Week 7 Discussion

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Social Security Origin
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The New Deal: Old Age Insurance (OAI) in the Social Security Act of 1935, OASI (survivor's insurance) in 1939
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Type of SS insurance
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A pure transfer program, not individual retirement accounts or savings (week 4). It's a defined benefit plan.
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Financing of SS
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contribution-based (not need based) A) the FICA payroll tax B) Employer's contribution C) the FICA tax covers both contributions to OASDI and health insurance programs (primarily medicare) D) Total FICA tax rates are 7.65% E) Regressive Tax F) Pay as you go
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Benefits of SS
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1) It's progressive 2) The "earnings test" 3) Benefit adjustment
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Programs impacts of SS
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A) Distribution analysis B) Behavioral response analysis
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Size of SS
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Largest share of annual expenditures on entitlement programs
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Medicare Origin
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Great society: SSDI (disability insurance) and Medicare in 1965
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Benefits of Medicare
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Part A: is paid for by a portion of Social Security tax. It helps pay for inpatient hospital care, skilled nursing care, hospice care and other services. Part B: is paid for by the monthly premiums of people enrolled and by general funds from the U.S. Treasury. It helps pay for doctors' fees, outpatient hospital visits, and other medical services and supplies that are not covered by Part A. Part C: (Medicare Advantage) plans allow you to choose to receive all of your health care services through a provider organization. These plans may help lower your costs of receiving medical services, or you may get extra benefits for an additional monthly fee. You must have both Parts A and B to enroll in Part C. Part D: (prescription drug coverage) is voluntary and the costs are paid for by the monthly premiums of enrollees and Medicare. Unlike Part B in which you are automatically enrolled and must opt out if you do not want it, with Part D you have to opt in by filling out a form and enrolling in an approved plan.
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Parts of Medicare
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•Medicare Part A, Hospital Insurance; •Medicare Part B, Medical Insurance; •Medicare Part C (Medicare Advantage), which was formerly known as Medicare + Choice; and •Medicare Part D, prescription drug coverage.
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Unemployment Insurance
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1. Narrowly targeted groups 2. Various eligibility and benefits across state with basic requirements for all states. 3. Higher risk population are not necessarily covered.
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Child Support
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1. NOT a public transfer but a private transfer between households. 2. NOT a social insurance program.
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Origin of Child Support
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AFDC cases (1984+), all parents regardless of income (1984+); mandatory wage withholding and guidelines (1988+)
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Preconditions for TANF block grants
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Paternity and CS collection programs
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Requirements for custodial parents on welfare
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cooperation and assignment of rights to CS to the state
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Guidelines for Child Support
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vary by state; income shares in 38 states and percentage of obligor income in 10 states
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