Medicare Blog

why is public welfare and medicare against federal system

by Dr. Melba Leuschke MD Published 2 years ago Updated 1 year ago
image

Why do we need public welfare programs?

Essentially, the public welfare programs were for many years the only social safety net for millions of Americans who, for different reasons (e.g., age, disability, low income) were unable to maintain themselves or their children without government aid.

Why is the welfare system so hard to use?

The welfare system was never created as a single system like Medicare or Social Security but instead as independent programs addressing a certain need. The result is a very bureaucratic system that is hard to use.

Are Social Security disability insurance and SSI considered welfare programs?

Although they are not typically considered welfare programs, the Social Security Disability Insurance (SSDI) program and the Supplementary Security Income (SSI) program are major sources of income assistance in the U.S.

What is the state-federal relationship in public welfare?

A Brief Overview of the State-Federal Relationship in Public Welfare Programs, 1935-1996. by John E. Hansan, Ph.D. Introduction. Public welfare is the term used to denote the different tax-supported programs that provide cash assistance or services to individuals and families who are deemed eligible on the basis of their income and assets.

image

Is welfare state or federal?

The federal government provides funding for welfare. But the programs themselves are run by the states. Some states also expand the programs by providing additional funds. Welfare programs are often debated in Congress.

Does the government control welfare?

State agencies, rather than local governments, typically provide public welfare benefits directly to individuals. This includes many programs that are federally funded but state administered such as Medicaid and TANF. In only a few states do local governments administer these programs.

What are some positives and negatives of public welfare?

Top 10 Welfare Pros & Cons – Summary ListWelfare ProsWelfare ConsMay help to prevent old-age povertySymptoms are cured, not the causes of povertyWelfare can increase overall life expectancyRequires some level of administrative workHumans should feel obliged to help peopleLower motivation to work7 more rows

How does federalism affect health care?

The federal government provides: Protections for people with preexisting health conditions. Uniform financial assistance for people with incomes below 400 percent of the federal poverty level. Individual and employer mandates to ensure people gain and keep coverage.

Why is public welfare important?

In times of normalcy, social welfare is vital to society Social insurance, such as unemployment benefits, create a risk-sharing economy in which the threat of potential economic difficulties befalling any one person is protected by the majority.

Why do federally funded social welfare programs vary from state to state?

The programs and the size of the benefits varied widely among the states. State financed public assistance programs were often inadequate to meet the challenges of large-scale unemployment and urban poverty that often afflicted states and urban areas.

What are the biggest problems with welfare?

These barriers include addictions, disabled children, emotional illnesses, domestic violence, lack of work experience, and poor education. Several states are now developing programs to help these families, but a major question that looms is whether cash welfare will be needed for more than 5 years for such mothers.

What are the disadvantages of social welfare?

Welfare can create a pattern of dependence. When every need is being met, then there is no incentive for an individual to better themselves. They can receive the benefits each month and live off the dime of taxpayers. That is why many welfare programs look to put in limitations to the amount of access that is provided.

What are the disadvantages of welfare state?

The main disadvantage of a welfare state – and the main reason behind recent welfare reforms – is that it leads to higher tax rates for the country's citizens and significant governmental expenditure. Critics of the welfare system also say it can encourage high unemployment and low productivity.

How does Medicaid relate to federalism?

Medicaid's federal-state matching system of financing is the nation's largest example of fiscal federalism. Using generous federal subsidies, the Affordable Care Act incentivized states to expand Medicaid, which became a state option in the aftermath of a 2012 Supreme Court ruling.

Is health a federal issue?

The Federal Government is also involved, mainly through funding, in many things largely carried out by the States, such as health, education, environmental issues, industrial relations, etc.

Is healthcare a federal or state responsibility?

At present, the main federal unit with responsibility for public health is the United States Public Health Service in the Department of Health and Human Services. The second major unit is the Health Care Financing Administration, also in the Department of Health and Human Services.

What is public welfare?

Public welfare is the term used to denote the different tax-supported programs that provide cash assistance or services to individuals and families who are deemed eligible on the basis of their income and assets. Public welfare programs are “means tested” and to become eligible it is necessary to prove one’s income and resources are below a specified level. Contrary to what is often heard or stated, there is no entitlement to public welfare. The purpose of this entry is to provide an overview of the state-federal public welfare programs created by the Social Security Act of 1935 lasting until August 1, 1996 when significant changes in the law were enacted by Congress and signed by President William Clinton.

What was the public welfare system in the 1900s?

Prior to the 1900s, local governments shared with private charitable organizations major responsibility for the welfare of the “worthy poor” usually identified as the aged, blind, severely disabled, orphans and sometimes widows with young children. As the nation’s economy became more industrial and urban, the need for relief grew beyond the means, and sometimes the willingness, of local public and private auspices to provide. For example, the f irst department of public welfare was organized in Kansas City, Missouri in April 1910 as a response to a proposed march on the Mayor’s Office by a large group of unemployed workers. The Kansas City model for organizing a public welfare department or commission was then promoted widely by its first executive director: Leroy A. Halbert.

How much was the SSI in 1981?

In FY 1981, some four million persons received SSI payments, amounting to $8.3 billion in state and federal funds. The states’ share, composed of mandatory and optional supplements, was approximately 22 percent, or $1.8 billion.

