True Security

Overview

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...
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Overview

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.

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Editorial Reviews

Anrig
Graetz and Mashaw [are] not only meticulous in explaining their vision, but they are mindful of the need to address and persuade a broad public audience...this book ought to be read by policy makers and pundits alike, especially as Social Security and Medicare continue to be political footballs in the current presidential debate.
The American Prospect
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Product Details

  • ISBN-13: 9780300081947
  • Publisher: Yale University Press
  • Publication date: 9/1/1999
  • Series: The Institution for Social and Policy St
  • Edition description: New Edition
  • Pages: 380
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.85 (d)

Table of Contents

Acknowledgments
Prologue: Of Fables, Fears, and Fundamentals 1
Pt. I Understanding Social Insurance
1 The Foundations of Social Insurance 15
2 The Social Insurance Contract 26
3 Providing Social Insurance 47
Pt. II Pathologies of American Social Insurance
4 Insuring a Working Life 69
5 Insuring the Post-Work Years 92
6 Social Insurance Prior to Work 112
7 The Special Case of Medical Insurance 127
Pt. III From Problems to Proposals
8 The New Social Insurance Contract 145
9 Social Insurance and Health Care 163
10 Unemployment Insurance 188
11 The Risk of Work Disability 210
12 Families with Children 227
13 Retirement Security 255
Pt. IV Institutions and Politics
14 Institutional Commitments 281
15 The Politics of Institutional Design 306
Epilogue 318
Budgetary Appendix 321
Notes 325
Index 359
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