of specialists to be
arbitrary and not necessarily based on patient need.
A more recent issue is the effect that managed care might have
on urban community
service systems – including public hospitals and public health
clinics frequently used by
Medicaid patients.43 The number of states implementing
mandatory managed care
plans for Medicaid recipients is growing. To illustrate, from
1993 to1994, Medicaid
/
managed care enrollment in the U.S. jumped from 4.8 million to
7.8 million. That
represented an increase of 63%. Underlying this trend is the
assumption that
competition for managed care contracts will increase the supply
of health care providers
in low-income communities. Without generous capitation
payments, this may never
happen.
Furthermore, managed care companies may leave out certain
community-based
organizations that serve the poor from their service provider
networks. These
organizations often are in poor financial condition, have
outdated management
information systems, and utilize decaying facilities and
equipment. In short, they are
relatively costly to a managed care organization. More
fundamentally, traditional
community-based health and human services adhere to value
systems that conflict with
“cost-centered” systems. These organizations historically have
provided service with an
emphasis on individual need in contrast to other criteria such as
ability-to-pay or profit.
In any case, they are inexperienced in competing for clients in a
managed care system.
For these traditional service providers, the emergence of
managed care may result in
significant losses of revenue and ability to serve uninsured
clients. Added to all of this is
the prospect of state government contracting with managed care
organizations to
administer SSI and TANF programs.44 Hence, this type of
partnership between
business and government appears to be gaining momentum. Yet,
it is a trend with many
key issues to be addressed by policy planners, social workers,
and other health and
human service providers.
Food and Shelter Programs
Food Stamps
The federal government provides food to poor Americans
through a variety of programs.
Public, private nonprofit, and private for-profit organizations
all cooperate in the
provision of these programs. For example, child nutrition
programs (including the
school lunch program) reach out to poor children in schools,
childcare centers, and
summer camps. The largest federal food program, representing
almost three out of
every four federal dollars in the food assistance category, is the
“food stamp”
program.45 In 1996, $22.7 billion was spent on food stamp
benefits. These benefits are
adjusted yearly in accordance with changes in food prices
generally. Although states
administer their food stamp programs, the federal government
pays for the direct costs
/
of food stamps and a portion of state administrative expenses.
With very few exceptions,
all recipients of public assistance are eligible for food stamps.
(Exceptions include most
postsecondary school students!) A little over 50% of food stamp
recipients in 1996 were
children.
People participating in the food stamp program receive a
monthly allotment of stamps.
These stamps can then be used to purchase food at most retail
stores. Stamps can not be
used to purchase alcohol or tobacco products. Further, they
can’t be used for hot, ready-
to-eat foods. In recent years, consistent with the push for
welfare reform in general,
work requirements have been attached to food stamps. The 1996
welfare reform
legislation passed by the Clinton Administration limits able-
bodied recipients between
the ages of 18 and 50 (without children) to three months of food
stamps in a three-year
period unless the person is working or engaged in a workfare
program for 20 or more
hours per week.46
Public Housing and Section 8 Housing Assistance
The federal government assists many middle- and upper-income
families with housing
through its tax policies and loan programs. Our national
government also collaborates
with local public and private entities to provide housing
assistance to low-income
individuals and families. In 1992, the federal government spent
over $22 billion on such
assistance.47 Most of this support is provided through the U.S.
Department of Housing
and Urban Development in two major programs: the “public
housing” program and the
“Section 8” program.
The public housing program, dating back to the New Deal era,
provides federal
subsidies for construction costs on housing units built by local
public housing
authorities.48 These local housing authorities subsequently own
and operate the units.
As part of the program, the federal government offers rent
subsidies to cover the
difference between the operating cost of individual housing
units and 30% of the
tenant’s household income.
During the Reagan, Bush, and Clinton Administrations, federal
funding for public
housing was cut drastically. One reason for this diminishing
support is the tendency of
public housing projects to concentrate multi-problem families
into low-income
neighborhoods. Increasingly, this approach has witnessed a high
incidence of crime and
vandalism, resulting in relatively high operating costs for local
public housing
/
authorities and high social costs for victimized families. These
problems, along with
rising construction costs, compelled policy planners to look for
alternative low-income
housing proposals.
The Section 8 program (referring to Section 8 of the Housing
and Community
Development Act) emerged in the 1980s as the major alternative
to public housing.49
During that decade, it became the largest federal housing
assistance program for the
poor. To illustrate, in 1996, the U.S. federal government spent
$15.8 billion on Section 8
assistance, while the public housing program received $4.5
billion. Section 8 is
essentially a rent supplement program. Tenants typically pay
30% of their (adjusted)
income on rent; the federal government pays the difference
between the tenant
contribution and the market rate for the apartment. In contrast
to public housing,
tenants have a choice of using their subsidy in publicly or
privately owned housing
where available in their community. (The 1990 Housing Act,
passed by the George H.W.
Bush Administration, sought to increase the supply of low-
income rental housing
through block grants to state and local government.) More
recently, major cities such as
Chicago, Boston, and Atlanta have begun destroying their old
high-rise public housing
units and moving tenants into new low-rise public housing units
or private housing. In
either case, the aim is to better integrate poor tenants with other
socioeconomic groups
around the city.
Contributions of Business and the Voluntary Sector to Housing
The federal government encourages business investment in low-
income housing
through the “low-income rental housing tax credit.”50 The tax
credit was established as
part of the Reagan Administration’s Tax Reform Act of 1986.
Between 1990 and 1994,
this tax incentive added about a quarter million low-income
housing units to the
housing supply. Developers qualify for the tax credit if they set
aside specified
percentages of their rental units for low-income tenants.
Habitat for Humanity International is probably the most well-
known voluntary housing
development program. Between 1976 and 2000, this nonprofit
nondenominational
Christian organization, using donated material and voluntary
labor, produced about
30,000 affordable houses in the United States.51 The program
refers to recipients of the
houses as “partners” because the partner family helps build their
house. Upon
completion, Habitat for Humanity sells the home to the partner
at no profit, while
/
ensuring the partner a no-interest mortgage. The average sales
price for a Habitat home
built in the United States in 2000 was about $46,600. Although
Habitat for Humanity,
by itself, is not capable of solving the shelter problem in
America, it is a valuable part of
the collaborative effort to address the problem.
Current Shelter Issues: the Homeless
Despite various public and private efforts to provide decent
low-income housing and
temporary shelter, including the 1987 Stewart B. McKinney
Homeless Assistance Act,
the National Coalition for the Homeless believes the number of
homeless people in
American continues to grow.52 Estimates of homelessness vary,
in part, because the
definition of what constitutes “homelessness” varies. The
National Coalition for the
Homeless uses a broad definition, claiming that people who live
in unstable housing
arrangements and lack a permanent place to stay are, in fact,
experiencing
homelessness. Although the National Law Center on
Homelessness and Poverty
estimates that as many as 2 million people experience
homelessness during a given year
in the United States, the National Coalition for the Homeless,
because of the difficulty in
counting the homeless, chooses to cite the shortage of available
services for the
homeless. According to the coalition, in 1998, 26% of requests
for emergency shelter in
30 U.S. cities went unmet due to a lack of resources. What is
more, another study
showed that in 50 cities around the United States, the individual
city’s official estimated
number of homeless typically exceeded that city’s available
number of shelter and
transitional housing spaces. Rural areas of the U.S. generally
have even fewer resources
for the homeless. Thus, in a nation that has never adequately
housed all of its people,
homelessness continues to be a serious policy issue.
Other Publicly-Funded Programs in American Social Welfare
A wide range of other publicly-funded programs contribute to
American social welfare.
Many of these services are funded by government but delivered
by private
organizations. Hence, they are part of an interdependent
network of public and private
efforts to further social welfare. These services include child
welfare programs such as
child abuse and neglect prevention, foster care, adoption,
shelter, and outreach
services.53 Other programs benefiting children include
publicly-funded child care,
education, and family planning services.54 Head Start (the
preschool program) and
student loan programs are part of the education category. In
addition, the U.S.
/
government supports employment and training programs for
those seeking
employment.55 Furthermore, the American public sector
supports many state and local
health and human services through the Social Service Block
Grant to individual states.
Other Voluntary Services in the Nonprofit Sector
The United Way System
One of the major voluntary efforts in the advancement of
American social welfare is the
United Way, formerly known as the “Community Chest,” and
for a time, the “United
Fund.” Over one hundred years old, the United Way is primarily
a partnership in
community problem-solving among private organizations –
private for-profit and
private nonprofit organizations.56 For the most part, businesses
raise the funds for
services, while nonprofit organizations deliver the services.
The United Way network, itself, is comprised of a national
umbrella organization called
United Way of America and about 1,400 local United Way
organizations, each
independently incorporated as private nonprofit entities serving
their respective
communities. Each local United Way organizes an annual fund-
raising campaign among
business and professional groups in its community.
Subsequently, the local United Way,
with direction from donors and volunteers, allocates the donated
funds to a variety of
nonprofit health and human services in the community. In the
2000/2001 fiscal year,
United Way campaigns around the nation raised a total of $3.91
billion for health and
human services.
Perhaps the most important partner in the United Way system is
the business
community. Without the support of community business leaders,
United Way would be
much less effective in its fund-raising role, and therefore, much
less valuable to
community health and human service providers. Business
leaders help organize and
conduct the individual United Way fund-raising campaigns in
each community.
Through the use of payroll deduction, businesses enable their
employees to make
annual donations to their local United Way in an efficient and
financially “pain-free”
manner. As a result, employees of local business typically
comprise the largest source of
United Way donations.
With these donations, each United Way funds a broad range of
health and human
services. Many of these services also receive public funding;
some do not. In any case,
the mix of health and human services funded by each United
Way varies from
/
community to community. To illustrate the diversity of services
funded at any one
United Way, however, consider the list of agencies affiliated
with the United Way of
Massachusetts Bay in 2001.57 This list included the American
Cancer Society-New
England Division, the American Red Cross
(/organizations/american-red-cross/) of
Massachusetts Bay, the Asian Task Force Against Domestic
Violence, the Boys and Girls
Club? of Lynn, the Boston Area Rape Crisis Center, Catholic
Charities?, Combined
Jewish Philanthropies?, Community Legal Services? &
Counseling Center, the Disability
Law Center, the Dorchester Bay Economic Development
Corporation, the Salvation
Army?, the Chinese Progressive Association, the Massachusetts
Coalition for the
Homeless, The Home for Little Wanderers, the Hispanic Office
of Planning &
Evaluation (HOPE), the John F. Kennedy Family Service
Center, and YWCA
(/organizations/young-womens-christian-association/) Boston.
