The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options
Two ailments limit the effectiveness and threaten the long-term viability of the U.S. Social Security Disability Insurance program (SSDI). First, the program is ineffective in assisting the vast majority of workers with less severe disabilities to reach their employment potential or earn their own w...
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Article |
| Published: |
Edward Elgar Publishing
2018
|
| Online Access: | http://hdl.handle.net/1721.1/113708 https://orcid.org/0000-0002-6915-9381 |
| _version_ | 1826200914090786816 |
|---|---|
| author | Autor, David H |
| author2 | Massachusetts Institute of Technology. Department of Economics |
| author_facet | Massachusetts Institute of Technology. Department of Economics Autor, David H |
| author_sort | Autor, David H |
| collection | MIT |
| description | Two ailments limit the effectiveness and threaten the long-term viability of the U.S. Social Security Disability Insurance program (SSDI). First, the program is ineffective in assisting the vast majority of workers with less severe disabilities to reach their employment potential or earn their own way. Second, the program’s expenditures on cash transfers and medical benefits—exceeding $1,500 per U.S. household—are extremely high and growing unsustainably. There is no compelling evidence, however, that the incidence of disabling conditions among the U.S. working age population is rising. This paper discusses the challenges facing the SSDI program, explains how its design has led to rapid and unsustainable growth, considers why past efforts to slow program growth have met with minimal and fleeting success, and outlines three recent proposals that would modify the program to slow growth while potentially improving the employment prospects of workers with disabilities. Because these proposals depart substantially from a program design that has seen little change in half a century, their efficacy is unproven.Additionally, even well-meaning efforts to place the SSDI program on a sustainable trajectory run the risk of creating additional hurdles for claimants who are truly unable to work. Nevertheless, the imminent exhaustion of the SSDI Trust Fund provides an impetus and an opportunity to explore innovative solutions to the longstanding policy challenges posed by the SSDI program. Keywords: disability; labor force participation; policy analysis |
| first_indexed | 2024-09-23T11:43:42Z |
| format | Article |
| id | mit-1721.1/113708 |
| institution | Massachusetts Institute of Technology |
| last_indexed | 2024-09-23T11:43:42Z |
| publishDate | 2018 |
| publisher | Edward Elgar Publishing |
| record_format | dspace |
| spelling | mit-1721.1/1137082022-10-01T05:34:42Z The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options Autor, David H Massachusetts Institute of Technology. Department of Economics Autor, David H Two ailments limit the effectiveness and threaten the long-term viability of the U.S. Social Security Disability Insurance program (SSDI). First, the program is ineffective in assisting the vast majority of workers with less severe disabilities to reach their employment potential or earn their own way. Second, the program’s expenditures on cash transfers and medical benefits—exceeding $1,500 per U.S. household—are extremely high and growing unsustainably. There is no compelling evidence, however, that the incidence of disabling conditions among the U.S. working age population is rising. This paper discusses the challenges facing the SSDI program, explains how its design has led to rapid and unsustainable growth, considers why past efforts to slow program growth have met with minimal and fleeting success, and outlines three recent proposals that would modify the program to slow growth while potentially improving the employment prospects of workers with disabilities. Because these proposals depart substantially from a program design that has seen little change in half a century, their efficacy is unproven.Additionally, even well-meaning efforts to place the SSDI program on a sustainable trajectory run the risk of creating additional hurdles for claimants who are truly unable to work. Nevertheless, the imminent exhaustion of the SSDI Trust Fund provides an impetus and an opportunity to explore innovative solutions to the longstanding policy challenges posed by the SSDI program. Keywords: disability; labor force participation; policy analysis 2018-02-16T16:29:26Z 2018-02-16T16:29:26Z 2015-06 2011-11 2018-02-16T13:22:51Z Article http://purl.org/eprint/type/JournalArticle 9781784717568 http://hdl.handle.net/1721.1/113708 Autor, David H. “The Unsustainable Rise of the Disability Rolls in the United States: Causes, Consequences and Policy Options.” Social Policies in an Age of Austerity: A Comparative Analysis of the US and Korea, edited by John Karl Scholz, Hyungypo Moon and Sang-Hyup Lee, Edward Elgar Publishing, 2015 107–136 © 2015 Edward Elgar Publishing https://orcid.org/0000-0002-6915-9381 http://dx.doi.org/10.4337/9781784717575.00014 Social Policies in an Age of Austerity: A Comparative Analysis of the US and Korea Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf Edward Elgar Publishing SSRN |
| spellingShingle | Autor, David H The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options |
| title | The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options |
| title_full | The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options |
| title_fullStr | The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options |
| title_full_unstemmed | The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options |
| title_short | The unsustainable rise of the disability rolls in the United States: causes, consequences and policy options |
| title_sort | unsustainable rise of the disability rolls in the united states causes consequences and policy options |
| url | http://hdl.handle.net/1721.1/113708 https://orcid.org/0000-0002-6915-9381 |
| work_keys_str_mv | AT autordavidh theunsustainableriseofthedisabilityrollsintheunitedstatescausesconsequencesandpolicyoptions AT autordavidh unsustainableriseofthedisabilityrollsintheunitedstatescausesconsequencesandpolicyoptions |