May 16, 2012
May 16, 2012
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Ohioans are struggling through economic slumps and recoveries with less help than in the past, according to this report. The safety net that used to ensure basic needs were met is in tatters, and needs to be updated for today's challenges. This study is based on surveys of 150 non-profit groups that serve more than 100,000 Ohio families, and of 2,000 northeast Ohioans who have needed help affording food, clothing, day care and other essentials during the recent recession. It also analyzes public policy decisions that have affected modest-income families.
This report, analyzing the results of two surveys and a policy review, finds a tattered social contract in need of updating. Many Ohioans are not able to meet their family needs despite hard work. The social contract no longer ensures provision of essentials.
In 2010 and 2011, Policy Matters Ohio conducted two surveys, one of 150 non-profits serving more than 100,000 Ohio families and one of 2,000 northeast Ohioans who use social services. The surveys found:
American productivity increased by 112 percent between 1968 and 2008, but wages have been stagnant. Families have also sent more adults into the workforce but that has not been sufficient to meet basic needs. Other findings on returns to work include:
Because the workplace does not help all families escape poverty, state and federal programs have been set up to provide opportunity and security to Ohio families. These essential programs relieve poverty, but leave far too many behind. Among the study’s findings about the safety net are:
Much of the way that we provide security and assistance to families is through the tax code, but that assistance is skewed toward the upper middle class and wealthy. The home mortgage deduction costs the U.S. treasury $103.7 billion a year and provides more assistance to those purchasing more expensive homes. Deductions for retirement savings cost $108.2 billion annually and are of greater assistance to upper middle-income and high-income earners who can afford to save more. The Earned Income Credit, targeted toward poor and moderate-income working families, costs just $55.1 billion a year. This credit helps working families and is now the nation’s largest poverty relief program, lifting 6.5 million working families out of poverty each year.
In all, our survey found that Ohio families are struggling despite working and our review of policy found deep retrenchments in the social contract. If American families are to meet their own needs, we will have to ensure that either work or policy does more to bring about opportunity and security.
In 1934, at least 50 percent of the elderly in America did not have enough income to support themselves, according to estimates. Fast forward more than 75 years, and the nationwide poverty rate among the elderly is now below 9 percent. What happened? In part, America’s economy grew steeply over this period and we became a much wealthier nation. But not all social ills were so well controlled by the growth in our economy. The incredible progress on elderly poverty occurred because we decided, as a nation, to set up a strong structure to address poverty among older adults. We passed the Social Security Act, which ensured that Americans who worked and their spouses would be supported after retirement. Thirty years later, we strengthened it with the passage of Medicare, which helped ensure that retirees’ medical expenses would be covered.
During this country’s worst economic crisis on record, Americans acknowledged the shortcomings of the traditional sources of economic security, such as “assets, labor, family, and charity,” and demanded a government response. Business, government, workers and citizens worked together to create a social contract that would better ensure lifelong relief from poverty for Americans. We always liked wealth building, but for much of the twentieth century we used some our substantial wealth to do a better job of providing for most Americans’ well being. The workplace was always envisioned as the main source of support. For many workers, wages or salaries were complemented by employer-provided health insurance and employer-provided retirement plans that often offered defined benefits for as long as workers lived. But where support through the workplace fell short, Americans created Social Security and later Medicare for retirement security; cash, food and health assistance for poverty defense; and other strands in a safety net that was never perfect, but that increased opportunity and security for our families.
Over the last thirty years however, workers have been exposed to great vulnerability as jobs have been lost and employers have discarded benefits, or forced employees to contribute at rates they cannot afford. On the government side, many programs have been weakened and in some cases dismantled, forcing families to rely upon charity to make ends meet. The notable exception is the Earned Income Credit, which has expanded and provides substantial assistance to many working families with children, and the Patient Protection and Affordable Care Act, which hasn’t been fully implemented but will expand an important part of the safety net.
Despite the weakened social contract, our public supports continue to sharply reduce poverty, do much to enable that people get health care, assist in purchasing necessities, help out when work is not available or possible, and in other ways enable our communities to function. One in six Ohio residents receives Social Security. The program is best-known for assisting retirees and their spouses, but also helps some with disabilities and some survivors whose wage-earning parent or spouse died. Social Security lifted 859,000 Ohio residents (including 47,000 children) out of poverty, on average, each year from 2007 to 2010. And in the midst of the deep slump in 2011, the federal Supplemental Nutrition Assistance Program provided a lifeline for nearly one in six Ohioans.