This diversity in services and service populations is not unique
to the United Way of
Massachusetts Bay. As a second illustration, let’s examine the
Mile High United Way in
Denver, Colorado. Its agency list in 2001 included the Jefferson
Center for Mental
Health, the Jewish Family Service of Colorado, the Asian
Pacific Development Center,
the Latin American Research and Service Agency, the Lutheran
Family Services of
Colorado, the Mi Casa Resource Center for Women, the
Colorado AIDS Project, the
Colorado Coalition Against Domestic Violence, the Mile High
Council on Alcoholism
and Drug Abuse, Senior Support Services, and the Northeast
Denver Housing Center. In
short, a strength of the United Way is the community
empowerment that comes from
volunteers organizing resources to meet specific and diverse
community needs.
Current Issues in the United Way System
United Way continues to be the major “federated fund-raising”
campaign in the United
States. Over the years, the American business community has
viewed United Way as an
alternative to higher taxes and bigger government in promoting
social welfare. Business
and professional leaders value the community needs assessment,
community
organizing, and community problem-solving roles that their
local United Way
organizations perform.
That said, United Way has its share of critics.58 Recent issues
include the United Way
tradition of funding a relatively exclusive set of member
nonprofit agencies. At times,
organizations not affiliated with United Way have felt left out
and hampered in their
https://socialwelfare.library.vcu.edu/organizations/american-
red-cross/
https://socialwelfare.library.vcu.edu/organizations/young-
womens-christian-association/
/
fund-raising efforts. More radical critics have contended that
United Way is too
conservative, funding primarily status quo services, not
offensive to the business
community. Still others point out the virtual monopoly that
United Way enjoyed for
years in its access to corporate employee fund-raising
campaigns and payroll deduction.
In the 1970s and 80s, competing federated campaigns began to
emerge as an alternative
to United Way. These competing federations included
((Children’s Charities of
America)), The Combined Federal Campaign (focused on
federal employees), Earth
Share (involving agencies such as the National Audubon Society
and the African
Wildlife Foundation), and The National Black United
Federation. Yet, the vast majority
of federated campaign giving still goes to United Way.
More recently, especially with an incident of administrative
corruption at United Way of
America in the early 1990s, United Way has faced the issue of
increased donor
accountability.59 Donors to United Way increasingly desire
more control in
determining which health and human services receive their gift.
Furthermore, donors
want to know if their donations to United Way actually make a
difference in addressing
various social problems. United Way, as it has throughout its
history, continues to
change in an effort to address emerging issues.60 The diversity
in the agencies affiliated
with the United Way of Massachusetts Bay indicates an effort
by some local United Way
organizations, at least, to be more inclusive in their funding. In
addition, United Way
has instituted a “donor choice” option by which donors can
indicated specific health and
human service recipients of their gift. Furthermore, United
Way, serving as an
accountability mechanism for donors, has begun a push for
program outcome
measurement among its affiliated service providers.
The ((Three Notable African American Women In Child
Welfare, 1888-1930)) League
of America: A Public-Private Partnership in Child Welfare
The Child Welfare League of America (/organizations/child-
welfare-league-of-
america/) (CWLA), founded in 1920, is a voluntary association
of over 1,100 public and
private nonprofit organizations that serve at-risk children and
their families.61 The
organization traces its roots to the 1909 White House
Conference on the Care of
Dependent Children, which recommended the creation of the
((U.S. Children’s Bureau))
and other child welfare organizations. Member organizations are
involved with services
such as child abuse and neglect prevention, foster care,
adoption, residential group care,
child care, and various youth development programs, among
other services.
https://socialwelfare.library.vcu.edu/organizations/child-
welfare-league-of-america/
/
The CWLA offers many services to its members, including
legislative advocacy, practice
consultation, conferences, training sessions, child welfare
publications, and financial
support for accreditation. According to 2001 agency
information, the CWLA has a
budget of about $16 million. It raises its funding from public
and private sources,
including member dues, foundation grants, publication sales,
investment income,
consultation fees, as well as corporate and individual donations.
The CWLA is truly a
cooperative effort in the advancement of American child
welfare!
Personal Profile: Marian Wright Edelman
One of the outstanding contemporary social advocates is Marian
Wright Edelman.62
After graduating from Spelman College and Yale Law School,
she became the first
African American woman admitted to the Mississippi Bar. In
Mississippi during the
1960s, she headed the NAACP Legal Defense and Educational
Fund. Later, in 1968, she
moved to Washington D.C. to serve as counsel for the Poor
People’s March, which
Martin Luther King was organizing before his assassination.
Edelman in 1973 founded the ((Children’s Defense Fund)), a
private nonprofit
organization that has become one of the strongest children’s
advocates in the nation.
Based in Washington D.C., the Children’s Defense Fund
regularly documents the needs
of America’s children, focusing particularly on the needs of
children from poor families,
children of color, and children with disabilities. Its legislative
advocacy emphasizes
preventative investments in child welfare. As President of the
Children’s Defense Fund,
Edelman continues to serve as a policy leader and national
voice for millions of
vulnerable children in America. In 2000, in recognition for her
social advocacy, she was
awarded the Presidential Medal of Freedom, the country’s
highest civilian award.
The Challenge for Professional Social Work
There are many other social problems, issues, and services not
mentioned here. The aim
here is to provide the reader with an understanding of some of
the major programs and
issues in American social welfare, especially those involving
health and human services.
This is because the fundamental challenge for current social
workers is to make
important contributions to the development of policies and
programs that will better
address major social problems and issues in the United States.
/
Notes
1. Bruce S. Jansson, The Reluctant Welfare State: American
Social Welfare Policies-
Past, Present, and Future, 4th ed. (Belmont, CA:
Wadsworth/Thomson Learning, 2001),
pp. 194, 199; Sar A. Levitan, Garth L. Mangum, and Stephen L.
Mangum, Programs in
Aid of the Poor (Baltimore: Johns Hopkins University Press,
1998), p. 58.
2. Neil Gilbert, Harry Specht, and Paul Terrell, Dimensions Of
Social Policy, 3rd ed.
(Englewood Cliffs, NJ: Prentice Hall, 1993), pp. 71-72.
3. Levitan et al., pp. 58-63.
4. Jansson, p. 282.
5. Levitan et al., p. 61.
6. Levitan et al., p. 61; Linda P. Anderson, Paul A. Sundet, and
Irma Harrington, The
Social Welfare System in the United States: A Social Worker’s
Guide To Public Benefits
Programs (Boston: Allyn and Bacon, 2000), p. 27.
7. Levitan et al., pp. 63-64.
8. Ibid., pp. 93-95.
9. Theda Skocpol, Protecting Soldiers and Mothers: The
Political Origins Of Social
Policy In The United States (Cambridge, MA: Harvard
University), pp.290-293.
10. Levitan, pp. 96-98.
11. Ibid., p. 68.
12. Amanda Paulson, “The 401(K): Who’s Contributing What?”
Christian Science
Monitor, 22 October 2001, 93(229), p. 14.
13. William C. Frederick, Keith Davis, James E. Post, Business
And Society: Corporate
Strategy, Public Policy, Ethics, 6th ed. (New York: McGraw-
Hill, 1988), p. 301.
14. James E. Post, Anne T. Lawrence, and James Weber,
Business And Society:
Corporate Strategy, Public Policy, Ethics, 10th ed. (New York:
McGraw-Hill, 2002), p.
343.
15. Frederick et al., p. 256.
16. Deloitte and Touche, “Promises Kept: The 1997 Tax Law,”
Tax News & Views, 2000.
17. Fred Kaplan, “Bush takes on ‘corporate abusers,’” Boston
Globe, 10 July 2002, p. A1;
Associated Press, “WorldCom offers not to sell assets: Seeks to
delay creditors’ suit,”
Boston Globe, 18 July 2002, p. E4.
18. Estelle James, “Reforming Social Security in the U.S.: An
International Perspective,”
Business Economics: 34 (January 2001).
/
19. Thomas I. Palley, “The economics of Social Security: an old
Keynesian perspective,”
Journal of Post Keynesian Economics 21(1): 94 (Fall 1998).
20. Jansson, p. 322.
21. Jane Bryant Quinn, “Star Wars And Social Security,”
Newsweek, 3 September 2001,
37; Leigh Strope, “Social Security panel shifts purpose,” Boston
Globe, 7 November
2001, p. A9.
22. James, p. 33, 36, 38.
23. Quinn, p. 37; Palley, p. 104.
24. Gilbert et al., 1993, pp. 71-72.
25. Children’s Defense Fund, “Summary of the New Welfare
Legislation,” Retrieved
from the World Wide Web on August 27, 1997:
http://www.childrensdefensefund.org/welfarelaw.html.
(http://www.childrensdefensefund.org/welfarelaw.html.)
26. Ibid.
27. Ibid.
28. Jansson, p. 279; Walter I. Trattner, From Poor Law To
Welfare State: A History Of
Social Welfare In America, 6th ed. (New York: The Free Press,
1999), p. 348.
29. Levitan et al., pp.85-87.
30. Ibid., p. 87.
31. Ibid., p. 88.
32. Children’s Defense Fund, “Summary of the New Welfare
Legislation,” 1997.
33. Michael B. Katz, In the Shadow of the Poorhouse, 10th ed.
(New York: BasicBooks,
1996), pp. 290-292, 310.
34. Levitan et al., pp. 109-118.
35. Jansson, pp. 250-251.
36. Levitan et al., pp. 110-111.
37. Ibid., pp. 111-112.
38. Tim Davidson, Jeanette R. Davidson, and Sharon M.
Keigher, “Managed Care:
Satisfaction Guaranteed…Not! Health & Social Work 24(3): 164
(1999).
39. Jane Kolodinsky, “Consumer Satisfaction with a Managed
Health Care Plan,”
Journal of Consumer Affairs 99(33): 223 (1999).
40. Janet D. Perloff, “Medicaid Managed Care And Urban Poor
People: Implications for
Social Work,” Health & Social Work 21(3): 189-190 (1996).
41. Cynthia J. Rocha and Liz England Kalbaka, “A Comparison
Study Of Access To
Health Care Under A Medicaid Managed Care Program,” Health
& Social Work 24(3):
http://www.childrensdefensefund.org/welfarelaw.html.
/
170 (1999).
42. Robert Sunley, “Advocacy in the New World of Managed
Care,” Families in Society,
Jan/Feb: 88-90(1997).
43. Rocha and Kalbaka, pp.169-172; Perloff, pp. 191-192.
44. Davidson, Davidson, and Keigher, p. 164.
45. Levitan, pp. 131-133.
46. Children’s Defense Fund, “Summary of the New Welfare
Legislation,” 1997.
47. Levitan, p. 121.
48. Jansson, pp. 210-211; Levitan, pp. 122-124.
49. Levitan, pp. 125-127; David Thigpen, “The Long Way
Home,” Time, 5 August 2002,
42.
50. Ibid., p. 126.
51. Habitat for Humanity International, “A Brief Introduction to
Habitat for Humanity
International,” Retrieved from the World Wide Web on
November 14, 2001:
http://www.habitat.org/how/tour/1.html;
(http://www.habitat.org/how/historytext.aspx) Habitat for
Humanity International,
“Habitat for Humanity Fact Sheet,” Retrieved from the World
Wide Web on November
14, 2001: http://www.habitat.org/how/factsheet.html.
