1. Domestic Policy

2. Government Policies and Individual Welfare
Almost every modern nation can be characterized as a welfare state
the provider and protector of individual well-being through economic and social programs.
Social welfare programs are government programs that provide the minimum living standards necessary for all citizens.

3. Government Policies and Individual Welfare (Cont’d)
In recent history, social welfare expenditures have increased steadily in order to provide minimum living standards for all citizens.

4. The Development of the American Welfare State
1. The Great Depression had a dramatic effect on the role of government in the twentieth century.
2. The New Deal policies advocated by the Roosevelt administration sought to remedy the effects of the Depression.
3. President Johnson’s Great Society included a variety of programs designed to redress chronic political, social, and economic inequality.
4. In the 1970s critics seized on the shortcomings of the growing American welfare state.
5. In 1984 the Reagan administration reexamined social welfare programs. They abolished some and redirected others, shifting emphasis from economic equality to economic freedom.
6. In the 1990s there were important reforms to the American welfare state.

5. What is Social Security?
Social insurance is a government-backed guarantee against loss by individuals without regard to need.
Social security: social insurance that provides economic assistance to persons faced with unemployment, disability, or old age. It is financed by taxes on employers and employees.

6. How Social Security Works
1. The federal government collects taxes from employers and employees to pay benefits to persons who are retiring.
a) Social security is not a form of savings; it is a pay-as-you-go system: today’s workers support today’s elderly.
b) Participation is universal, and compulsory by law.
The political system must address the issues of who pays and who benefits from social security.
a) In the 2000 election campaign, Republicans proposed a plan for social security reform that would allow individual workers to invest their own payroll taxes in the stock market.
c) The Democrats also proposed a private investment plan, but theirs would be in addition to the existing program rather than a part of it (or a reform of it).

7. Social Security (Cont’d)
Revenues for old-age retirement security go into their own trust fund.
Full benefits begin at age sixty-five for people born before 1938 and age sixty-seven for those born after that date.
The solvency of the program faces challenges in the future, prompting reforms.

8. Public Assistance
Public assistance (what is commonly meant by the term welfare) is government aid to individuals who can demonstrate a need for that aid.
It is directed toward those who lack the ability or resources to provide for themselves or their family.

9. Public Assistance (Cont’d)
There are four types of categorical assistance programs under the Social Security Act.
These programs have become entitlements (benefits to which everyone has a legal right and the government cannot deny).

10. Public Assistance (Cont’d)
Four types of categorical assistance programs
Old age assistance for the needy elderly
Aid to the needy blind
Aid to needy families with dependent children
Aid to the totally and permanently disabled

11. Public Assistance (Cont’d)
Until 1996, the national government distributed funds to states in proportion to the number of people in each state with incomes below the federally-defined poverty level or threshold.

12. Families on Welfare,

13. Public Assistance (Cont’d)
The feminization of poverty refers to the growing percentage of all poor Americans that are women or the dependents of women.

14. The Feminization of Poverty

15. Temporary Assistance for Needy Families Act (1996)
Individual adult recipients will have to find employment within two years.
families can receive only five years of benefits (in a lifetime). Under TANF the number of families on welfare has declined, former welfare recipients have found steady jobs.
Despite former welfare recipients’ increased level of employment, they have been unable to find jobs that pay good wages and offer valuable benefits.
Economic recession of 2001 provided an important test for TANF. Increasing numbers of female-headed households and children with no access to employment or TANF income during 2001 was documented.

16. Health Care
The United States is the only major industrialized nation without a universal health-care system.
The U.S. system is a patchwork of programs designed to cover different segments of the population, but not all citizens.

17. Cost and Access
Health-care debate is focused on the two main problems: cost and access
Access doesn’t depend on having insurance coverage only. Rural versus urban areas problem
The U.S. spends the largest proportion of its economy on health care (14.9 percent of GDP)
Health insurance providers have extended coverage of routine, preventative care while limiting individuals’ freedom to choose when and what type of medical specialists to see.
New types of insurance fall into two main categories: health maintenance organizations (HMOs) and preferred provider organizations (PPOs).

18. Health Care (Cont’d)
Government programs to provide health care include:
Medicare, primarily for the elderly
Medicaid, for the qualifying poor
State Children’s Health Insurance Program (SCHIP), for children in needy families.

19. Health Care (Cont’d)
When considering cost and access, roughly 15.2% of all Americans are uninsured.
Several million Americans living in rural areas are unable to receive health care because they do not have easy access to doctors or hospitals.

20. Health Care (Cont’d)
Health care costs continue to escalate rapidly, with prescription drug costs leading the way.
Reforming health care would actually increase the current amount spent in the U.S. as well as restricting the range of procedures and providers available to patients.

21. Health Care (Cont’d)
Medicare is a health-insurance program for all people aged sixty-five and older and a few individuals who are disabled or who suffer from end-stage renal disease.
Part A of the Medicare program pays for care in facilities.
Part B of the Medicare program pays for doctor’s services and outpatient hospital care. Participants of Part B pay a premium of twenty-five percent with the remaining costs paid for by the government.

22. Health Care (Cont’d)
The most recent change in Medicare is the Medicare and Prescription Drug Modernization Act which created a new prescription drug coverage option.

23. Health Care (Cont’d)
Medicaid is a need-based comprehensive medical and hospitalization program.
The State Children’s Health Insurance Program is a health-insurance program designed to provide children in families with low incomes access to medical care.

24. Education
Americans have traditionally believed that education could help individuals attain social and economic equality.
The Elementary and Secondary Education Act of 1965 was the first time the government provided direct aid to local school districts.

25. Education (Cont’d)
Education is linked to national security and prosperity.
Education reform is difficult, thoughparticularly on the national level—as evidenced by the passage and implementation of the No Child Left Behind Act.

26. Benefits and Fairness
How can the government provide benefits in a way that is fair?
The national government provides two types of benefits: means tested and non-means tested.
Some people argue that non-means-tested benefits are not fair: some people need benefits, and others do not.
Transforming some non–means-tested benefits into means-tested benefits has allure during times of budget deficits.