During and after the Great Depression, policymakers realized that for American business and workers to thrive, we needed to make sure that our growing prosperity included working people. Many business leaders understood that they needed well-educated workers and therefore needed a strong public school system. They also knew that if they wanted workers to take jobs where they could be laid off or there was a risk of being injured, such as in manufacturing and the skilled trades, then there had to be protection against unemployment and injury. Out of that recognition grew our unemployment and workers’ compensation systems. Many employers decided that if they wanted peaceful and profitable workplaces and a good customer base, they had to share some of the growing prosperity with the workers who were producing that wealth. Throughout the middle of the twentieth century, in the U.S. and in Ohio, broadly growing prosperity translated into broadly rising living standards and increased well being and security for families across the income range. While inequality existed – indeed often exceeded levels in other advanced industrialized countries – it was still the case that poor and wealthy families alike were seeing income growth. The social contract always worked best for educated white male workers, but many Ohio families were able to enjoy growing wages, health insurance, and retirement security when they were working and to be buoyed by unemployment compensation and the social safety net if they lost their jobs.
This paper examines the strengths and weakness of our current social contract, how it compares to the social contract of the past, and how we can ensure that the combination of public systems and private employment can lift families and communities to a stable life free from poverty. The first section, below, reviews the results of two surveys conducted in northeast Ohio. The second large section reviews the portion of well-being that is delivered through the labor market and how that has changed over time, homing in on wages, health insurance, retirement, sick days, medical leave, and labor law enforcement. The third large section looks at how the public sector was tapped to provide some of what the labor market didn’t, including cash assistance, elderly assistance, health care for some, food assistance, unemployment insurance and some help with housing and child care – we examine, too, how these have changed over time. The fourth main section explores how we deliver much assistance through the tax code and how we might be surprised at who benefits most from that help.
II. Non-profits and clients speak out
To better understand the impact of the economic downturn on Ohio nonprofits and the clients they serve, Policy Matters conducted two surveys over the course of the past year – one of non-profit leadership and one of clients.
The nonprofit survey sampled 150 health and human service nonprofits located in Northeast Ohio between September 2010 and January 2011. In total, the nonprofits that were surveyed assist more than 100,000 individuals or families a year. The survey yielded a response rate of approximately 33 percent. Figure 1 below displays the diversity of the respondent organizations, many of which serve multiple needs in the community.
These entities have long been part of the fabric of social life in northeast Ohio. Between 2008 and 2011 most of these nonprofits saw enormous increases in their caseloads. While on average caseloads increased 60 percent, organizations that provide emergency food and housing assistance saw the greatest increase in demand for their services, with caseloads expanding 50 to 300 percent. The survey confirms that emergency food banks are increasingly becoming a lifeline for clients in need. Nonprofits indicated that when clients lose eligibility for public programs, most seek help from food pantries and food banks and some turn to shelters and religious institutions.
Most organizations coped with greater community need by adding staff, demanding more of existing staff, or increasing programs. However, some nonprofits were forced to limit or ration services, and some organizations provided services at a loss. The majority of respondents indicated that government funding in various forms has been the most helpful public sector response. Others reported that government assistance in the form of delivery systems, such as the Benefit Bank and food pantries, has been helpful. However, respondents overwhelmingly agreed that funding cuts have been the most problematic government reaction.
The survey also sheds light on the ways that clients who depend on social services cope during an economic downturn. The results demonstrate the desperate situations that individuals and families are facing. When asked how their clients manage if they unable to make ends meet, the nonprofits indicated that the individuals and families they serve are likely to:
According to our survey, organizations support a variety of policy changes for their clients. As Figure 2 indicates, nonprofits favor improved healthcare affordability, increased funding of safety net programs, workforce development and training, and more. Because the question was open-ended, respondents chose a range of answers, but the answers nonetheless coalesced around better funding.
