1. Chapter 19 Social Welfare

2. Copyright © 2013 Cengage WHO GOVERNS? WHO GOVERNS? 1.How, if at all, have Americans views of governments responsibility to help thedeserving poor changed over time? 2.Why are some government social welfare programs politically protected while others are politically imperiled? TO WHAT ENDS? TO WHAT ENDS? 1.What does the Constitution mean bypromote the general Welfare? 2.Should religious groups be eligible to administer some federal welfare programs?

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5. Two Kinds of Social Welfare Programs Majoritarian Politics/Programs Majoritarian Politics/Programs Examples – Social Security, MedicareExamples – Social Security, Medicare No means testNo means test Biggest issue – costBiggest issue – cost Client Politics/Programs Client Politics/Programs Examples – Medicaid, Food StampsExamples – Medicaid, Food Stamps Means testedMeans tested Biggest issue – legitimacyBiggest issue – legitimacy Copyright © 2013 Cengage

7. Social Welfare in the United States United States compared to other nations: More restrictive view of who is entitled to governmental assistance More restrictive view of who is entitled to governmental assistance Slower to embrace the welfare state Slower to embrace the welfare state States play a large role States play a large role Nongovernmental organizations play a large role Nongovernmental organizations play a large role Copyright © 2013 Cengage

8. The attorneys general of several states have filed suit challenging the constitutionality of President Obamas health care law. Here supporters of the law denounce the Washington state attorney general for joining the suit. AP Images

9. Social Welfare in the U. S. Who Benefits? Who Benefits? Separating the deserving from theundeserving poorSeparating the deserving from theundeserving poor Redistribution to produce fair sharesRedistribution to produce fair shares Giving services not moneyGiving services not money Copyright © 2013 Cengage

10. Social Welfare in the U. S. Slow to Embrace the Welfare State Slow to Embrace the Welfare State Social Welfare Examples:Social Welfare Examples: U.S. Social Security in 1935 U.S. Social Security in 1935 22 European countries, Australia and Japan acted earlier than 1935 22 European countries, Australia and Japan acted earlier than 1935 England contrasted with the U.S. England contrasted with the U.S. Copyright © 2013 Cengage

11. Social Welfare in the U. S. Federalisms Role Federalisms Role U. S. Supreme Courts reinterpretation in the 1930sU. S. Supreme Courts reinterpretation in the 1930s Individual states experiments with welfare programsIndividual states experiments with welfare programs Copyright © 2013 Cengage

12. Social Welfare in the U.S. State Programs Double-Edged Effect State Programs Double-Edged Effect Opponents of a federal social welfare system would say: The states are already providing assistance.Opponents of a federal social welfare system would say: The states are already providing assistance. Supporters would say: The states need national legislation to help them out.Supporters would say: The states need national legislation to help them out. Copyright © 2013 Cengage

13. Social Welfare in the U.S. Nongovernmental Organizations Role Nongovernmental Organizations Role Grants and ContractsGrants and Contracts Profit and Nonprofits Profit and Nonprofits Examples: Big Brothers, Big Sisters of America Examples: Big Brothers, Big Sisters of America Charitable ChoiceCharitable Choice Copyright © 2013 Cengage

15. Majoritarian Welfare Programs Social Security Social Security The Great Depressions EffectThe Great Depressions Effect Two PartsTwo Parts Insurance Insurance Assistance Assistance Copyright © 2013 Cengage

16. In 1932, unemployed workers line up at a soup kitchen during the Great Depression. Topham/The Image Works In 1934, Huey Long, the popular governor of Louisiana, claimed that Roosevelt was not doing enough to help the common man. But before he could become a serious threat to Roosevelt in the 1936 election, Long was assassinated in 1935. Source: Bettmann/CORBIS

17. Majoritarian Welfare Programs Medicare Medicare ControversyControversy Not included in the original Social Security bill Not included in the original Social Security bill Actions of the House Ways and Means Committee Actions of the House Ways and Means Committee The 1964 Presidential Election The 1964 Presidential Election Becomes law with Medicaid attached Becomes law with Medicaid attached Copyright © 2013 Cengage

18. President Lyndon Johnson signs the Medicare Act in 1965. Lyndon Baines Johnson Library/MCT/Newscom

19. Copyright © 2013 Cengage President Barack Obama signs the Affordable Health Care for America Act in 2010. Chip Somodevilla/Getty Images

20. Copyright © 2013 Cengage Source: Laurence Kotlilkoff and Christian Hagist, National Bureau of Economic Research, Working paper no. 11833, 2005, reporting OECD data and rounded averages for the period 1970–2002, as cited in National Center for Policy Analysis, Health Care Spending Trends, 2004, table 1.

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22. When members of Congress went home in August 2009, they encountered a long line of voters angry over the health care debate. AP Images

23. Copyright © 2013 Cengage Source: Adapted from ABC News/Washington Post Poll, March 10–13, 2011; Kaiser Family Foundation/Harvard School of Public Health Poll, January 4–14, 2011; and School of Public Policy, University of Maryland and Center on Policy Attitudes, How Americans Would Deal with the Budget Deficit, February 3, 2011, p. 49.

24. Copyright © 2013 Cengage An Electronic Benefits Transfer card is like a debit card that allows a person to use food stamps and spend TANF money. MILLER EMILY/SIPA/Newscom

25. Client Welfare Programs Aid to Families with Dependent Children Aid to Families with Dependent Children Existing State ProgramsExisting State Programs Federal Government Regulations Governing the ProgramsFederal Government Regulations Governing the Programs Public Opinion ChangesPublic Opinion Changes Temporary Assistance for Needy Families (TANF)Temporary Assistance for Needy Families (TANF) Copyright © 2013 Cengage

26. Majoritarian versus Client Politics Majoritarian Politics Majoritarian Politics Client Politics Client Politics Service Strategy – A policy providing education and job training to help lift people out of poverty Service Strategy – A policy providing education and job training to help lift people out of poverty Income Strategy - A policy giving money to help lift people out of poverty Income Strategy - A policy giving money to help lift people out of poverty Copyright © 2013 Cengage

28. M E M O R A N D U M To: Ursula Marx, Senate Committee chair From: Cindy Fried, senior staff member Subject: Universal Health Care Legislation You and the committee have two fairly distinct sets of options on this universal health care package. Copyright © 2013 Cengage WHAT WOULD YOU DO?

29. Arguments for: 1. With more than 47 million Americans, or one in seven, lacking health care coverage, the government needs to enact far-reaching reform to ensure that everyone receives quality medical care. 2. The soaring cost of health care (which is expected to reach approximately one-fifth of the federal budget in the next decade) can be contained only by a public system that has the power to set prices and control costs. 3. Universal health care is a logical expansion of the Medicare and Medicaid programs created in 1965; nearly half a century later, health care should be a fundamental right guaranteed for everyone who lives in the United States. Copyright © 2013 Cengage WHAT WOULD YOU DO?

30. Arguments against: 1. Though many people lack health insurance, most of them get health care in hospital emergency rooms and from doctors who donate their services. 2. Medical services in the United States are the best in the world, and government controls on costs will serve only to reduce the quality of care available. 3. In an era of budget deficits and trillions of dollars in national debt, the United States cannot afford to expand social welfare programs. Copyright © 2013 Cengage WHAT WOULD YOU DO?

31. Your decision: Support?Oppose? Copyright © 2013 Cengage WHAT WOULD YOU DO?