Americans are very generous to people with
disabilities. Since passage of the Americans With Disabilities Act in 1990,
millions of public and private dollars have been spent on curb cuts, bus lifts
and special elevators.
The idea has been to enable people with disabilities
to live and work with the same ease as others, as they make their way forward
in life. I feel sure the large majority of Americans are pleased that we are
doing this.
But there is another federal program for people with
disabilities that has had an unhappier effect. This is the disability insurance
(DI) program, which is part of Social Security.
The idea is to provide income for those whose health
makes them unable to work. For many years, it was a small and inexpensive
program that few people or politicians paid much attention to.
In his recent book, "A Nation of Takers:
America"s Entitlement Epidemic," my American Enterprise Institute
colleague Nicholas Eberstadt has shown how DI has grown in recent years.
In 1960, some 455,000 workers were receiving
disability payments. In 2011, the number was 8,600,000. In 1960, the percentage
of the economically active 18-to-64 population receiving disability benefits
was 0.65%. In 2010, it was 5.6%.
Some four decades ago, when I was a law clerk to a
federal judge, I had occasion to read briefs in cases appealing denial of
disability benefits. The Social Security Administration then seemed pretty
strict in denying benefits in dubious cases. The courts were not much more
openhanded.
Things have changed. Americans have grown healthier,
and significantly lower numbers die before 65 than was the case a half-century
ago. Nevertheless, the disability rolls have ballooned.
One reason is that the government seems to have gotten
more openhanded with those claiming vague ailments. Eberstadt points out that
in 1960, only one-fifth of disability benefits went to those with "mood
disorders" and "musculoskeletal" problems. In 2011, nearly half
of those on disability voiced such complaints.
It's A Job
"It is exceptionally difficult — for all
practical purposes, impossible," writes Eberstadt, "for a medical
professional to disprove a patient's claim that he or she is suffering from sad
feelings or back pain."
In other words, many people are gaming or defrauding
the system. This includes not only disability recipients but health care
professionals, lawyers and others who run ads promising to get you disability
benefits.
Between 1996 and 2011, the private sector generated
8.8 million new jobs, and 4.1 million people entered the disability rolls.
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