The Declining Work and Welfare of People with

In this provocative volume, Richard V. Burkhauser and Mary G.Daly argue that the U.S. disability systemis failing-growing at an unsustainable pace for taxpayers and delivering relatively poor outcomes to those with disabilities. These outcomes are not the inevitable results of demographic or health changes but rather the unin-tended consequences of changes to two public programs designed to assist those with disabilities. Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI).

Richard v. Burkhauser is the Sarah Gibson Blanding Professor of policy Analysis in the department of policy analysis and management and a professor in the department of economics at Cornell University. He is an adjunct scholar at the American Enterprise Institute and past president of the Association for Public Policy Analysis and Management. Mary C. Daly is vice president, head of microeconomic research, and director of the Center for the Study of Income and Productivity at the Federal Reserve Bank of San Francisco. She is a fellow in the National Academy of Social Insurance.

Acknowledgments	p. vii
List of Illustrations	p. viii
Introduction	p. 1
Book Overview	p. 6
Note to Readers	p. 9
The Economic Status of People with Disabilities	p. 10
Relative Economic Status of People with Disabilities	p. 13
Summary	p. 20
Lessons From Welfare Reform	p. 21
Afdc: Goals and Outcomes	p. 21
From Afdc to Tanf	p. 24
Elements of Welfare Reform	p. 26
Changing Incentives	p. 28
Measuring Success	p. 30
Lessons for Reforming Disability Policy	p. 33
Summary	p. 34
The Adult Disability Determination Process and Growing Adult Disability Rolls	p. 35
Trends in Health and Work Disability	p. 36
Defining and Measuring Disability	p. 39
Other Drivers of Disability Caseloads	p. 44
Summary	p. 54
Disability Policy And Disability Decision Making	p. 55
Disability Policy and Decision Making	p. 56
Ssdi: Disability Path for Those Who Have Worked	p. 57
Ssi-Disabled Adults: Disability Path for Those with Limited Work Histories	p. 62
Summary	p. 67
Lessons From Dutch Disability Policy Reforms	p. 68
Disability Caseloads	p. 69
Path to Disability Benefits in the Netherlands	p. 70
Lessons for Reforming U.S. Disability Policy	p. 81
Summary	p. 83
Disability Policy For Children	p. 85
Original Rationale and Program Evolution	p. 86
Growth in the SSI-Disabled Children Program	p. 87
Disability Policy Welfare Policy, and Disability Decision Making	p. 95
Unintended Consequences and Long-Term Costs	p. 100
Summary	p. 101
Reforming U.S. Disability Policy	p. 102
Learning from Welfare Reform	p. 103
Learning from the Dutch Disability Reforms	p. 104
Reforming U.S. Disability Policy	p. 105
Reforming Ssdi	p. 107
Reforming Ssi	p. 113
Summary	p. 115
Data Appendix	p. 117
Sample Definitions	p. 117
Business Cycles	p. 119
Income Measures	p. 119
Employment Measures	p. 121
U.S. Program Caseloads and Costs	p. 121
Dutch Program Data	p. 122
Caseload-to-Worker Ratio	p. 123
Notes	p. 124
References	p. 135
Index	p. 145
About The Authors	p. 153
Table of Contents provided by Ingram. All Rights Reserved.

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The Declining Work and Welfare of People with Disabilities What Went Wrong and a Strategy for Change

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