(http://www.habitat.org/how/myths.aspx)
52. National Coalition for the Homeless, “How Many People
Experience Homelessness?
NCH Fact Sheet #2,” Retrieved from the World Wide Web on
November 15, 2001:
http://www.nationalhomeless.org.
(http://www.nationalhomeless.org./)
53. Levitan, pp. 171-172.
54. Ibid., pp. 154-156; 161-170; 150-151.
55. Ibid., pp. 176-177; 137.
56. Eleanor Brilliant, Dilemmas of Organized Charity (New
York: Columbia University,
1990), p. 19; United Way of America, “Basic Facts About
United Way,” Retrieved from
the World Wide Web on November 21, 2001:
http://national.unitedway.org/bfact.cfm.
(https://www.unitedway.org/)
57. United Way of Massachusetts Bay, “Community Links –
United Way Affiliated
Agencies,” Retrieved from the World Wide Web on November
21, 2001:
http://www.uwmb.org/aboutus/agencies.htm.;
(http://unitedwaymassbay.org/about/partner-agencies/) Mile
High United Way, “Our
Family of Agencies,” Retrieved from the World Wide Web on
November 27, 2001:
http://www.unitedwaydenver.org/home/html/agency.html.
http://www.habitat.org/how/historytext.aspx
http://www.habitat.org/how/myths.aspx
http://www.nationalhomeless.org./
https://www.unitedway.org/
http://unitedwaymassbay.org/about/partner-agencies/
http://www.unitedwaydenver.org/home/html/agency.html.
/
(http://www.unitedwaydenver.org/home/html/agency.html.)
58. Marjorie Cotton, “Yes, I Would Like A Choice Where My
Contribution Goes!” Fund
Raising Management: 36-37, 48 (December 1991); W. Olcott,
“United Way Growth
Stagnant.” Fund Raising Management: 15 (June 1994); Jerry D.
Marx, “Federated
fundraising,” The International Encyclopedia of Public Policy
and Administration, vol.
2, (Boulder, CO: Westview Press, 1997), pp. 877-881; Jerry D.
Marx, “ Corporate
philanthropy and United Way: Challenges for the year 2000,”
Nonprofit Management &
Leadership, 8(1): 20 (1997).
59. Ibid.
60. Marx, Nonprofit Management & Leadership, p. 20; Olcott,
p. 15; United Way of
America, 2001.
61. ((Three Notable African American Women In Child
Welfare, 1888-1930))
League of America, “More about CWLA,” Retrieved from the
World Wide Web on
November 18, 2001: http://www.cwla.org/whowhat/more.htm)
(http://www.cwla.org/)
62. Children’s Defense Fund, “Marian Wright Edelman’s Public
Life,” Retrieved from
the World Wide Web on April 25, 2001:
http://www.childrensdefense.org/about/
(http://www.childrensdefense.org/about/); Children’s Defense
Fund, “About Us,”
Retrieved from the World Wide Web on November 18,
2001: http://www.childrensdefense.org/about/leadership/marian-
wright-edelman/
(http://www.childrensdefense.org/about/leadership/marian-
wright-edelman/)
How to Cite this Article (APA Format): Marx, J. (2010).
Current issues and
programs in social welfare. Retrieved [date
accessed] from
http://socialwelfare.library.vcu.edu/recollections/current-issues-
and-
programs-in-social-welfare/
21 Replies to “Current Issues and Programs in Social Welfare”
Cameron Bruce says:
April 10, 2019 at 3:36 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-307290)
My post is in regards to the tanf program. One of the continued
issues with the program is: 1.
Adults in the home must spend 30 hours/adult actively looking
for employment. 2. Any requests
for paying certain bills or needed items to continue the benefits
must have quotes from multiple
http://www.unitedwaydenver.org/home/html/agency.html.
http://www.cwla.org/
http://www.childrensdefense.org/about/
http://www.childrensdefense.org/about/leadership/marian-
wright-edelman/
/
sources, and documents stating why the funds are needed (many
have to pay cash for getting the
document). 3. If funds are approved it would take 7 to 10
business days for the cash to be
allocated to pay that request (in some cases the bill or needed
item is paid or needed item
purchased too late) causing cancellations of services and other
penalties. Finally their cash system
doesn’t reimburse the family if they use the cash assistance
recieved, to cover the expense of a a
bill that assistance was asked for to keep the services active
until they pay. Leaving the family
without funds to cover the money used to job search, or keep
phone service active to receive calls
from employment opportunities. Another thing their free cell
phones only work in certain areas,
only 1 is allowed per family, the phone is so cheap that if stolen
police will not even file a report.
Making the family unable to get another one.
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=307290#respond)
Richie says:
October 26, 2017 at 6:43 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-275343)
Hello, can you give me the APA citation for the title Public
Housing and Section 8 Housing
Assistance. Thank you so much in advance.
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=275343#respond)
ACampbell says:
October 30, 2017 at 11:13 am
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-275523)
You should be able to find the answers you need at The Purdue
OWL
(https://owl.english.purdue.edu/owl/section/2/10/) (Online
Writing Lab).
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=275523#respond)
donna zachery says:
August 7, 2016 at 12:55 am
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-242310)
Hi Mr. Jack Hansan,
Thank for all your information on this site, I am currently
working on a child welfare paper in Eng
215, your cited resources helped me a lot. Keep all the great
work!!!!!!!!!
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=242310#respond)
sr. marieta v. calderon says:
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=307290#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=275343#respond
https://owl.english.purdue.edu/owl/section/2/10/
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=275523#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=242310#respond
/
January 25, 2016 at 6:23 am
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-237782)
thanks for all the responses.
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=237782#respond)
Tiffany says:
January 19, 2016 at 7:25 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-237644)
Does anyone else have any other helpful resources I can relate
to for a paper that I am writing
using the topic of Food assistance programs being a social
welfare issue? this site was very helpful
thank you.
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=237644#respond)
admin says:
January 22, 2016 at 6:05 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-237724)
In response to your question, I recommend you Google “food
stamps” and “free lunches” as
national examples of food assistance programs. Best wishes,
Jack Hansan
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=237724#respond)
admin says:
November 8, 2015 at 4:19 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-234806)
Thanks for the comment. Please return frequently! Jack Hansan
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=234806#respond)
Melanie Mason says:
September 22, 2014 at 12:20 am
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-issues-and-programs-in-social-
welfare/#comment-218445)
Same request as someone asked earlier. Is there a publication
date for this particular article? I’m
using the information for a class and want to cite correctly.
Current Issues and Programs in Social Welfare
By: Dr. Jerry Marx, Chair, Social Work Department, University
of New Hampshire
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=237782#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=237644#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=237724#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=234806#respond
/
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=218445#respond)
Kate Agnelli says:
September 22, 2014 at 1:44 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-issues-and-programs-in-social-
welfare/#comment-218482)
Hi Melanie,
We are in the process of adding this information to all of our
posts. In the mean time, here is an
APA formatted citation for this article.
Marx, J. (2010). Current issues and programs in social welfare.
Retrieved [date accessed] from
http://www.socialwelfarehistory.com/recollections/current-
issues-and-programs-in-social-
welfare/
(http://www.socialwelfarehistory.com/recollections/current-
issues-and-programs-in-
social-welfare/).
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=218482#respond)
jhansan says:
September 13, 2014 at 5:48 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-issues-and-programs-in-social-
welfare/#comment-217990)
There are numerous sources for additional information if you
Google the areas of interest. Good
luck. Jack Hansan
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=217990#respond)
jhansan says:
September 13, 2014 at 5:47 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-issues-and-programs-in-social-
welfare/#comment-217989)
Thank you. Jack Hansan
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=217989#respond)
admin says:
August 25, 2014 at 1:42 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-216598)
Thanks for the comment. JEH
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=216598#respond)
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=218445#respond
http://www.socialwelfarehistory.com/recollections/current-
issues-and-programs-in-social-welfare/
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=218482#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=217990#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=217989#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=216598#respond
/
Brit Buchhave says:
June 2, 2014 at 8:33 am
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-211169)
Could you please send me the publication year for the article
‘Current Issues and Programs in
Social Welfare’ as well? Thanks!
The article is written by Dr. Jerry Marx, Chair, Social Work
Department, University of New
Hampshire
Kind regards
Brit Buchhave
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=211169#respond)
jhansan says:
June 2, 2014 at 2:19 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-211184)
Mr. Buchave: It would be best if you contacted Dr. Jerry Marx
directly for that information.
Thank you, Jack Hansan
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=211184#respond)
Ericka Carreon says:
April 11, 2014 at 7:05 am
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-207549)
I am using the information you provided in one of my papers
that discusses social welfare. I
cannot however find a publication date for your work. Can you
please provide one, even a year
would be sufficient.
Kind Regards,
Ericka
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=207549#respond)
jhansan says:
April 11, 2014 at 2:30 pm
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-207564)
Ms. Carreon: If you send me the title(s) of the entries you are
using I can locate the date. Thanks,
Jack Hansan
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=211169#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=211184#respond
https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current-
issues-and-programs-in-social-
welfare/?replytocom=207549#respond
/
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=207564#respond)
Ericka Carreon says:
April 12, 2014 at 4:23 am
(https://socialwelfare.library.vcu.edu/eras/1980s-
beyond/current-
issues-and-programs-in-social-welfare/#comment-207606)
Current Issues and Programs in Social Welfare
By: Dr. Jerry Marx, Chair, Social Work Department, University
of New Hampshire
thank you
Reply (/eras/1980s-beyond/current-issues-and-programs-in-
social-welfare/?
replytocom=207606#respond)
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one page on each topic of life span development issues relating t.docx

  • 1. one page on each topic of "life span development issues relating to Mass incarcerations for racial inequality, Ethical issues relating to mass incarceration for racial inequality, meant health and call for reform" so four pages Research Paper Rubric Component 100% 75% 50% 25% 0 Basic Requirements Formatted correctly, at least 500 words in length, citation page and internal citations correct (APA format), at least 2 cited peer reviewed sources. Does not meet required page length, and/or does not have 2 cited peer reviewed sources. Thesis Statement Engaging, challenging,
  • 2. and clearly focuses the paper. Effectively stated in the introduction and carried throughout the paper. Clear and articulate, engaging and clearly focuses the paper, but is not challenging. Is effectively carried throughout the paper. Clearly stated in the introduction, attempts to be engaging, is adequate, but lacks insight and focus, and is carried through the paper. Included in the introduction, but is vague. Lacks insight, focus, and is not carried throughout the paper. Is vague or may be lacking in the introduction; is not focused and lacks development; is not carried throughout the paper.
