PPD 225- FINAL STUDY GUIDE

PPD 225- FINAL STUDY GUIDE - Health/Welfare 14:04:00...

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Health/Welfare 23/10/2008 14:04:00 Rational (&not so rational) aspects of health/welfare policy Historical basis for welfare programs FDR’s ‘New Deal’ President Johnson’s ‘Great Society’ Obstacles Different types of poverty (temporary  v persistent) Difficult to: o  define ‘problem’ o determine how many poor/sick people there are o identify causes of poverty was this goal reached by early poverty programs? Not by early programs but  welfare reform of  1996  has seen sharpest drop in those on welfare roles since early  1970s Social Security currently has unintended consequences Retirement benefits Survivor, Disability & Unemployment benefits intended to help those with no  other means of livelihood Unintended consequences of Social Security leads to reforms o All claim to be rational o Difficult to determine consequences of reforms
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o All address different aspects of the problem o SSI is ‘untouchable’ in terms of eliminating it or reducing benefits Types of public assistance to the poor SSI Medicaid Food Stamps TANF Section 8 HUD housing Job training Child Care Early rational strategies to stop poverty Goal was to prevent poverty  o was this goal reached by early poverty programs? Not by early  programs but welfare reform of 1996 has seen sharpest drop in those  on welfare roles since early 1970s Social Security o currently has unintended consequences Retirement benefits o Survivor, Disability & Unemployment benefits intended to help those  with no other means of livelihood o Unintended consequences of Social Security leads to reforms o Many reforms
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o All claim to be rational Difficult to determine consequences of reforms All address different aspects of the problem SSI is ‘untouchable’ in terms of eliminating it or reducing benefits Welfare Reform “welfare brings some of our most precious values into conflict. We want to  help those who are not making it but in so doing, we seem to cheapen the  efforts of those who are struggling hard just to get by. We want to offer  financial support to those with low incomes, but if we do we reduce the  pressure on them and their incentive to work. We want to help people who  are not able to help themselves but then we worry that people will not bother  to help themselves. We recognize the insecurity of single-parent families but,  in helping them, we appear to be promoting or supporting their formation.” Conflicting contextual goals– individual right to privacy vs. efficiency o Effective (is it helping the truly needy?) vs. protection from 
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