Understanding Social Insurance: Fairness, Affordability, And The ‘Modernization’ Of Social Security And Medicare

The United States is currently trying to manage a fast-moving public health crisis due to the coronavirus outbreak . The economic and financial ramifications of the outbreak are serious. This Working Paper discusses these ramifications and identifies three interrelated but potentially conflicting policy priorities at stake in managing the economic and financial fallout of the COVID-19 crisis: (1) providing social insurance to individuals and families in need; (2) managing systemic economic and financial risk; and (3) encouraging critical spatial behaviors to help contain COVID-19 transmission. The confluence of these three policy considerations and the potential conflicts among them make the outbreak a significant and unique regulatory challenge for policymakers, and one for which the consequences of getting it wrong are dire.

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“… See, e.g., Lester (2001);Willett (1951) 14Krueger & Mayer (2002).15 Marmor & Mashaw (2007);Oei (2012).16 Oei(2012).…”

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confidence: 99%

Regulating in Pandemic: Evaluating Economic and Financial Policy Responses to the Coronavirus Crisis

et al. 2020

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“…Yet fairness considerations in health care and social insurance have become a rather contentious and politically charged issue [35]. With regard to work integration, and work capacity assessment in particular, fairness considerations play a crucial role as well, because the legitimacy of any disability determination system is predicated on it being perceived by disability claimants as well as the wider society as producing fair, objective, and reliable outcomes [4].…”

Section: Discussionmentioning

confidence: 99%

Impact of legal regulations and administrative policies on persons with SCI: identifying potential research priorities through expert interviews

Trezzini

Phillips

2014

Disability and Rehabilitation

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“…There is a prevalent and reasonable concern that an increasing reliance on private plans might fracture and therefore weaken Medicare's constituency, leaving it unable to defend against the retrenchment of either traditional Medicare or MA (Hacker 2002;Marmor and Mashaw 2006;Morgan and Campbell 2011). If Medicare's greatest line of defense against retrenchment is the unified constituency created by the original all-in-the-same-boat structure of Medicare, then each senior who enrolls in a Medicare Advantage plan fractures that constituency just a little more.…”

Section: Concentrating Enrollment and Political Influencementioning

confidence: 99%

Mistaken for Dead: The Affordable Care Act and the Continued Resilience of Medicare Advantage

Kelly¹

2015

The Forum

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In 2009, Medicare Advantage became a prime target in the Obama Administration's efforts to pay for the Affordable Care Act (ACA). After securing substantial cuts to a program the President described as a failure, the Obama administration was compelled to take unprecedented administrative steps to put billions of dollars back into Medicare Advantage. These developments demonstrate how Medicare Advantage's support constituency, which has come to include Democrats, Republicans, beneficiaries, and the managed care industry, has maintained more political influence in the aftermath of the ACA than some initially believed. The continued and growing influence of the Medicare Advantage constituency does not, however, mean that Medicare is primed for a more conservative turn toward vouchers or premium support. With the provision of generous benefits and increasing evidence that Medicare Advantage produces higher quality health outcomes than traditional Medicare, Medicare Advantage appears to be secure in its current form.

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Understanding Social Insurance: Fairness, Affordability, And The ‘Modernization’ Of Social Security And Medicare

Cited by 33 publications

References 8 publications

Regulating in Pandemic: Evaluating Economic and Financial Policy Responses to the Coronavirus Crisis

Regulating in Pandemic: Evaluating Economic and Financial Policy Responses to the Coronavirus Crisis

Impact of legal regulations and administrative policies on persons with SCI: identifying potential research priorities through expert interviews

Mistaken for Dead: The Affordable Care Act and the Continued Resilience of Medicare Advantage

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