  • 3. Introduction Strong and effective, it is engaging and clearly defines the thesis, as well as provides a foundation for the body of the paper. Effective and engaging, defines the thesis and provides foundation for the body of the paper. Introduces the topic of the paper and builds a connection between the topic, the thesis, and the body of the paper. Informative but not engaging or strong. Introduces the topic of the paper loosely and includes the thesis statement. Provides little information regarding the topic. Includes little more than the thesis and shows no demonstrable knowledge of the topic of the paper. Content
  • 4. Strongly and vividly supports the thesis and is reflective of strong, thorough research. Illustrates extensive knowledge of the topic. Every aspect of the thesis is supported by quality academic research. Strongly supports the thesis and is reflective of good, thorough research. Illustrates knowledge of the topic, but could be extended. Most aspects of the thesis are supported by quality academic research. Supports the thesis and reflects research, and illustrates adequate knowledge of the topic. Could be extended and shows some gaps in understanding of the topic. Although there may be some inconsistencies with support from quality academic research. Related to the thesis
  • 5. but reflects inadequate research and knowledge of the topic, and demonstrates a lack of understanding. There may be a lack of support from quality academic research. Does not convey adequate understanding of the topic, the research, or the thesis. There are many unsupported aspects of the thesis and the research lacks quality sources. Organization Effectively organized. Logical structure of points and smooth transitions convey both understanding of topic and care in writing. Well organized, but may lack some transitions between ideas. Logical structure of most ideas conveys understanding of topic and composition. Ideas are logically structured, but may
  • 6. lack transitions between ideas. Could benefit from reorganizing 1 or 2 ideas. Some significant gaps in organization are present but the basic framework of ideas is logical. Overall organization could be improved. Much of the paper lacks organization of ideas, making it difficult to understand the ideas expressed in the paper. Citation Format APA format is used accurately as needed throughout the entire paper. APA format is used throughout the entire paper, but may show variations or slight inconsistencies of format. APA format is used throughout the entire paper, but may be noticeably inconsistent
  • 7. in format. APA format is used inaccurately and inconsistently in the paper. APA is not used (regardless of the number of sources or citations). Conclusion Strongly and clearly connects the thesis statement to the research to draw a specific conclusion that does not leave the reader with questions regarding the thesis. Clearly connects the thesis statement and the research to draw a clear conclusion that draws the research to a logical close. Connects the thesis statement and research to draw a conclusion regarding the research. Restates the topic statements throughout the paper.
  • 8. Restates the thesis and the topic statements, but does not draw any specific conclusion about the research or the thesis. There is no conclusion; it restates the thesis at best. Conventions Conventions of standard written English are used with accuracy; there are few, if any, minor errors. Conventions of standard written English are used; there may be several minor errors of usage. Conventions of standard written English are used; however, there may be a few major errors and few minor errors of usage. Conventions of standard written English are used with numerous major errors and several minor
  • 9. errors of usage. The paper shows significant errors in conventions of standard written English. Master of Arts in Human Services - Social Policy and Program Evaluation – Final Paper – Fall 2019 Paper Due: Saturday December 7, 2019 · Part 1: Description of the underlying problem: Legislation is typically introduced to address a perceived problem. What problem is your bill attempting to address? Provide background and statistical information that elucidates the causes, scope, dynamics and trends relevant to the underlying problem as well as who is impacted by the problem and how. Section Due Week 5 · Part 2: Summary and status of current bill: If there is a bill/law/policy already in place that you would like to amend or replace- provide a summary of the history and status of the current bill/law/policy. How would the amendment or replacement change current policy? Section Due October 29, 2019 If there is no bill/law/policy related to your public policy focus, describe the bill you would present. Summarize the bill’s major provisions. What would the bill do? Has this or a similar bill been introduced before? How would it change current policy? Are there any current bills it would replace?
  • 10. · Part 3: Create a two-page document that presents your policy/bill/law. The position paper should describe the policy you are proposing, summarizing its need, who it will impact, how it will affect social policy. Full Paper Due December 4 Social Policy and Program Evaluation · Part 2: Summary and status of current bill: If there is a bill/law/policy already in place that you would like to amend or replace- provide a summary of the history and status of the current bill/law/policy. How would the amendment or replacement change current policy? Section Due October 26, 2019 If there is no bill/law/policy related to your public policy focus, describe the bill you would present. Summarize the bill’s major provisions. What would the bill do? Has this or a similar bill been introduced before? How would it change current policy? Are there any current bills it would replace? Consider a social welfare issue in the United States (see handout for suggestions) Post an introductory 2 page paper that introduces the issue and policy you would like to create or change. Include the following: The social welfare issue you are interested. Why you think the issue is important Why policy should be created or changed. The history of the social welfare program
  • 11. / Current Issues and Programs in Social Welfare in: 1970s and Beyond (https://socialwelfare.library.vcu.edu/category/eras/1970s-and- beyond/), Recollections (https://socialwelfare.library.vcu.edu/category/recollections/), The 1980s and Beyond (https://socialwelfare.library.vcu.edu/category/eras/1980s- beyond/) Current Issues and Programs in Social Welfare by Dr. Jerry Marx (https://socialwelfare.library.vcu.edu/biography/marx- jerry-d-ph-d/), Social Work Department, University of New Hampshire Note: This entry is the first in a two-part series about current issues and programs in social welfare. Dr. Marx’s companion piece is titled, “Current Issues and Programs in Social Welfare: From George W. Bush to Donald J. Trump.” (http://socialwelfare.library.vcu.edu/recollections/current- issues-programs-social- welfare-2001-2017/) A version of this essay may be found in Dr. Marx’s (2004)
  • 12. book, Social Welfare: The American Partnership (https://www.worldcat.org/title/social- welfare-the-american- partnership/oclc/51653237?referer=di&ht=edition). It is reprinted here with permission of the author. (https://socialwelfare.library.vcu.edu) https://socialwelfare.library.vcu.edu/category/eras/1970s-and- beyond/ https://socialwelfare.library.vcu.edu/category/recollections/ https://socialwelfare.library.vcu.edu/category/eras/1980s- beyond/ https://socialwelfare.library.vcu.edu/biography/marx-jerry-d-ph- d/ http://socialwelfare.library.vcu.edu/recollections/current-issues- programs-social-welfare-2001-2017/ https://www.worldcat.org/title/social-welfare-the-american- partnership/oclc/51653237?referer=di&ht=edition https://socialwelfare.library.vcu.edu/ https://www.vcu.edu/?utm_source=top- image&utm_medium=branding&utm_campaign=brandingbar / Social Insurance Programs Social Security
  • 13. American social welfare, thanks to Franklin Delano Roosevelt (/people/roosevelt- franklin-delano/) and the Social Security Act (/uncategorized/social-security-act-of- 1935/) of 1935, is furthered currently by two major categories of cash support programs: social insurances and public assistance.1 Social insurances are based on the prior earnings and payroll contributions of an individual, while public assistance, commonly known as “welfare,” is based on the financial need of an individual. The primary social insurance programs today in America are Old Age, Survivors, and Disability Insurance, Unemployment Insurance, and Workers Compensation. Let’s begin with ((Old Age, Survivors, and Disability Insurance)), commonly referred to as “social security.” Social security, like other social insurances, is an example of a “universal” program, because American citizens are entitled to participate in the program as a social right.2 In other words, program participation in not based on financial need. Social security constituted one-fifth of all
  • 14. federal government spending in 1995.3 In that year, a total of $332.6 billion was spent on the program. Funding for social security actually comes from a payroll tax, which is shared in an equal proportion by the employer and employee. A practice begun during the Nixon Administration, social security benefits are adjusted when the cost of living increases.4 To receive benefits, a person must contribute payroll taxes during their working years.5 Those individuals contributing payroll taxes for a minimum of 10 years (i.e., 40 quarters in social security eligibility terms) are covered permanently under the program. Individual benefit levels are determined by the level of covered earnings (i.e., how much money paid in) and the age of retirement. The “disability insurance” part of social security assists adults between the ages of 18 and 64 who are unable to engage in substantial employment.6 When the individual turns 65 years of age, “disability benefits” automatically become “old-age” benefits. To
  • 15. receive disability benefits, an individual must show medical proof of a disability and proof that the disability prevents “gainful employment.” “Survivors insurance” covers children under 18 years of age, dependent parents, and dependent widowers or widows. These categories of recipients receive benefits when an insured worker dies. https://socialwelfare.library.vcu.edu/people/roosevelt-franklin- delano/ https://socialwelfare.library.vcu.edu/uncategorized/social- security-act-of-1935/ / A fundamental point to remember is that social security is a very effective anti-poverty program! Most recipients are raised above the poverty line by social security. In 1992, only 14% of people aged 65 or older lived in poverty in the United States – thanks in large part to social security benefits!7 Unemployment Insurance Unemployment insurance is a second major social insurance program. Like social
  • 16. security, unemployment insurance is an effective poverty prevention program, although it is a temporary aid.8 That is, unemployment benefits normally last a maximum of 26 weeks. In 1994, a total of $22.7 billion was spent in the United States on unemployment insurance. Although governed by federal standards, individual states determine eligibility for unemployment benefits, the amount and duration of the benefits, and the amount that employers must contribute. In addition to state administered programs, there are three federal unemployment insurance programs. These three federal programs cover veterans, railroad workers, and federal employees, respectively. Funding for unemployment insurance is derived from an employer payroll tax. About 85% of the total American labor force is covered by unemployment insurance. Farmers, domestic workers, and self-employed workers are not eligible for unemployment benefits. In addition, few of the poor receive unemployment insurance.
  • 17. To illustrate, in 1995, only 36% of unemployed workers actually received unemployment benefits. The poor can be excluded from benefits for several reasons. For example, a poor individual can be excluded if that person worked less than two of four quarters in the qualifying year or if the person earned less than a minimum level of dollars. Depending on the state, this minimum level of income can range from $130 to $5,400. A poor person can also be excluded from unemployment benefits if the individual was terminated from a job for misconduct or quit voluntarily. Furthermore, in most states, time spent in job training can prevent an individual from qualifying for unemployment benefits, because the individual is not immediately available and looking for work. Workers’ Compensation The third major social insurance program in the United States is workers compensation. In fact, it is the oldest major social insurance program in the nation, dating back to the
  • 18. Progressive Era at the beginning of the 1900s.9 Spending on workers’ compensation (in 1988 dollar values) grew from 2 billion in 1950 to about 25 billion in 1993.10 Each state / oversees its own workers’ compensation program (with no federal standards). The program provides victims of work-related injuries with cash, medical care, and to a limited extent, rehabilitation services. It also compensates survivors if an injury is fatal. Like unemployment insurance, workers’ compensation does not cover all workers. Farm and domestic workers are not covered in many states. That said, worker’s compensation does reach about 87% of wage and salary workers in the United States. State laws generally specify a payment rate of two-thirds of the injured worker’s previous pay. In contrast to injuries, coverage for occupational illnesses is a weak part of workers’ compensation. Most states only pay benefits for illnesses that appear within “several”
  • 19. years after the worker leaves a company. In other words, the worker has a relatively short amount of time to prove their case. Contributions of American Business to Retirement Planning Employers, as previously stated, contribute to the current U. S. public social security system. However, many older Americans rely on both social security and private pension plans after they retire. To illustrate, in 1988, over half of wage and salaried workers over age 24 took part in a pension plan.11 In that year, about three-quarters of workers in corporations employing over a thousand people were covered by such plans, while almost 80 percent of unionized workers participated in private pension plans. Many corporations (and other employers) offer “401(k) retirement plans” where employees typically contribute a small percentage of their before-tax income to their 401(k) fund. These plans often include an employer contribution as well.12 In addition, “profit-sharing plans” are frequently offered to employees in
  • 20. major American corporations. In 1984, there were close to a half-million profit- sharing programs in the American business sector.13 Another retirement-related corporate benefit is the “employee stock ownership plan.”14 The number of these plans in the American business sector grew dramatically starting in the mid-1970s. By 2000, there were 11,500 such plans, covering 8.5 million employees. In an employee stock ownership plan, the employee invests some of their wages or salary in their company’s stock and receives dividends regularly like other company investors. Upon retirement, the employee can either take the company stock from the fund or sell the shares back to the corporation. / The American government sector has played an important role in the development of these private plans. They are not just a good idea promoted by the business sector alone.
