Broadband in High Disability Areas is Subpar

The Internet has become a necessity in our modern society. Yet 42 million Americans live in areas of the country where the connections to technology are subpar or, in extreme cases, nonexistent. At the same time, federal and state governments are increasingly relying on people to interact with them online. This mismatch between a growing reliance on the Internet and a lack of easy access is a problem for one especially vulnerable population: people with disabilities. Without access to a fast reliable Internet connection, it can be very difficult to apply online to Social Security for disability benefits or to file the periodic reports the agency requires of people who are receiving them. In a recent report, the Urban Institute found that counties…

February 23, 2023

Burden of High Rents Surged during COVID

As the bad first two years of the pandemic recede in the rear-view mirror, a new report reminds us how tough things got for renters. And the vast majority of the 1.2 million increase from 2020’s level was in the group that struggles the most: families who pay more than 50 percent of their income to rent a house or apartment. Two things were going on that have increased the burden on renters, according to a rent report by Harvard’s Joint Center for Housing Studies. First, rents rose unabated throughout the pandemic and are 25 percent higher than they were at the end of 2019. But the housing center points to a second factor that added to the burden: renters, who tend…

February 21, 2023

The Case for Signing a Power of Attorney

The best reason to set up a power of attorney for yourself or an elderly family member is to avoid a far more contentious and expensive alternative later: guardianship. A power of attorney becomes urgent if an elderly family member is showing early signs of dementia. “You want to run, not walk, to get that done because capacity tends not to get better,” said Jonathan Williams, an attorney with the Clarity Legal Group in the Raleigh-Durham, N.C., area. “Having good legal documents in place, if the person has the ability to execute them, can be helpful later on,” he said. In a power of attorney, the person signing the document agrees to name an agent, usually a trusted family member…

February 16, 2023

Mental Health Care is Crucial Disability Need

During the pandemic, calls to mental health hotlines soared. People in emotional distress learned that psychologists were booked months in advance or were completely unavailable. While COVID dramatized the need for mental health treatment generally, new research reveals how important being treated is to people with disabilities. Isaac Swensen and Carly Urban at Montana State University found that ready access to outpatient care slightly increases applications for disability benefits by working-age people under Social Security’s insurance program and by poor and marginally employed workers under the companion program, Supplemental Security Income (SSI). Mental illness in its severest forms can interfere with the ability to work, making some individuals eligible for federal disability assistance.  But to qualify, the Social Security Administration requires…

February 14, 2023

Health Insurance Increases Latinx Wealth

About one out of every five Latinx workers in this country lacks health insurance. The uninsured ratio rises to one in four in the states that have chosen not to expand their Medicaid programs to more low-income workers under the Affordable Care Act. The motivation for Josefina Flores Morales’ new research is that there’s more to health insurance than just medical care. It is also critical to individuals’ financial health, she argues, and broader insurance coverage in the Latinx community is an underappreciated way that the vast wealth gap between them and non-Latinx White workers could be reduced. Having insurance keeps people healthy so they can continue to work and is important for other financial reasons. Insurance reduces the size of medica…

February 9, 2023

Boomerang Kids Don’t Derail Their Parents

A popularized image of parents who struggle when adult children move back home is not shaping up as an accurate picture of the arrangements. Unemployment, divorce, college graduation – adult children in their 20s and 30s move back into a parent’s home for many reasons. And the parents can have all sorts of reactions, good and bad, to their boomeranging kids. Some parents get stressed out by young adults who return home because they need financial support. Others welcome having the kids back to pad the empty nest, help with household chores, or help pay the bills. The return home isn’t necessarily a one-time thing either. “As they attempt to gain financial independence, adult children may alternate between living on…

February 7, 2023

Student Debt Plan Helps Black Retirees

For the sliver of retirees who are far behind in paying their own or their children’s student loans, Social Security can withhold part of their benefits to pay the loans back. But college has gotten much more expensive since the baby boomers attended, and loan delinquencies are higher among working people and especially Black Americans. When today’s Black workers retire, their estimated household delinquency rate will be 5.4 percent – well more than double the rate for White and Hispanic retirees. The question is how withholding Social Security benefits will impact the financial security of these future retirees. In cases where the federal government withholds some benefits, it garnishees the lesser of 15 percent of a delinquent borrower’s monthly retirement…

February 2, 2023

Employers Routinely Avoid Paying Overtime

Walk into a restaurant, retail store or hotel, and you might encounter a manager who seems to be doing the same tasks as the people he’s managing. Maybe you’re in one of those jobs. A lawsuit by employees against a retail store revealed how meaningless the title of manager can be: the store managers were “stocking shelves, running cash registers, unloading trucks and cleaning parking lots, floors and bathrooms.” Hardly the types of responsibilities that go with overseeing one’s coworkers. The employees were suing for overtime pay under a Depression-era federal law to receive back pay for overtime when they worked more than 40 hours per week. Employers are exempt from paying overtime under this rule, however, if the employ…

January 31, 2023

Middle Class Gets the Most from Medicare

The net benefit of the programs to the middle class dwarfs the $153,000 in average net benefits for retired households in the top fifth of the lifetime earnings distribution, and it also exceeds the $196,000 gain for the bottom fifth. The middle class is defined as the second, third, and fourth of the five earnings groups the researchers analyzed in this study. The annual data used to calculate the health spending and payment estimates for this analysis are adjusted for inflation. Second, the taxes the middle class pays to fund Medicare and Medicaid are less than is paid by the top earners. Middle-income workers and retirees have a lower marginal tax rate for the portion of their federal and stat…

January 26, 2023

Medicare to Cover 3 New Dental Procedures

“Is it medically necessary for a person to be able to chew?” Dr. Lisa Simon, a physician and dentist at the Harvard School of Dental Medicine, asks. This is a serious question for older Americans in fragile health. I know a 93-year-old man whose teeth problems make it extremely difficult for him to eat meat and many other foods on the dinner table. Two-thirds of retirees do not have dental insurance, which means they may decide to forgo getting expensive dental care. The importance of dental care to nutrition and health is also an equity issue for older Blacks and low-income retirees, who are more likely to be missing all of their teeth. Medicare has historically paid for very few dental procedures…

January 24, 2023

What’s Up with Medicare Advantage Ads?

Starting months before my 65th birthday, my mailbox has been swamped with advertisements for Medicare Advantage insurance plans. The ads are still coming in. And then there are the television commercials with promises of Advantage plan benefits that original Medicare doesn’t cover – vision, dental, hearing services, rides to doctors’ appointments, zero premiums. Sounds amazing, doesn’t it? The advertising blitz surely has contributed to the doubling in Advantage plan enrollment since 2013, to 28 million last year. The plans are overtaking Medigap plans, which the nonprofit Commonwealth Fund estimates do not bring in as much profit for brokers as Advantage plans. It is true that the vast majority of Advantage plans provide some type of vision, dental and hearing coverage. And retirees with these benefits in…

January 19, 2023

Great Depression Holds Lesson for Our Time

The researchers found that the stresses and financial strains on parents from the Depression’s extraordinarily high unemployment over a protracted period of time did long-term damage to the health and careers of their children that persisted late into their lives. In a separate but related paper, they also found that people exposed to the Depression in utero experienced an acceleration in the aging process after age 75. “The shock of the Great Depression was massive and everyone, no matter what group they belonged to, was to some extent impacted,” concluded the researchers, Valentina Duque and Lauren Schmitz. For a whole host of reasons, a parent’s loss of income and joblessness have a huge impact on their children’s development and socioeconomic status, which in…

January 17, 2023