To flesh out what non-profit leaders were saying, in 2011 Policy Matters asked the Cleveland Sight Center to help survey 2,000 clients of three northeastern Ohio nonprofits that provide housing, financial, and tax counseling to low-income families. The survey asked the clients about their work, wages, benefits, and how they have weathered the recession.
The results demonstrate the extent to which the economic downturn has impacted low-income families. These were largely working families – only 8 percent of respondents said they were unemployed. Nonetheless, nearly a third of respondents lost a job during the previous year, and more than two-thirds reported that their hours, wages, or tips were reduced during that time. These households were living on modest incomes – about 80 percent of the respondents said they earned $30,000 or less. Although they were struggling financially, respondents had made efforts to be financially secure. Of those who responded, nearly all had a high school degree or GED. Nearly 30 percent had some college education or an associate’s degree, and 17 percent indicated that they had a four-year degree.
One of the biggest problems revealed by the survey was inability to access health insurance. Even though 92 percent of respondents were employed, only about one in five had health insurance through their employers. About another one in five got coverage through Medicare/Medicaid. Some purchased private insurance, despite their modest incomes, but more than 40 percent of the respondents said they did not have adult health insurance, and 36 percent indicated that the children in their household did not have health coverage.
The survey found that health care costs were rising and that costs were a barrier to getting the medication that patients were supposed to take. A substantial majority said they had not filled prescriptions because they lacked money, and about half said their health care costs had increased. Some families are leaning on free clinics and emergency rooms to meet healthcare needs; 14 percent said they had used a free clinic in the past, and over a third of respondents said they used urgent care or an emergency room.
A smaller but still alarming percentage of respondents faced issues with food security. More than one in five respondents reported that they often skipped meals or went hungry because there wasn’t enough money to buy food. More than 25 percent of respondents relied on family or friends for free food because they did not have money to purchase food. Some reported that they could not access government assistance – 11 percent said they needed food assistance but did not qualify. Only 18 percent of respondents were currently on food assistance/stamps, and 17 percent were referred to agencies for free food.
With regard to finances, the survey sheds light on challenges families face in building assets and saving for the future. More than 75 percent of the respondents had a checking account, savings account or both. However, a majority of respondents also indicated that they relied on a payday loan or a check-cashing service during the previous year. Saving money was a priority for nearly a third of respondents, who said they put money into a savings account during the past year, and 18 percent indicated they would like a savings plan with resources and tips on saving money. However, when it comes to saving for retirement, only 4 percent said they put money into retirement savings. And nearly half (44 percent) of respondents said they have “overwhelming debts.”
The survey revealed that a large majority of the respondents had filed taxes previously, with almost half indicating that they had their taxes prepared at a free tax site. Among those who took advantage of the free services and obtained a refund, one in five reported saving the money. Over half used the credit to pay utility, credit card and other bills. One in four used the refund to pay rent or a mortgage, and nearly a quarter reported that they used the money for food.
The northeast Ohio surveys of clients and non-profit organizations confirm that low-income families need the services that the public and non-profit sectors provide. Many families can’t find work, as large public surveys show, but even those who are working are not consistently able to meet their families’ needs through their workplace compensation and benefits. But the surveys also reveal a social contract that is badly frayed – while families, including working families, need help with health insurance coverage, housing, food costs and other essentials, they are not always able to get it. Not-for-profit organizations have doubled and sometimes tripled what they are trying to do, but it is not sufficient. This paper now turns to examining how compensation and safety net programs have changed and what it has meant for families in Ohio and the U.S.
III. Working our way out of poverty
Americans place a high value on work. In 2003, 73 percent of Americans polled said that work was “extremely important” or “very important” in their life, ranking higher than friends, money, or religion. Across much of the political spectrum, 61 percent of Americans said they would continue working even if they won $10 million in the lottery.
Good jobs should provide a living wage and employment-based benefits that enable family security. If we had full employment in high-quality jobs, the need for much of the safety net would go away. However, many Ohio families are unable to obtain work or do not earn sufficient wages and benefits to support themselves and their families.
