This is an edited volume reviewing the major means-tested social programs in the United States. Each author addresses a major program or area, reviewing each area’s successes and recommending how to address shortcomings through policy change. In general, our means-tested programs do many things well, but some adjustments to each could make the system much more effective. This book provides policymakers with a broad overview of the issues at hand in each program and how to address them.

Social insurance in the United States--including the Social Security Act of 1935 and the Medicare, Medicaid, and disability insurance programs that were added later--may be the greatest triumph of American domestic policy. But true security has not been achieved. As Michael J. Graetz and Jerry L. Mashaw show in this pathbreaking book, the nation's system of social insurance is riddled with gaps, inefficiencies, and inequities. Even the most popular and successful programs, Medicare and Social Security, face serious financial challenges from the coming retirement of the baby boom generation and the aging of the population. This book challenges the notion that American social insurance must remain inadequate, unaffordable, or both. In sharp contrast to policymakers and analysts who debate only one income security program at a time, Graetz and Mashaw examine social insurance whole to assess its crucial role in providing economic security in a dynamic market economy. They recognize that, notwithstanding a proper emphasis on individual freedom and responsibility, Americans share a common fate that binds them together in a common enterprise. The authors offer us a new vision of the social insurance contract and concrete proposals to make the nation's families more secure without increasing costs.

Social Security expansion is back on the agenda, at a time when Americans need it more than ever—here’s what it should look like (and why it matters to everyday people all over the country) “Altman and Kingson cut through the fog of calculated confusion and outright lies about Social Security.”—David Cay Johnston, Pulitzer Prize–winning journalist and author The COVID-19 crisis has pulled the curtain back on America’s looming retirement income crisis, a fraying of the national community, and ever-worsening income inequality. Never before have so many people’s livelihoods and futures been thrown into flux. Now more than ever, expanding Social Security is essential to addressing these challenges. Social Security Works for Everyone!, an evolution of the argument Nancy J. Altman and Eric R. Kingson made in their acclaimed first book, Social Security Works!, presents the case for expanding Social Security, explaining why monthly benefits need to be increased; why Americans need national paid family leave, sick leave, and long term care protections; and how we can pay for it all. Don’t believe the nearly four-decade, billionaire-funded campaign to convince us that the program is destined to collapse. It isn’t. At a time when growing numbers of Americans are seeing beyond the false choice between financial security for working people and financial security for the federal government, this book eloquently makes the case that universal programs that benefit all Americans (yes, even the rich) make our country stronger and our lives more secure. Social Security works because it embodies the best of American values—the ones that will allow Americans to obtain financial security and weather the next crisis.

After progress towards achieving major income security goals during the 1960s and 1970s, economic slowdown and public reaction against "the welfare state" have curtailed direct intervention by the federal government for these purposes. Absolute poverty and welfare dependency have increased in the 1980s, especially among the young. Major gaps also remain in affordable housing and health insurance coverage among the lower middle class, and there is a growing need for long-term care among the aged. A resurgence of economic growth is needed to facilitate political consensus for income security policies to improve these conditions. Data are presented on nine tables and figures. Footnotes are included. (Author/BJV)

A sobering account of a disenfranchised American working class and important policy solutions to the nation’s economic inequalities One of the country’s leading scholars on economics and social policy, Isabel Sawhill addresses the enormous divisions in American society—economic, cultural, and political—and what might be done to bridge them. Widening inequality and the loss of jobs to trade and technology has left a significant portion of the American workforce disenfranchised and skeptical of governments and corporations alike. And yet both have a role to play in improving the country for all. Sawhill argues for a policy agenda based on mainstream values, such as family, education, and work. While many have lost faith in government programs designed to help them, there are still trusted institutions on both the local and federal level that can deliver better job opportunities and higher wages to those who have been left behind. At the same time, the private sector needs to reexamine how it trains and rewards employees. This book provides a clear-headed and middle-way path to a better-functioning society in which personal responsibility is honored and inclusive capitalism and more broadly shared growth are once more the norm.