Vice President Kamala Harris and her running mate, Governor Tim Walz, have proclaimed, “We’re not going back!” Seniors and our families agree. We are definitely not going back on Social Security, Medicare, or drug prices. Rather, we are going forward. Forward to expanded Social Security, expanded Medicare, and lower drug prices.
We’re not going back to half of all seniors with below-poverty incomes. Before Social Security, people worked as long as they could, but the fast pace of many jobs “wears out its workers with great rapidity,” a commentator noted in 1912. “The young, the vigorous, the adaptable, the supple of limb, the alert of mind, are in demand,” he explained. “Middle age is old age.”
Once a job was lost, an older worker could seldom find a new one. Parents, as they aged, routinely moved in with their adult children. Those who had no children or whose children were unable or unwilling to support them wound up in the poorhouse. Literally. The poorhouse was not some ancient Dickensian invention; it was a very real means of subsistence for elderly people in the world before Social Security.
When Social Security became law, every state but New Mexico had poorhouses. The vast majority of the residents were elderly. Most of the “inmates,” as they were generally labeled, entered the poorhouse late in life, having been independent wage earners until that point. In 1910, a Massachusetts Commission found that 92% of the residents entered after age 60.
The poorhouse was a fate to be dreaded. Even in as progressive a state as New York, the conditions were abysmal. In 1930, the New York State Commission on Old Age Security found that “worthy people are thrown together with whatever dregs of society happen to need the institution’s shelter at the moment…Privacy, even in the most intimate affairs of life, is impossible; married couples are quite generally separated; and all the inmates are regimented as though in a prison or penal colony.”
A return to that may seem impossible, but it is not. If Social Security did not exist today, more than 40% of those aged 65 and over would once again have below-poverty incomes.
We’re not going back! Before Social Security, the death of one parent frequently meant the breakup of a family. Orphanages housed children with a living parent who had been unable to afford them, when the other parent died. People who became disabled and could no longer work routinely could be found begging in the street.
Those families now have guaranteed monthly benefits, thanks to Social Security, which lifts almost a million children and more than 5.3 million adults between the ages of 18 and 65 out of poverty. And our Social Security system lessens the depth of poverty for millions more.
But Republican politicians want to take us back. They have put out plans that not only would cut Social Security, but end it as we know it. We cannot let them take us back.
Instead of going backwards, we can and must go forward. Vice President Kamala Harris and her Democratic Party have plans to expand Social Security for seniors, for those with disabilities and for families experiencing the death of a provider.
In fact, when Harris was in the Senate, she was an original cosponsor of the Social Security Expansion Act, and when her running mate, Governor Tim Walz, was in the House of Representatives, he was an original cosponsor of the Social Security 2100 Act. Both bills expand benefits across-the-board, update the cost of living adjustment, so benefits don’t erode over time, expand benefits in other important ways, and ensure that those benefits can be paid on time and in full for the foreseeable future, by requiring the uber-wealthy to pay their fair share.
And we’re not going back to a time without guaranteed government-provided health insurance for seniors and people with disabilities. Before President Lyndon Johnson signed Medicare and Medicaid into law in 1965, most seniors were not able to find health insurance at any cost. For those who could, the coverage was inadequate and the cost was exhorbitant.
We can and must go forward. Harris and her Democratic colleagues want to expand Medicare. The essential benefits of vision, hearing and dental services must be added and the need for supplemental insurance must be eliminated. And Medicare should be extended to children and all ages in between.
We’re not going back to Big Pharma ripping off Medicare beneficiaries. For years, politicians promised to rein in Big Pharma and empower Medicare to negotiate lower prescription drug prices. The Biden-Harris administration got it done.
Republicans want to take us back. They want to end Medicare as we know it. They want to replace it with vouchers, forcing seniors to fend for themselves in a hostile marketplace. Additionally, they have promised to repeal the Inflation Reduction Act and let Big Pharma charge whatever outrageously high prescription drug prices they decide. We’re not going back to Medicare beneficiaries paying more than $35 per month out-of-pocket for insulin. We’re not going back to Medicare beneficiaries paying more than $2,000 out-of-pocket per year for Medicare Part D prescription drug spending.
Instead, we will go forward to a future of even lower prices for even more prescription drugs. And that future must include providing those lower prices for all Americans.
We’re not going back to a world without the Affordable Care Act. We’re not going back to a world without Medicaid expansion, without coverage for “pre-existing conditions.”
That is just some of what is at stake in November.
We’re not going back to a world where Republicans hand out tax breaks to billionaires. We want to protect Social Security and expand benefits, paid for by requiring billionaires and other uber-wealthy to pay their fair share.
Social Security Works is proud to stand with Vice President Kamala Harris and Governor Walz in the fight for freedom. The freedom to retire with dignity and independence. The freedom to get the medical care we need. The freedom to get the drugs our doctors prescribe.
If you too are determined to not go back on these important freedoms, the choice in November is clear. Let’s unite and usher in a future that takes us forward together.
Nancy J. Altman is a writing fellow at the Independent Media Institute. She has a 40-year background in the areas of Social Security and private pensions. She is president of Social Security Works and chair of the Strengthen Social Security coalition. Her latest book is The Truth About Social Security. She is also the author of The Battle for Social Security and co-author of Social Security Works! Follow Altman on Twitter @SSWorks. This appeared at CommonDreams.
From The Progressive Populist, September 15, 2024
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