Why are parents not eligible for AFDC?

The basic reason for family eligibility in the majority of cases was the absence of a parent–chiefly the father– because of divorce, separation or desertion, or because the parents were never married . (In 1980, families with unemployed fathers were eligible for AFDC in only 27 states.)

What is FFP in social insurance?

For persons who were not then able to work, and therefore unlikely to become eligible for benefits under the wage-related social insurance programs, the Act authorized federal financial participation (FFP) in state administered cash assistance programs: Aid to the Aged, Aid to the Blind, and Aid to Dependent Children.

Why did the federal government adopt strictures?

The federal government adopted many of these strictures for the very purpose of instilling discipline in state administration.

When was the Department of Public Welfare founded?

For example, the f irst department of public welfare was organized in Kansas City, Missouri in April 1910 as a response to a proposed march on the Mayor’s Office by a large group of unemployed workers.

Why should we decry public welfarism?

1. Public welfare destroys the personal relationship and interaction which can be achieved through private, local charity. Big government is faceless and cannot express ...

How can the government promote wealth?

The government can promote wealth through law and order. Second, the government could abandon its redistributive schemes, reduce the burden of direct taxes and inflation, and leave to productive individuals the means and the incentive to help their less fortunate neighbors.

What is the central feature of government?

First, the central feature of the government is power . The purpose of this power is to insure the law and order necessary for economic stability and growth.

How much did Memorial Hospital give in 1973?

This plight was caused by governmental regulations related to welfare. It noted that Memorial Hospital gave "free" medical care valued at $1.2 million in 1973-74, $2.5 million in 1974-75, $4.1 million in 1975-76, and $4.5 million in 1977.

Is charitable giving more efficient than coercive redistribution?

Charitable giving is much more efficient than coercive redistribution. Third, the state can use its judicial power to prosecute criminal and fraudulent abuses of charity. The state does have a concern for the welfare of its population.

Who said wealthier people can better support the needy?

As F. A. Hayek has written in The Constitution of Liberty: "There is probably no single factor which has contributed more to the prosperity of the West than the relative certainty of the law which has prevailed here.". A wealthier people can better support the needy.

Is welfare abuse more open to fraud?

It is more open to fraud and criminal abuse than smaller, more easily contained, private charity programs. Newspapers are filled with reports of welfare abuse by criminal elements. This serves as an additional "tax" on the truly needy themselves: scarce resources are filtered away from their target. 11.

Who voted against Medicare?

When Medicare was first being considered Senate Republican Robert Dole (then in the House) voted against it. Also in opposition to Medicare, in a famous 1964 speech, Ronald Reagan explained that his opposition to Social Security and Medicare is why he switched from the Democratic Party to the Republican Party.

Which party is opposed to Social Security?

The Republican Party has always been associated with opposition to Social Security. Economic historian Max Skidmore shows that the final vote for Social Security was lopsided--only 2% of Democrats voted against it (because it wasn't generous enough) while 33% of Republicans voted against Social Security.

Why did McConnell say the Republicans would defend the tax cuts?

This poll was taken a week after Senator McConnell said the Republicans would defend the tax cuts and cut Social Security, Medicare and Medicaid in order to curb the growing deficit, caused in significant part by those very tax cuts. The Republican Party has always been associated with opposition to Social Security.

What percentage of Americans would prefer to reverse the Republican tax cuts?

A poll one week before the election about Republican social and economic policy is a red flag for Republicans. 60% of Americans would prefer to reverse the Republican 2017 tax cuts than cut spending on Social Security, Medicare and Medicaid.

What would happen if Social Security was passed?

A representative of the Illinois manufacturers testified that if Social Security was passed it would undermine America by “destroying initiative, discouraging thrift, and stifling individual responsibility.”. In 1935, Republican congressman John Taber said Social Security “is designed to prevent business recovery, to enslave workers, ...

Is Social Security a fiscal discipline?

Social Security is one of the few government programs with built-in fiscal discipline. Bottom Line: Though Senator McConnell may not have meant to publicize the Republican agenda to cut Social Security, Medicare and Medicaid, the long history of Republican opposition may be an example of what Sigmund Freud and modern psychologists believe--a slip ...

Who said Social Security is designed to prevent business recovery, to enslave workers, and to prevent any possibility of

In 1935, Republican congressman John Taber said Social Security “is designed to prevent business recovery, to enslave workers, and to prevent any possibility of the employers providing work for the people.”.

How much would single payer healthcare save?

A 2011 study led by William Hsiao of Harvard found that single-payer could reduce state health care spending by 8 percent to 12 percent immediately and more in later years, resulting in about $2 billion in savings over a decade.

Is Vermont single payer?

Under Gov. Pete Shumlin, a Democrat and avowed supporter of single-payer health care, the state worked to create a groundbreaking plan, called Green Mountain Care, to cover all its citizens. Following the Affordable Care Act’s 2010 passage, state lawmakers enacted legislation intended to put Vermont “on a path to a single-payer system.”.

Does Medicare for All reduce the overall health spending?

Similarly, Medicare for All supporters argue that single-payer would reduce the nation’s overall health spending . But savings are heavily predicated on the assumption that the new government-run system could pay Medicare rates, which are typically lower than those of private insurance, to providers across the board.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9