The Startling Rise of Disability in America

I caught some part of this story by Chana Joffe-Walt on NPR in the car and it amazed me. Unfit for Work: The startling rise of disability in America.

"Over and over again, I'd listen to someone's story of how back pain meant they could no longer work, or how a shoulder injury had put them out of a job. Then I would ask: What about a job where you don't have to lift things, or a job where you don't have to use your shoulder, or a job where you can sit down? They would look at me as if I were asking, 'How come you didn't consider becoming an astronaut?'

One woman I met, Ethel Thomas, is on disability for back pain after working many years at the fish plant, and then as a nurse's aide. When I asked her what job she would have in her dream world, she told me she would be the woman at the Social Security office who weeds through disability applications. I figured she said this because she thought she'd be good at weeding out the cheaters. But that wasn't it. She said she wanted this job because it is the only job she's seen where you get to sit all day. At first, I found this hard to believe. But then I started looking around town. There's the McDonald's, the fish plant, the truck repair shop. I went down a list of job openings -- Occupational Therapist, McDonald's, McDonald's, Truck Driver (heavy lifting), KFC, Registered Nurse, McDonald's. I actually think it might be possible that Ethel could not conceive of a job that would accommodate her pain."

"People on disability are not counted among the unemployed…But disability has also become a de facto welfare program for people without a lot of education or job skills. But it wasn't supposed to serve this purpose; it's not a retraining program designed to get people back onto their feet. Once people go onto disability, they almost never go back to work…People who leave the workforce and go on disability qualify for Medicare, the government health care program that also covers the elderly. They also get disability payments from the government of about $13,000 a year. This isn't great. But if your alternative is a minimum wage job that will pay you at most $15,000 a year, and probably does not include health insurance, disability may be a better option."

"Then I looked at the numbers. I found that the number of kids on a program called Supplemental Security Income -- a program for children and adults who are both poor and disabled -- is almost seven times larger than it was 30 years ago."

"Part of Clinton's welfare reform plan pushed states to get people on welfare into jobs, partly by making states pay a much larger share of welfare costs. The incentive seemed to work; the welfare rolls shrank. But not everyone who left welfare went to work. A person on welfare costs a state money. That same resident on disability doesn't cost the state a cent, because the federal government covers the entire bill for people on disability. So states can save money by shifting people from welfare to disability."

Ezra Klein interviewed Chana Joffe-Walt