  • 21. Both the federal government and state governments have passed legislation to encourage business to offer these plans. For instance, between 1974 and 1985, Congress passed sixteen pieces of legislation encouraging the development of employee stock ownership plans, while thirteen states passed similar laws.15 The American government has also encouraged the use of another private retirement option, “individual retirement accounts” (IRAs). Tax legislation passed during the Clinton Administration greatly increased opportunities for Americans to use IRAs.16 The 1997 Tax Act, by increasing the income limits of those eligible to make tax deductible IRA contributions, will increase the number of individuals and couples using traditional IRAs. The law also created a new nondeductible IRA that accumulates income tax-free. In addition, the 1997 law facilitates the use of IRAs to pay for higher education expenses and first-time homes. Critical Analysis: What About Enron?
  • 22. In 2002, Americans were shocked by the news of several major cases of corporate accounting fraud.17 Corporations such as Enron, a major energy company, and Worla long distance and data systems company, purposely misled investors and employees to appear more profitable than they actually were. When such companies file for bankruptcy, employees can lose all or most of their retirement savings. Can corporations be trusted as a major source of retirement savings? Are Enron and WorldCom exceptions in the corporate world or are they indicative of widespread corporate corruption? Are they clear examples of why some government regulation of the business sector is needed? Current Issues in Social Insurance: The Viability of Social Security The American social security system is considered by many observers to be seriously flawed. Some of the key issues include sustainability, the influence of the system on
  • 23. economic growth, and the equity of the system for various participants.18 With respect to the sustainability issue, the U.S. social security system is a “pay-as-you-go” system, meaning that payroll taxes on today’s workers and employers pay for the current social security benefits of former workers (i.e., retired workers). The sustainability of the / system can become an issue when the ratio of retirees to workers becomes too large to finance.19 In 1950, there were 0.14 retirees per worker in the United States. By 2020, with the aging of the “baby boomer” generation, there are projected to be 0.29 retirees per worker in the U.S., and by 2040, 0.39 retirees per worker are expected. Thus, policymakers are concerned about the long-term financial viability of the currently structured social security system. As discussed earlier in this book, the Reagan Administration raised the age for receiving social security retirement benefits to 67.20
  • 24. Policy alternatives considered in 2001 by President George W. Bush to address the sustainability of social security include raising payroll taxes, lowering social security benefits, tying future retirement benefits to inflation instead of wage growth, and privately-managed retirement savings accounts (also called “private-investment accounts).21 The last option, the private-investment accounts, would establish personal retirement accounts, managed by private pension and investment companies, with part of the social security tax currently paid by workers.22 Private- investment accounts would make America’s social security system more of a “public- private partnership” than it is today. Proponents of this policy option state the potential for a higher rate of return on retirement savings, thereby addressing the sustainability issue. Opponents of this policy proposal warn of the market risks and relatively high administrative costs of private-
  • 25. investment accounts.23 Public Assistance Programs The second major category of American cash support programs is called “public assistance.” Public assistance programs are “selective” programs in that benefits are based on individual need. Need is determined by a test of income – that is, a “means test.”24 The three primary public assistance programs in the United States are Temporary Assistance to Needy Families, Supplemental Security Income, and General Assistance. Temporary Assistance to Needy Families The 1996 welfare reform enacted by the Clinton Administration ended Aid to Families with Dependent Children (AFDC) as an entitlement and replaced the program with a block grant, called “Temporary Assistance to Needy Families (TANF).25 To receive federal funds in the AFDC program, states had to provide matching funds. With TANF,
  • 26. / states do not provide matching funds, but they do need to meet a “maintenance of effort” requirement. That is, states must maintain spending equal to at least 75 percent of their Fiscal Year 1994 spending on AFDC and related services (such as child care and emergency assistance). TANF gives states some flexibility in administering federal funds. For example, states can transfer up to thirty percent of their TANF block grant funding to either their Child Care Development Block Grant or their Social Service Block Grant. The fundamental difference between the new TANF and former AFDC programs is that, under TANF, no individual or family is “entitled” to welfare.26 As a general rule, individuals must participate in work activity within two years of receiving assistance and families are limited to a total of five years assistance in a lifetime. If a program participant refuses work requirements, states have the option to
  • 27. reduce or eliminate assistance to the whole family. This could include the loss of Medicaid. The exception to this provision is when the participant refuses work because they cannot find or afford child care (/programs/child-care/) for a child under six years old. Yet, unlike the former AFDC services, TANF does not guarantee that this needed child care will be provided to the participant. Another important feature of TANF concerns minor parents.27 That is, minors who are parents cannot receive TANF assistance unless they are living at home with their parents or in another adult-supervised setting. In addition, these minors must attend high school or an alternative educational or training program as soon as their child is twelve weeks old. Supplemental Security Income The Supplemental Security Income program, better known as “SSI,” was established during the Nixon Administration.28 It was essentially a
  • 28. restructuring of the Social Security Act’s public assistance programs for blind and older Americans. The program assists poor people aged 65 or older as well as blind people and people with disabilities.29 SSI recipients have grown from 4 million in 1974 to 6.5 million in 1995. A total of $27.2 million was spent on SSI benefits in 1995. Of this amount, the federal government provided $23.5 million. https://socialwelfare.library.vcu.edu/programs/child-care/ / People with disabilities are the largest group of SSI clients, representing 77% of total recipients in 1995. “Disability” is defined under SSI guidelines as a “physical or mental impairment that prevents substantial employment activity and has lasted or probably will last for at least a year or may result in death.”30 Those who are mentally ill or mentally retarded constitute about fifty percent of working-age people with disabilities.
  • 29. General Assistance The third major public assistance program in the United States is called “general assistance.”31 It is a program for the needy who do not qualify for previously described federal assistance. Forty-one states and the District of Columbia offer general assistance, although in some states, only certain counties provide assistance. As its name suggests, the program provides general “safety net” help to the poor. Benefits include cash and/or in-kind payments. Similar to TANF, twenty- one states require “employable” adults to work or enter job training in order to maintain eligibility for general assistance benefits. Some states also impose time limits on all or certain categories of their general assistance caseload. Current Issues in Public Assistance: A Critical Analysis of Welfare Reform There are many issues of concern to the social work profession regarding the Temporary Assistance to Needy Families (TANF) program.32 The 1996 Personal Responsibility and
  • 30. Work Opportunity Act, which established TANF, contained no explicit requirement that poor families get cash assistance. That is, under this welfare reform legislation, states can opt to limit aid to vouchers or services. These features of the new approach to public assistance present a threat to the social work principle of self- determination, because they provide less flexibility to caseworkers and clients in the use of welfare assistance. The provision of the law allowing states to reduce spending on welfare to 75% of Fiscal Year 1994 state spending and the ability to transfer TANF funds to child care or social service block grants does give states some flexibility. However, there are potential negative ramifications to this aspect of the law as well. TANF funds spent on other services could result in less basic subsistence support to poor families. Such transfers of public assistance may “rob Peter to pay Paul.” Other issues concerning TANF involve the potential use of private organizations to
  • 31. deliver “public” assistance and the right of clients to appeal TANF decisions. Under the 1996 legislation, TANF can be administered and distributed by private nonprofit or for- / profit entities. What are the possible outcomes if this takes place in certain states? On the positive side, competition for TANF contracts may reduce costs to states. In addition, service delivery by less bureaucratic organizations (than government) may improve service quality. Yet, on the negative side of the debate, the introduction of the profit-motive into public assistance may reduce service access and quality to highly needy, and therefore, “costly” clients. The former federal law regarding public assistance was very specific in guaranteeing clients the right to appeal decisions against them. The 1996 legislation, however, is more general on this issue. States must submit their own plans, which may vary considerably in the protection of client rights.
  • 32. A final issue regards the ability of states to deny cash assistance and Medicaid to adults who do not meet work requirements. In such cases, which sectors of society are responsible for providing the safety net? Will we revert to the colonial system of church- administered relief? Are today’s church organizations willing and able to offer substantially increased services? Even if such organizations are funded under the “charitable choice” clause of the 1996 welfare reform, are these religious organizations the best qualified service providers? Did You Know? Welfare reform got its major push from city and state government.33 These levels of the public sector began experiencing severe budget crises during the 1970s and 80s. A primary example was New York City. New York experienced a fiscal crisis in 1975. Public assistance, among other things, was blamed for the city’s fiscal problems, precipitating a movement to reform city welfare. During the
  • 33. 1980s, other cities followed New York’s example. At the same time, state governments around the country began asking for “waivers” of federal regulations concerning public assistance. As a result, many features of TANF, including time limits and teen parent restrictions, had already been implemented at the state level when the 1996 federal legislation was enacted. Health Services Medicare and Medicaid The federal government supports a number of health services for the poor, including services for war veterans, Native Americans, women and children.34 It also supports a national network of community health centers, meant to supplement the services of / private physicians, particularly in low-income communities. Medicare and Medicaid, however, are the two major public health care programs in the United States.