There are two large problems with the notion that families should support themselves through work alone however. The first is that we have never had universal employment in this country. Even in what is considered the best economic times, official unemployment typically remains above 4 percent. In recessions and recoveries, official unemployment can be much higher. Unemployment has fallen in 2012, a welcome trend, but 7.5 percent of Ohioans remained unemployed in March 2012, with rates much higher if we include those who have stopped looking. The second problem is that many jobs do not pay enough for a worker and a family to escape poverty or attain security. And increasingly jobs fail to provide health insurance, pension coverage and contributions to the other parts of compensation needed for a secure life.
While worker productivity has increased 112 percent since the minimum wage was enacted in 1968, wages have not kept pace. In fact, over the past 30 years, the United States has gone from a country where everyone saw income grow to a country where the very top of the income ladder has benefited the most while the typical workers’ wages have stagnated. Figure 3 below shows how the bottom 90 percent of earners and the top 1 percent saw roughly comparable income growth between 1946 and the late 1970s in percentage terms. Beginning in the 1980s, however, the figure shows that earnings of the top 1 percent shot up exponentially, at rates sometimes exceeding 300 percent annually, while earnings of the bottom 90 percent stayed roughly the same.
The result of this and other problems is that Ohio poverty was reported at a 30-year high of 15.3 percent in 2010. Ohio’s unemployment rate has improved in 2012 but remains troubling. Both the unemployment and the poverty rates are to some degree the result of our current weak economy. But other disturbing trends, like our dramatically growing inequality, continue through recessions and recoveries. Figure 4 shows how extreme inequality is on a national level when we separate out the very top earners. In 2009, the bottom 90 percent of families earned only $31,000 on average, the top 1 to 10 percent of families earned $164,647 on average, and the top 1 percent earned $1,137,684. Beyond that point, inequality spiked even more astronomically, with the top .01 to .1 percent earning more than $3 million on average and the top .001 percent earning a mind-boggling sum in excess of $27 million a year.
Ohio follows, to a much lesser extent, the nationwide trend of increasing inequality, although data on the very top earners at the state level is not available. Still, available data shows that the state’s richest 20 percent of families have average incomes over six times that of the poorest 20 percent. Between the late 1980s and the mid-2000s, the richest 5 percent of families saw average income increase by $2,599 annually, compared to the poorest fifth of families only experiencing an average income increase of $112 per year.
In short, despite overall economic growth, many working people have seen stagnant or falling wages and many are unable to find work at all. Increases in costs for necessities like health insurance, child care, and care for the elderly have meant that incomes go less far than they used to for housing and the essential services, like child care, elder care and health care, that today’s sandwich generation needs. While wages have been stagnant, benefits through the workplace have often worsened and economists have discussed a “new normal” in which higher unemployment levels are likely to persist longer into recoveries.
Some argue that employers should be held to a higher standard and should provide workers with reasonable wages and benefits. Others instead say that the public sector should intervene and ensure that Ohioans can get the income and benefits they need if they are working or trying to work. What is clear is that the shredded safety net combined with lower employer expectations have combined in a way that leaves Ohioans too vulnerable.
Over thirty percent of American workers are contingent workers – temporary workers, self-employed or independent contractors – and as a result are not protected by labor laws, such as the Fair Labor Standard Act and Employee Retirement Income Security Act. This means they can be left out of benefits, regulations and safety net programs including unemployment insurance, workers’ compensation, overtime, vacation, minimum wage, health and safety regulations, family and medical leave, and Social Security.
Employers trying to reduce costs and evade taxes deliberately misclassify many workers. By misclassifying workers, these employers avoid paying full taxes, and avoid contributing to workers compensation and unemployment. Worker misclassification deprives the unemployment insurance system of an estimated 7.5 percent of its revenue each year. When these workers get injured or lose their jobs, they are not eligible for the benefits that appropriately classified workers can claim.
Even properly classified workers are sometimes not fully protected under the law. Most labor enforcement is based on a complaint system rather than an audit system, which places the burden on the worker to report violations. Many workers are not willing to report violations for fear of retaliation or losing their jobs. Government studies have found that between 50 and 100 percent of employers in the garment, nursing home and poultry industries are in violation of work wage and hour laws. Ohio has just six wage and hour investigators on its state staff – less than one investigator for every 728,000 Ohio private-sector workers.
