More Bad News on Our Health Insurance Costs

Nearly 40 percent of Americans have delayed or skipped necessary medical care in the past year because they couldn’t afford it. How do we stack up to other developed countries? Dead last. Even the lowest-wage workers in places like Australia, New Zealand, and the United Kingdom are better able to afford their care than the average U.S. worker. The cost barriers to U.S. healthcare, laid out in a new report by The Commonwealth Fund, are hardly earth-shattering news. Large deductibles, a sharp rise in 2023 premiums, the high cost of prescriptions, spotty insurance options, and providers’ poor billing practices – the multitude of problems continue. Many Americans, regardless of how much they earn or the quality of their insurance, “hav…

November 9, 2023

Injured Workers’ Lost Income Adds Up to Thousands

On-the-job injuries, like layoffs, are life-altering events. A worker can lose tens of thousands of dollars in earnings over many years as a result, according to a new RAND study. The researchers used data from California’s workers’ compensation system to investigate what happened to injured workers’ earnings over a 14-year period. They were interested in the people whose injuries were serious enough to prevent them from working for a significant amount of time. These injured workers, who had either a temporary or permanent disability and received workers’ compensation, were compared with workers with minor injuries who didn’t miss any work or were out for fewer than four days. After their injuries, the workers with significant lost time earned $920 less…

November 7, 2023

Challenges of Being Homeless are Compounded by Age

Boston’s years-long struggle to deal with the homeless encampment of tents and an open-air drug market near what city residents call “Mass and Cass” – the intersection of Massachusetts Avenue and Melnea Cass Boulevard – is a testament to how intractable homelessness is. But on top of the difficulty of arranging housing in short supply in a high-cost city and addressing addiction, the problems facing the homelessness are compounded by age. One out of every three Americans nationwide who lacks housing is over 50. In Boston, the share of older homeless has been rising over the past decade as the baby boomer population gets older. Samara Scheckler, a researcher at the Harvard Joint Center for Housing Studies, said older peo…

November 2, 2023

Subminimum Wage for Disabled: Unpopular Yet Useful?

In 1938, President Franklin D. Roosevelt signed the Fair Labor Standards Act establishing the federal minimum wage. Yet Section 14(c) of the act allowed employers to pay people with disabilities less than the minimum wage. Under 14(c), these workers, who often have cognitive or intellectual disabilities, are earning as little as $4 or $5 per hour mainly through non-profit programs created to support them. This seems unfair from the perspective of the 23-year anniversary of the Americans with Disabilities Act giving people with disabilities the same rights as all other Americans. Advocates for the disabled like the Autistic Self Advocacy Network argue 14(c) should be repealed. This seems like the obvious solution until you consider what Laura Kovacovich’s mother has…

October 31, 2023

40 States Expanded Medicaid. The Benefits are Piling Up

In December, North Carolina will become the 40th state to expand its Medicaid program, providing health insurance coverage to some 300,000 more low-income workers, many of them for the first time. It has taken the states a decade to reach that milestone, despite generous funding from the federal government under the Affordable Care Act (ACA) to defray the cost of expanding Medicaid coverage. The states that agreed to expand their programs have added more than 22 million people to their Medicaid rolls. Most of the 10 states that are holdouts are in the South. They are not expanding their programs, despite Medicaid’s beneficial effects on Americans’ health, which have become widely recognized by politicians, policymakers and researchers. The Medicaid expansion provision…

October 26, 2023

Why Have Disability Awards Been Declining?

Every year for 24 years straight, the number of people receiving federal disability benefits increased, nearly tripling to around 9 million. In 2015, that trend suddenly reversed. The reversal is due both to more people exiting the program as the population ages and to fewer new people joining the rolls. The drivers behind this latter trend are less clear, so they were the focus of a new study. Siyan Liu and Laura Quinby at the Center for Retirement Research find that two factors accounted for the bulk of the recent drop in the number of new recipients of disability benefits. One factor is already widely recognized: a strong economy, post-Great Recession, provided more job opportunities for workers who have disabilities…

October 24, 2023

Correcting Misperceptions about Social Security’s Fate

Once a year, Social Security reports on the program’s financial outlook but the bottom line doesn’t change: the reserve in the trust fund is running out of money. Many workers and retirees go straight to the inaccurate worst-case scenario: retirement benefits will cease when the reserve is depleted. In fact, if Congress doesn’t address the looming shortfall – and there’s still time for that – the payroll taxes that fund benefits will keep flowing into the program. But the reserve is shrinking because it is being used to cover part of the benefits being paid to the growing ranks of retiring boomers. Once the reserve depletes, benefits will not be eliminated, though they will have to be reduced if Congress…

October 19, 2023

Profiling Retirees Who Carry too Much Debt

Not all borrowing is bad. Someone with a low-rate mortgage of modest size on an appreciating house has a very valuable asset. And some retirees pay off their credit cards every month without breaking a sweat. But about four out of every 10 older U.S. households are falling into the trap of having too much debt, a new study finds. These high-risk households, mostly retirees, tend to be burdened by low incomes or large balances on unsecured debt like credit cards, which accumulate interest at a rapid pace. Some are overleveraged and may be unable to afford their homes. The low-risk borrowers are their mirror image: no unsecured debt and relatively low debt payments and debt-to-asset ratios. The share of…

October 18, 2023

Many Couples Do Not Coordinate 401(k) Matches

Imagine a married couple. Both work, and their earnings are identical. But one spouse’s employer is matching every dollar of her 401(k) contributions up to a cap. The other spouse’s 401(k) match is only 50 percent. They could increase how much they are saving for retirement by contributing first to the 401(k) with the full match in this simple version of the myriad situations married couples face. But, according to a new study, one in four couples do not prioritize the more generous employer’s 401(k) matching funds. This lack of coordination may have a cost: the average couple who leaves match money on the table could give up nearly $700 in a year. That may not sound like a lot…

October 12, 2023

Criticisms of Medicare Advantage Marketing Continue

A recent blog about advertisements for Medicare Advantage policies brought a torrent of criticisms from our readers that…

October 10, 2023

A Use for Online Information You’re Sharing: Fraud

There is no end to the websites and phone apps requiring your phone number, email and other personal information as the cost of passage into the products and services they provide. Even some financial companies sell your data to third parties for a profit. But it is virtually impossible to see what happens after the fresh information you’ve handed over is attached to your existing profile in the netherworld of the cloud. New research confirms what many have suspected: some of your data is being used to rip you off. By comparing the fraud complaints filed by Android and iPhone users after Apple added a tough new security feature, the researchers, all business professors, found that the iPhone’s anti-tracking technology…

October 5, 2023

Why Blacks, Hispanics Contact Social Security More Often

In our high-tech world, virtually any transaction or communication can be executed online. Yet, despite the range of services that Social Security offers on its website, two-thirds of older Americans thinking about retiring or planning to start up their benefits speak directly to someone at the agency, either by phone or at a field office, at some point during the process. For years, the agency has allowed workers to create an online my Social Security account, which helps with retirement planning by laying out their monthly benefit levels, depending on the age they start. This is very useful information when workers are trying to determine how long they might want to wait before claiming their benefits, which can also b…

October 3, 2023