  • 34. Established during the Johnson Administration and the “Great Society,” both programs are “in-kind” services, meaning no cash support is given directly to the individual.35 Medicare covers most hospital and medical costs for people aged 65 and over as well as for those on social security disability.36 Medicare is provided without regard to the individual’s income. Social security recipients, railroad retirees, federal and state government employees, in addition to some people with kidney disease or a permanent disability are eligible for Medicare. Medicare is the second largest domestic program, second only to the social security program. In 1996, Medicare benefits totaled $186 billion. The program is funded by a payroll tax paid by employers and employees. There are two parts to the Medicare program: Part A and Part B. Part A is basic hospital insurance. It covers most costs of hospitalization, post-hospital extended care, and home health services. Part B is an optional supplementary medical insurance. It assists
  • 35. in covering the costs of physicians’ fees, diagnostic tests, medical supplies, and prescription drugs. The second major public health program, Medicaid, is basically a federal grant to states.37 Medicaid helps to finance health care for the poor. About 74% of Medicaid recipients are on public assistance. In 1996, the federal government paid 57% of the total costs of Medicaid, while the states funded the remaining portion. In 1996, the federal government’s budget for Medicaid was $86 billion. Federal regulations specify the basic health services that must be offered under Medicaid. Yet, services are primarily administered by individual states including decisions regarding the duration of services and optional services. Medicaid is a “vendor system.” That is, payments are made directly to the service provider. Most recipients of Medicaid are TANF families. However, the most Medicaid dollars go to people who are blind or have other
  • 36. disabilities. Furthermore, most Medicaid spending on older Americans is for nursing home care. Private Insurance and the Managed Care System Millions of Americans, of course, obtain private health insurance through their employer. To better control the rising costs of health care, employers in the United States have increasingly utilized “managed care.” Although forms of managed care have / existed on the West Coast and in the Northeast since the 1930s and 40s, respectively, “health maintenance organizations” or “HMOs” were introduced nationally in the 1970s.38 Health care consumers under managed care select a “primary care physician” from a network of health care providers. Unless they are experiencing an emergency, those needing medical attention usually see their primary care physician first. If needed, the primary care physician will then make a referral for more
  • 37. specialized services. Thus, the primary care physician serves as a gatekeeper in managing health care services and costs.39 In most managed care models, health care is provided to a defined number of enrollees in the health care plan.40 Under “capitation-based” plans, all revenue for participating service providers is earned upfront through a contractual agreement between the employer and managed care organization. The HMO or other managed care entity, therefore, receives a fixed dollar amount per enrollee per month. Consequently, the services of physicians and hospitals participating in the managed care system become cost-centers that need to be managed to stay within the contracted budget. The aim is to create an incentive to keep people well (i.e., prevention) and to serve clients in the most cost-effective manner when they do need health care. Current Issues in Managed Care The fundamental problem with managed health care is the
  • 38. conflict between the goals of high quality and low costs.41 More specifically, managed care becomes a problem for health care consumers when minimizing costs takes priority over patient needs and quality health care. Since the emergence of managed care, many issues related to this fundamental problem have come to the attention of consumers, social workers, and policymakers.42 The downgrading of personnel qualifications to save money was an immediate concern. In addition, patients were faced with predetermined service cut-off dates. Women giving birth, for example, were given hospital stay limits based on cost considerations. Patients also perceived policies regarding the use of specialists to be arbitrary and not necessarily based on patient need. A more recent issue is the effect that managed care might have on urban community service systems – including public hospitals and public health clinics frequently used by Medicaid patients.43 The number of states implementing mandatory managed care
  • 39. plans for Medicaid recipients is growing. To illustrate, from 1993 to1994, Medicaid / managed care enrollment in the U.S. jumped from 4.8 million to 7.8 million. That represented an increase of 63%. Underlying this trend is the assumption that competition for managed care contracts will increase the supply of health care providers in low-income communities. Without generous capitation payments, this may never happen. Furthermore, managed care companies may leave out certain community-based organizations that serve the poor from their service provider networks. These organizations often are in poor financial condition, have outdated management information systems, and utilize decaying facilities and equipment. In short, they are relatively costly to a managed care organization. More fundamentally, traditional
  • 40. community-based health and human services adhere to value systems that conflict with “cost-centered” systems. These organizations historically have provided service with an emphasis on individual need in contrast to other criteria such as ability-to-pay or profit. In any case, they are inexperienced in competing for clients in a managed care system. For these traditional service providers, the emergence of managed care may result in significant losses of revenue and ability to serve uninsured clients. Added to all of this is the prospect of state government contracting with managed care organizations to administer SSI and TANF programs.44 Hence, this type of partnership between business and government appears to be gaining momentum. Yet, it is a trend with many key issues to be addressed by policy planners, social workers, and other health and human service providers. Food and Shelter Programs Food Stamps
  • 41. The federal government provides food to poor Americans through a variety of programs. Public, private nonprofit, and private for-profit organizations all cooperate in the provision of these programs. For example, child nutrition programs (including the school lunch program) reach out to poor children in schools, childcare centers, and summer camps. The largest federal food program, representing almost three out of every four federal dollars in the food assistance category, is the “food stamp” program.45 In 1996, $22.7 billion was spent on food stamp benefits. These benefits are adjusted yearly in accordance with changes in food prices generally. Although states administer their food stamp programs, the federal government pays for the direct costs / of food stamps and a portion of state administrative expenses. With very few exceptions, all recipients of public assistance are eligible for food stamps.
  • 42. (Exceptions include most postsecondary school students!) A little over 50% of food stamp recipients in 1996 were children. People participating in the food stamp program receive a monthly allotment of stamps. These stamps can then be used to purchase food at most retail stores. Stamps can not be used to purchase alcohol or tobacco products. Further, they can’t be used for hot, ready- to-eat foods. In recent years, consistent with the push for welfare reform in general, work requirements have been attached to food stamps. The 1996 welfare reform legislation passed by the Clinton Administration limits able- bodied recipients between the ages of 18 and 50 (without children) to three months of food stamps in a three-year period unless the person is working or engaged in a workfare program for 20 or more hours per week.46 Public Housing and Section 8 Housing Assistance The federal government assists many middle- and upper-income
  • 43. families with housing through its tax policies and loan programs. Our national government also collaborates with local public and private entities to provide housing assistance to low-income individuals and families. In 1992, the federal government spent over $22 billion on such assistance.47 Most of this support is provided through the U.S. Department of Housing and Urban Development in two major programs: the “public housing” program and the “Section 8” program. The public housing program, dating back to the New Deal era, provides federal subsidies for construction costs on housing units built by local public housing authorities.48 These local housing authorities subsequently own and operate the units. As part of the program, the federal government offers rent subsidies to cover the difference between the operating cost of individual housing units and 30% of the tenant’s household income.
  • 44. During the Reagan, Bush, and Clinton Administrations, federal funding for public housing was cut drastically. One reason for this diminishing support is the tendency of public housing projects to concentrate multi-problem families into low-income neighborhoods. Increasingly, this approach has witnessed a high incidence of crime and vandalism, resulting in relatively high operating costs for local public housing / authorities and high social costs for victimized families. These problems, along with rising construction costs, compelled policy planners to look for alternative low-income housing proposals. The Section 8 program (referring to Section 8 of the Housing and Community Development Act) emerged in the 1980s as the major alternative to public housing.49 During that decade, it became the largest federal housing assistance program for the
  • 45. poor. To illustrate, in 1996, the U.S. federal government spent $15.8 billion on Section 8 assistance, while the public housing program received $4.5 billion. Section 8 is essentially a rent supplement program. Tenants typically pay 30% of their (adjusted) income on rent; the federal government pays the difference between the tenant contribution and the market rate for the apartment. In contrast to public housing, tenants have a choice of using their subsidy in publicly or privately owned housing where available in their community. (The 1990 Housing Act, passed by the George H.W. Bush Administration, sought to increase the supply of low- income rental housing through block grants to state and local government.) More recently, major cities such as Chicago, Boston, and Atlanta have begun destroying their old high-rise public housing units and moving tenants into new low-rise public housing units or private housing. In either case, the aim is to better integrate poor tenants with other socioeconomic groups
  • 46. around the city. Contributions of Business and the Voluntary Sector to Housing The federal government encourages business investment in low- income housing through the “low-income rental housing tax credit.”50 The tax credit was established as part of the Reagan Administration’s Tax Reform Act of 1986. Between 1990 and 1994, this tax incentive added about a quarter million low-income housing units to the housing supply. Developers qualify for the tax credit if they set aside specified percentages of their rental units for low-income tenants. Habitat for Humanity International is probably the most well- known voluntary housing development program. Between 1976 and 2000, this nonprofit nondenominational Christian organization, using donated material and voluntary labor, produced about 30,000 affordable houses in the United States.51 The program refers to recipients of the houses as “partners” because the partner family helps build their house. Upon
  • 47. completion, Habitat for Humanity sells the home to the partner at no profit, while / ensuring the partner a no-interest mortgage. The average sales price for a Habitat home built in the United States in 2000 was about $46,600. Although Habitat for Humanity, by itself, is not capable of solving the shelter problem in America, it is a valuable part of the collaborative effort to address the problem. Current Shelter Issues: the Homeless Despite various public and private efforts to provide decent low-income housing and temporary shelter, including the 1987 Stewart B. McKinney Homeless Assistance Act, the National Coalition for the Homeless believes the number of homeless people in American continues to grow.52 Estimates of homelessness vary, in part, because the definition of what constitutes “homelessness” varies. The National Coalition for the Homeless uses a broad definition, claiming that people who live
  • 48. in unstable housing arrangements and lack a permanent place to stay are, in fact, experiencing homelessness. Although the National Law Center on Homelessness and Poverty estimates that as many as 2 million people experience homelessness during a given year in the United States, the National Coalition for the Homeless, because of the difficulty in counting the homeless, chooses to cite the shortage of available services for the homeless. According to the coalition, in 1998, 26% of requests for emergency shelter in 30 U.S. cities went unmet due to a lack of resources. What is more, another study showed that in 50 cities around the United States, the individual city’s official estimated number of homeless typically exceeded that city’s available number of shelter and transitional housing spaces. Rural areas of the U.S. generally have even fewer resources for the homeless. Thus, in a nation that has never adequately housed all of its people, homelessness continues to be a serious policy issue.