In 1983, 70 percent of employees age 56-64 had defined benefit retirement plans, which are plans where the employer pays the employee a fixed amount, no matter the status of the market. By 2001, less than half of employees in the same age group had this type of retirement plan. Instead, many employers now avoid paying retirement benefits of any kind, or instead use defined contribution retirement plans. With defined contribution plans, employers and employees can contribute to a retirement plan, but there is no guarantee that benefits will be sufficient – it depends on how much is put in, the performance of the stocks in which funds are invested, and the strength of the stock market at the time of withdrawal. The risk shifting places families at risk of losing significant retirement funds if they need to retire at a market low point.
In 2007 only 60 percent of family heads of households had access to a job-related pension or retirement plan, and of those, only 55 percent were taking advantage of the plan. This means roughly half of the American workforce lacks access to an employer-based retirement plan and fewer than a third are able to use those plans. It is even worse for young and part-time workers: In 2009, less than half of young or part-time workers had retirement plans at work.
Health insurance is another necessity that has been largely tied to employment in the United States. While Americans are expected to rely on employers for health insurance, in the last three decades the number of employers that offer insurance has dropped sharply. In 1980 over 70 percent of Ohioans had private insurance from an employer; by 2011, only 57 percent had health insurance through their jobs. The result is that in 2010, nearly one in five working age adult Ohioans were uninsured.
Low-wage workers, those least able to purchase private insurance, face especially large barriers. According to the U.S. Department of Labor, only a quarter of low-wage earners had access to medical benefits in 2009, compared to 70 percent of all private-sector workers. Growing insurance costs make it increasingly unattainable for lower-income families. Indeed, in 2010 the average cost of a family insurance plan was $13,770, and the average worker’s share of the premium increased to 30 percent (more than $4,000).
Young workers also face significant barriers to obtaining health insurance. In a 2009 survey, 31 percent of young workers were uninsured, up from 24 percent in 1999. Of those without health insurance, nearly half said that they were uninsured because they could not afford their employer’s policy, and 31 percent reported their employer did not offer health insurance.
The situation will improve substantially once the healthcare reform’s Affordable Care Act takes effect in 2014. According to the Congressional Budget Office, by 2021 about 95 percent of legal nonelderly residents will have insurance (compared to about 82 percent without the legislation). The new law will enable individuals and employers to purchase insurance from health exchanges, will eliminate exclusion from coverage based on health status, and will assist more low and moderate-income families in paying for coverage. This is a rare step forward in an era of retrenchment for the social contract.
When workers get sick
Many workers do not have access to paid sick days. The U.S. only guarantees medical leave in accordance with the provisions of the Family Medical Leave Act. This leave is unpaid, in contrast to the policy in the 163 countries that have some form of paid sick leave for workers. In Ohio, 42 percent of employees do not have paid sick days, leaving 2.2 million Ohio workers who must work when ill or forego pay. Adults in families with children substantially increased their hours of work over the past generation, making it more likely that a sick child does not have a stay-at-home parent. Yet access to paid sick days has not increased and only 30 percent of workers can use paid sick days to care for sick children. This means more than 3.55 million Ohio workers would have to forego pay to care for a sick child.
In addition to the costs to working families, this has larger societal costs. Workers forced to work when ill can spread illness and put customers at risk, particularly in the restaurant industry. In one instance, a Chipotle restaurant employee in Kent, Ohio, who had norovirus ended up infecting over 500 people, costing the community between $130,000 and $300,000.
Adults without paid sick leave are more likely to use emergency rooms than standard doctors’ offices because the ER operates during non-work hours. One study on the costs of unpaid sick leave noted that in 2006, “nearly 4.4 million hospital admissions in the U.S., totaling $30.8 billion in hospital costs, could have been prevented with timely and effective ambulatory care or adequate patient self-management of the condition.”
IV. Public sector steps in
As outlined above, work in America is not enough for many workers. Our work-based system leaves us with outrageous inequality, high levels of poverty amid plenty, low levels of health insurance coverage, substantial numbers who lack retirement income, inadequate income even during work years to meet needs for many families, and no assurance of security when illness hits. Because of those inadequacies of the labor market, we have used public policy and public budgets to try to assist families. The social contract that was established was meant to have public policy provide necessities that employment couldn’t or didn’t provide.