  • 49. Other Publicly-Funded Programs in American Social Welfare A wide range of other publicly-funded programs contribute to American social welfare. Many of these services are funded by government but delivered by private organizations. Hence, they are part of an interdependent network of public and private efforts to further social welfare. These services include child welfare programs such as child abuse and neglect prevention, foster care, adoption, shelter, and outreach services.53 Other programs benefiting children include publicly-funded child care, education, and family planning services.54 Head Start (the preschool program) and student loan programs are part of the education category. In addition, the U.S. / government supports employment and training programs for those seeking employment.55 Furthermore, the American public sector supports many state and local
  • 50. health and human services through the Social Service Block Grant to individual states. Other Voluntary Services in the Nonprofit Sector The United Way System One of the major voluntary efforts in the advancement of American social welfare is the United Way, formerly known as the “Community Chest,” and for a time, the “United Fund.” Over one hundred years old, the United Way is primarily a partnership in community problem-solving among private organizations – private for-profit and private nonprofit organizations.56 For the most part, businesses raise the funds for services, while nonprofit organizations deliver the services. The United Way network, itself, is comprised of a national umbrella organization called United Way of America and about 1,400 local United Way organizations, each independently incorporated as private nonprofit entities serving their respective communities. Each local United Way organizes an annual fund- raising campaign among
  • 51. business and professional groups in its community. Subsequently, the local United Way, with direction from donors and volunteers, allocates the donated funds to a variety of nonprofit health and human services in the community. In the 2000/2001 fiscal year, United Way campaigns around the nation raised a total of $3.91 billion for health and human services. Perhaps the most important partner in the United Way system is the business community. Without the support of community business leaders, United Way would be much less effective in its fund-raising role, and therefore, much less valuable to community health and human service providers. Business leaders help organize and conduct the individual United Way fund-raising campaigns in each community. Through the use of payroll deduction, businesses enable their employees to make annual donations to their local United Way in an efficient and financially “pain-free”
  • 52. manner. As a result, employees of local business typically comprise the largest source of United Way donations. With these donations, each United Way funds a broad range of health and human services. Many of these services also receive public funding; some do not. In any case, the mix of health and human services funded by each United Way varies from / community to community. To illustrate the diversity of services funded at any one United Way, however, consider the list of agencies affiliated with the United Way of Massachusetts Bay in 2001.57 This list included the American Cancer Society-New England Division, the American Red Cross (/organizations/american-red-cross/) of Massachusetts Bay, the Asian Task Force Against Domestic Violence, the Boys and Girls Club? of Lynn, the Boston Area Rape Crisis Center, Catholic Charities?, Combined
  • 53. Jewish Philanthropies?, Community Legal Services? & Counseling Center, the Disability Law Center, the Dorchester Bay Economic Development Corporation, the Salvation Army?, the Chinese Progressive Association, the Massachusetts Coalition for the Homeless, The Home for Little Wanderers, the Hispanic Office of Planning & Evaluation (HOPE), the John F. Kennedy Family Service Center, and YWCA (/organizations/young-womens-christian-association/) Boston. This diversity in services and service populations is not unique to the United Way of Massachusetts Bay. As a second illustration, let’s examine the Mile High United Way in Denver, Colorado. Its agency list in 2001 included the Jefferson Center for Mental Health, the Jewish Family Service of Colorado, the Asian Pacific Development Center, the Latin American Research and Service Agency, the Lutheran Family Services of Colorado, the Mi Casa Resource Center for Women, the Colorado AIDS Project, the Colorado Coalition Against Domestic Violence, the Mile High
  • 54. Council on Alcoholism and Drug Abuse, Senior Support Services, and the Northeast Denver Housing Center. In short, a strength of the United Way is the community empowerment that comes from volunteers organizing resources to meet specific and diverse community needs. Current Issues in the United Way System United Way continues to be the major “federated fund-raising” campaign in the United States. Over the years, the American business community has viewed United Way as an alternative to higher taxes and bigger government in promoting social welfare. Business and professional leaders value the community needs assessment, community organizing, and community problem-solving roles that their local United Way organizations perform. That said, United Way has its share of critics.58 Recent issues include the United Way tradition of funding a relatively exclusive set of member nonprofit agencies. At times,
  • 55. organizations not affiliated with United Way have felt left out and hampered in their https://socialwelfare.library.vcu.edu/organizations/american- red-cross/ https://socialwelfare.library.vcu.edu/organizations/young- womens-christian-association/ / fund-raising efforts. More radical critics have contended that United Way is too conservative, funding primarily status quo services, not offensive to the business community. Still others point out the virtual monopoly that United Way enjoyed for years in its access to corporate employee fund-raising campaigns and payroll deduction. In the 1970s and 80s, competing federated campaigns began to emerge as an alternative to United Way. These competing federations included ((Children’s Charities of America)), The Combined Federal Campaign (focused on federal employees), Earth Share (involving agencies such as the National Audubon Society and the African Wildlife Foundation), and The National Black United
  • 56. Federation. Yet, the vast majority of federated campaign giving still goes to United Way. More recently, especially with an incident of administrative corruption at United Way of America in the early 1990s, United Way has faced the issue of increased donor accountability.59 Donors to United Way increasingly desire more control in determining which health and human services receive their gift. Furthermore, donors want to know if their donations to United Way actually make a difference in addressing various social problems. United Way, as it has throughout its history, continues to change in an effort to address emerging issues.60 The diversity in the agencies affiliated with the United Way of Massachusetts Bay indicates an effort by some local United Way organizations, at least, to be more inclusive in their funding. In addition, United Way has instituted a “donor choice” option by which donors can indicated specific health and human service recipients of their gift. Furthermore, United Way, serving as an
  • 57. accountability mechanism for donors, has begun a push for program outcome measurement among its affiliated service providers. The ((Three Notable African American Women In Child Welfare, 1888-1930)) League of America: A Public-Private Partnership in Child Welfare The Child Welfare League of America (/organizations/child- welfare-league-of- america/) (CWLA), founded in 1920, is a voluntary association of over 1,100 public and private nonprofit organizations that serve at-risk children and their families.61 The organization traces its roots to the 1909 White House Conference on the Care of Dependent Children, which recommended the creation of the ((U.S. Children’s Bureau)) and other child welfare organizations. Member organizations are involved with services such as child abuse and neglect prevention, foster care, adoption, residential group care, child care, and various youth development programs, among other services. https://socialwelfare.library.vcu.edu/organizations/child- welfare-league-of-america/
  • 58. / The CWLA offers many services to its members, including legislative advocacy, practice consultation, conferences, training sessions, child welfare publications, and financial support for accreditation. According to 2001 agency information, the CWLA has a budget of about $16 million. It raises its funding from public and private sources, including member dues, foundation grants, publication sales, investment income, consultation fees, as well as corporate and individual donations. The CWLA is truly a cooperative effort in the advancement of American child welfare! Personal Profile: Marian Wright Edelman One of the outstanding contemporary social advocates is Marian Wright Edelman.62 After graduating from Spelman College and Yale Law School, she became the first African American woman admitted to the Mississippi Bar. In Mississippi during the
  • 59. 1960s, she headed the NAACP Legal Defense and Educational Fund. Later, in 1968, she moved to Washington D.C. to serve as counsel for the Poor People’s March, which Martin Luther King was organizing before his assassination. Edelman in 1973 founded the ((Children’s Defense Fund)), a private nonprofit organization that has become one of the strongest children’s advocates in the nation. Based in Washington D.C., the Children’s Defense Fund regularly documents the needs of America’s children, focusing particularly on the needs of children from poor families, children of color, and children with disabilities. Its legislative advocacy emphasizes preventative investments in child welfare. As President of the Children’s Defense Fund, Edelman continues to serve as a policy leader and national voice for millions of vulnerable children in America. In 2000, in recognition for her social advocacy, she was awarded the Presidential Medal of Freedom, the country’s highest civilian award. The Challenge for Professional Social Work
  • 60. There are many other social problems, issues, and services not mentioned here. The aim here is to provide the reader with an understanding of some of the major programs and issues in American social welfare, especially those involving health and human services. This is because the fundamental challenge for current social workers is to make important contributions to the development of policies and programs that will better address major social problems and issues in the United States. / Notes 1. Bruce S. Jansson, The Reluctant Welfare State: American Social Welfare Policies- Past, Present, and Future, 4th ed. (Belmont, CA: Wadsworth/Thomson Learning, 2001), pp. 194, 199; Sar A. Levitan, Garth L. Mangum, and Stephen L. Mangum, Programs in Aid of the Poor (Baltimore: Johns Hopkins University Press,
  • 61. 1998), p. 58. 2. Neil Gilbert, Harry Specht, and Paul Terrell, Dimensions Of Social Policy, 3rd ed. (Englewood Cliffs, NJ: Prentice Hall, 1993), pp. 71-72. 3. Levitan et al., pp. 58-63. 4. Jansson, p. 282. 5. Levitan et al., p. 61. 6. Levitan et al., p. 61; Linda P. Anderson, Paul A. Sundet, and Irma Harrington, The Social Welfare System in the United States: A Social Worker’s Guide To Public Benefits Programs (Boston: Allyn and Bacon, 2000), p. 27. 7. Levitan et al., pp. 63-64. 8. Ibid., pp. 93-95. 9. Theda Skocpol, Protecting Soldiers and Mothers: The Political Origins Of Social Policy In The United States (Cambridge, MA: Harvard University), pp.290-293. 10. Levitan, pp. 96-98. 11. Ibid., p. 68. 12. Amanda Paulson, “The 401(K): Who’s Contributing What?”
  • 62. Christian Science Monitor, 22 October 2001, 93(229), p. 14. 13. William C. Frederick, Keith Davis, James E. Post, Business And Society: Corporate Strategy, Public Policy, Ethics, 6th ed. (New York: McGraw- Hill, 1988), p. 301. 14. James E. Post, Anne T. Lawrence, and James Weber, Business And Society: Corporate Strategy, Public Policy, Ethics, 10th ed. (New York: McGraw-Hill, 2002), p. 343. 15. Frederick et al., p. 256. 16. Deloitte and Touche, “Promises Kept: The 1997 Tax Law,” Tax News & Views, 2000. 17. Fred Kaplan, “Bush takes on ‘corporate abusers,’” Boston Globe, 10 July 2002, p. A1; Associated Press, “WorldCom offers not to sell assets: Seeks to delay creditors’ suit,” Boston Globe, 18 July 2002, p. E4. 18. Estelle James, “Reforming Social Security in the U.S.: An International Perspective,” Business Economics: 34 (January 2001).
  • 63. / 19. Thomas I. Palley, “The economics of Social Security: an old Keynesian perspective,” Journal of Post Keynesian Economics 21(1): 94 (Fall 1998). 20. Jansson, p. 322. 21. Jane Bryant Quinn, “Star Wars And Social Security,” Newsweek, 3 September 2001, 37; Leigh Strope, “Social Security panel shifts purpose,” Boston Globe, 7 November 2001, p. A9. 22. James, p. 33, 36, 38. 23. Quinn, p. 37; Palley, p. 104. 24. Gilbert et al., 1993, pp. 71-72. 25. Children’s Defense Fund, “Summary of the New Welfare Legislation,” Retrieved from the World Wide Web on August 27, 1997: http://www.childrensdefensefund.org/welfarelaw.html. (http://www.childrensdefensefund.org/welfarelaw.html.) 26. Ibid.
  • 64. 27. Ibid. 28. Jansson, p. 279; Walter I. Trattner, From Poor Law To Welfare State: A History Of Social Welfare In America, 6th ed. (New York: The Free Press, 1999), p. 348. 29. Levitan et al., pp.85-87. 30. Ibid., p. 87. 31. Ibid., p. 88. 32. Children’s Defense Fund, “Summary of the New Welfare Legislation,” 1997. 33. Michael B. Katz, In the Shadow of the Poorhouse, 10th ed. (New York: BasicBooks, 1996), pp. 290-292, 310. 34. Levitan et al., pp. 109-118. 35. Jansson, pp. 250-251. 36. Levitan et al., pp. 110-111. 37. Ibid., pp. 111-112. 38. Tim Davidson, Jeanette R. Davidson, and Sharon M. Keigher, “Managed Care: Satisfaction Guaranteed…Not! Health & Social Work 24(3): 164 (1999).
  • 65. 39. Jane Kolodinsky, “Consumer Satisfaction with a Managed Health Care Plan,” Journal of Consumer Affairs 99(33): 223 (1999). 40. Janet D. Perloff, “Medicaid Managed Care And Urban Poor People: Implications for Social Work,” Health & Social Work 21(3): 189-190 (1996). 41. Cynthia J. Rocha and Liz England Kalbaka, “A Comparison Study Of Access To Health Care Under A Medicaid Managed Care Program,” Health & Social Work 24(3): http://www.childrensdefensefund.org/welfarelaw.html. / 170 (1999). 42. Robert Sunley, “Advocacy in the New World of Managed Care,” Families in Society, Jan/Feb: 88-90(1997). 43. Rocha and Kalbaka, pp.169-172; Perloff, pp. 191-192. 44. Davidson, Davidson, and Keigher, p. 164. 45. Levitan, pp. 131-133. 46. Children’s Defense Fund, “Summary of the New Welfare Legislation,” 1997.
  • 66. 47. Levitan, p. 121. 48. Jansson, pp. 210-211; Levitan, pp. 122-124. 49. Levitan, pp. 125-127; David Thigpen, “The Long Way Home,” Time, 5 August 2002, 42. 50. Ibid., p. 126. 51. Habitat for Humanity International, “A Brief Introduction to Habitat for Humanity International,” Retrieved from the World Wide Web on November 14, 2001: http://www.habitat.org/how/tour/1.html; (http://www.habitat.org/how/historytext.aspx) Habitat for Humanity International, “Habitat for Humanity Fact Sheet,” Retrieved from the World Wide Web on November 14, 2001: http://www.habitat.org/how/factsheet.html. (http://www.habitat.org/how/myths.aspx) 52. National Coalition for the Homeless, “How Many People Experience Homelessness? NCH Fact Sheet #2,” Retrieved from the World Wide Web on November 15, 2001:
  • 67. http://www.nationalhomeless.org. (http://www.nationalhomeless.org./) 53. Levitan, pp. 171-172. 54. Ibid., pp. 154-156; 161-170; 150-151. 55. Ibid., pp. 176-177; 137. 56. Eleanor Brilliant, Dilemmas of Organized Charity (New York: Columbia University, 1990), p. 19; United Way of America, “Basic Facts About United Way,” Retrieved from the World Wide Web on November 21, 2001: http://national.unitedway.org/bfact.cfm. (https://www.unitedway.org/) 57. United Way of Massachusetts Bay, “Community Links – United Way Affiliated Agencies,” Retrieved from the World Wide Web on November 21, 2001: http://www.uwmb.org/aboutus/agencies.htm.; (http://unitedwaymassbay.org/about/partner-agencies/) Mile High United Way, “Our Family of Agencies,” Retrieved from the World Wide Web on November 27, 2001: http://www.unitedwaydenver.org/home/html/agency.html.
  • 68. http://www.habitat.org/how/historytext.aspx http://www.habitat.org/how/myths.aspx http://www.nationalhomeless.org./ https://www.unitedway.org/ http://unitedwaymassbay.org/about/partner-agencies/ http://www.unitedwaydenver.org/home/html/agency.html. / (http://www.unitedwaydenver.org/home/html/agency.html.) 58. Marjorie Cotton, “Yes, I Would Like A Choice Where My Contribution Goes!” Fund Raising Management: 36-37, 48 (December 1991); W. Olcott, “United Way Growth Stagnant.” Fund Raising Management: 15 (June 1994); Jerry D. Marx, “Federated fundraising,” The International Encyclopedia of Public Policy and Administration, vol. 2, (Boulder, CO: Westview Press, 1997), pp. 877-881; Jerry D. Marx, “ Corporate philanthropy and United Way: Challenges for the year 2000,” Nonprofit Management & Leadership, 8(1): 20 (1997). 59. Ibid. 60. Marx, Nonprofit Management & Leadership, p. 20; Olcott, p. 15; United Way of
  • 69. America, 2001. 61. ((Three Notable African American Women In Child Welfare, 1888-1930)) League of America, “More about CWLA,” Retrieved from the World Wide Web on November 18, 2001: http://www.cwla.org/whowhat/more.htm) (http://www.cwla.org/) 62. Children’s Defense Fund, “Marian Wright Edelman’s Public Life,” Retrieved from the World Wide Web on April 25, 2001: http://www.childrensdefense.org/about/ (http://www.childrensdefense.org/about/); Children’s Defense Fund, “About Us,” Retrieved from the World Wide Web on November 18, 2001: http://www.childrensdefense.org/about/leadership/marian- wright-edelman/ (http://www.childrensdefense.org/about/leadership/marian- wright-edelman/) How to Cite this Article (APA Format): Marx, J. (2010). Current issues and programs in social welfare. Retrieved [date accessed] from http://socialwelfare.library.vcu.edu/recollections/current-issues- and- programs-in-social-welfare/
  • 70. 21 Replies to “Current Issues and Programs in Social Welfare” Cameron Bruce says: April 10, 2019 at 3:36 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-307290) My post is in regards to the tanf program. One of the continued issues with the program is: 1. Adults in the home must spend 30 hours/adult actively looking for employment. 2. Any requests for paying certain bills or needed items to continue the benefits must have quotes from multiple http://www.unitedwaydenver.org/home/html/agency.html. http://www.cwla.org/ http://www.childrensdefense.org/about/ http://www.childrensdefense.org/about/leadership/marian- wright-edelman/ / sources, and documents stating why the funds are needed (many have to pay cash for getting the document). 3. If funds are approved it would take 7 to 10 business days for the cash to be allocated to pay that request (in some cases the bill or needed item is paid or needed item
  • 71. purchased too late) causing cancellations of services and other penalties. Finally their cash system doesn’t reimburse the family if they use the cash assistance recieved, to cover the expense of a a bill that assistance was asked for to keep the services active until they pay. Leaving the family without funds to cover the money used to job search, or keep phone service active to receive calls from employment opportunities. Another thing their free cell phones only work in certain areas, only 1 is allowed per family, the phone is so cheap that if stolen police will not even file a report. Making the family unable to get another one. Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=307290#respond) Richie says: October 26, 2017 at 6:43 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-275343) Hello, can you give me the APA citation for the title Public Housing and Section 8 Housing Assistance. Thank you so much in advance. Reply (/eras/1980s-beyond/current-issues-and-programs-in-
  • 72. social-welfare/? replytocom=275343#respond) ACampbell says: October 30, 2017 at 11:13 am (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-275523) You should be able to find the answers you need at The Purdue OWL (https://owl.english.purdue.edu/owl/section/2/10/) (Online Writing Lab). Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=275523#respond) donna zachery says: August 7, 2016 at 12:55 am (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-242310) Hi Mr. Jack Hansan, Thank for all your information on this site, I am currently working on a child welfare paper in Eng 215, your cited resources helped me a lot. Keep all the great work!!!!!!!!! Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=242310#respond)
  • 73. sr. marieta v. calderon says: https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=307290#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=275343#respond https://owl.english.purdue.edu/owl/section/2/10/ https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=275523#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=242310#respond / January 25, 2016 at 6:23 am (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-237782) thanks for all the responses. Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=237782#respond) Tiffany says: January 19, 2016 at 7:25 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-237644)
  • 74. Does anyone else have any other helpful resources I can relate to for a paper that I am writing using the topic of Food assistance programs being a social welfare issue? this site was very helpful thank you. Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=237644#respond) admin says: January 22, 2016 at 6:05 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-237724) In response to your question, I recommend you Google “food stamps” and “free lunches” as national examples of food assistance programs. Best wishes, Jack Hansan Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=237724#respond) admin says: November 8, 2015 at 4:19 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-234806) Thanks for the comment. Please return frequently! Jack Hansan
  • 75. Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=234806#respond) Melanie Mason says: September 22, 2014 at 12:20 am (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current-issues-and-programs-in-social- welfare/#comment-218445) Same request as someone asked earlier. Is there a publication date for this particular article? I’m using the information for a class and want to cite correctly. Current Issues and Programs in Social Welfare By: Dr. Jerry Marx, Chair, Social Work Department, University of New Hampshire https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=237782#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=237644#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=237724#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=234806#respond /
  • 76. Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=218445#respond) Kate Agnelli says: September 22, 2014 at 1:44 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current-issues-and-programs-in-social- welfare/#comment-218482) Hi Melanie, We are in the process of adding this information to all of our posts. In the mean time, here is an APA formatted citation for this article. Marx, J. (2010). Current issues and programs in social welfare. Retrieved [date accessed] from http://www.socialwelfarehistory.com/recollections/current- issues-and-programs-in-social- welfare/ (http://www.socialwelfarehistory.com/recollections/current- issues-and-programs-in- social-welfare/). Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=218482#respond) jhansan says: September 13, 2014 at 5:48 pm
  • 77. (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current-issues-and-programs-in-social- welfare/#comment-217990) There are numerous sources for additional information if you Google the areas of interest. Good luck. Jack Hansan Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=217990#respond) jhansan says: September 13, 2014 at 5:47 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current-issues-and-programs-in-social- welfare/#comment-217989) Thank you. Jack Hansan Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=217989#respond) admin says: August 25, 2014 at 1:42 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-216598) Thanks for the comment. JEH Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=216598#respond)
  • 78. https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=218445#respond http://www.socialwelfarehistory.com/recollections/current- issues-and-programs-in-social-welfare/ https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=218482#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=217990#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=217989#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=216598#respond / Brit Buchhave says: June 2, 2014 at 8:33 am (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-211169) Could you please send me the publication year for the article ‘Current Issues and Programs in Social Welfare’ as well? Thanks! The article is written by Dr. Jerry Marx, Chair, Social Work Department, University of New
  • 79. Hampshire Kind regards Brit Buchhave Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=211169#respond) jhansan says: June 2, 2014 at 2:19 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-211184) Mr. Buchave: It would be best if you contacted Dr. Jerry Marx directly for that information. Thank you, Jack Hansan Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=211184#respond) Ericka Carreon says: April 11, 2014 at 7:05 am (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-207549) I am using the information you provided in one of my papers that discusses social welfare. I cannot however find a publication date for your work. Can you please provide one, even a year
  • 80. would be sufficient. Kind Regards, Ericka Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=207549#respond) jhansan says: April 11, 2014 at 2:30 pm (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-207564) Ms. Carreon: If you send me the title(s) of the entries you are using I can locate the date. Thanks, Jack Hansan https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=211169#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=211184#respond https://socialwelfare.library.vcu.edu/eras/1980s-beyond/current- issues-and-programs-in-social- welfare/?replytocom=207549#respond / Reply (/eras/1980s-beyond/current-issues-and-programs-in-
  • 81. social-welfare/? replytocom=207564#respond) Ericka Carreon says: April 12, 2014 at 4:23 am (https://socialwelfare.library.vcu.edu/eras/1980s- beyond/current- issues-and-programs-in-social-welfare/#comment-207606) Current Issues and Programs in Social Welfare By: Dr. Jerry Marx, Chair, Social Work Department, University of New Hampshire thank you Reply (/eras/1980s-beyond/current-issues-and-programs-in- social-welfare/? replytocom=207606#respond) Leave a Reply Your email address will not be published. Required fields are marked * Comment Name * Email * Website Notify me of follow-up comments by email. Notify me of new posts by email.
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