A combination of state and federal programs provide opportunity and security for Ohio families. A key part of that is a safety net to help Americans who don’t earn enough through work to meet basic needs. This section assesses the strengths and weaknesses of these programs. As an overview, the strength of these programs is that they pull people out of deep poverty and provide necessities that families wouldn’t otherwise get. The flaw with many of these programs is that they sometimes provide only the bare minimum, often are not available to everyone who needs them, and have remained at a very modest level, even as our economy has grown dramatically. In some cases, despite a growing overall economy, these programs have become more restrictive and stingier.
For some of the poorest Ohio families with children, Ohio provides cash assistance. However, in 2008 only about one-fourth of Ohio’s poor children lived in a family that received cash assistance. The program is important in providing basic income to some of the neediest Ohio families, but it leaves 74 percent of poor children to survive without cash help beyond their poverty-level family earnings. Because of job loss and dramatic increases in poverty in Ohio, the state’s cash assistance caseload was third largest in the nation with an average of 102,446 families receiving assistance during the 2010 fiscal year – an increase of more than 30 percent over the level three years before. However, participation in cash assistance did not rise as much during the 2009-2011 slump as it had in previous recessions, in large part because restrictive program requirements rendered families ineligible despite needing assistance.
Cash assistance is considerably less common and more restrictive now than it used to be. Prior to 1996, individuals and families living in poverty were entitled to cash assistance under Aid to Families with Dependent Children (AFDC). However, in 1996 Congress eliminated AFDC and replaced it with Temporary Assistance for Needy Families (TANF). TANF eliminated cash assistance as an entitlement and instead provided a block grant to states. Congress placed a 60-month lifetime limit on federal assistance, but allowed states to provide extensions for up to 20 percent of caseloads.
The TANF program also requires participant engagement in “work activities.” Benefits are now tied to employment or school enrollment. However, many poor families can’t find jobs. This leaves many households without government assistance and without jobs. Nationally in 2010 there were 1.3 million single mothers who were both jobless and without any cash assistance.
According to the Center on Budget and Policy Priorities, some of these families face barriers to employment, including disabilities, children with disabilities, or lack of transportation or childcare. In this economic climate, even those without barriers to employment face problems meeting work requirements. In 2011, only 23 percent of Ohio TANF recipients were engaged in work activities, the lowest rate since 1997. A spokesperson for the Ohio Job and Family Services Directors’ Association attributed this to the recession, which has eliminated jobs. Making matters worse for working families, county funding cuts have forced layoffs and eliminated programs that provide education and job training, meaning that fewer recipients are getting the resources they need to obtain the limited number of jobs that are available.
Ohio also lacks sufficient funding to meet increased demand during this weak economy. As the state faces an increase in caseloads, drastic funding cuts are pending. For example, the Montgomery County Department for Child and Family Services (which administers Ohio Works First funds) received $17.2 million in TANF funds in 2009 but despite increased demand was projected to receive less than half of that by 2013.
Ohio no longer provides cash assistance to adults without children if they don’t qualify for unemployment compensation. General assistance, once provided to needy single adults without children, was abolished in 1995. At that time, the New York Times reported on previous reductions in general assistance (but not outright elimination) that, “researchers in Ohio and elsewhere have concluded that most former recipients simply totter on the edge of subsistence. With few job skills, and often with disabilities and addictions, they somehow just manage to get by, frequently with the help of the underground economy, family members and friends.”
Some may find it hard to believe that Americans skip meals, go hungry, or suffer from malnutrition, but they do. Now that cash assistance is time-limited and comes with work requirements, there are families in Ohio and the U.S. that have no cash income at all. The Supplemental Nutritional Assistance Program (SNAP), formerly the food stamp program, is the main way that the public sector tries to ensure that very poor families don’t go hungry, even if they don’t get cash assistance. This program provides low-income households with modest benefits to purchase food at authorized stores: in 2009 the average annual food stamp payment in Ohio was $1,105. The program is administered through the U.S. Department of Agriculture and state agencies determine eligibility and distribute the benefits via a card similar to a debit card. To qualify, a family of three must earn less than $23,800.
During the deep slump of the past three years, SNAP, modest as it is, has been increasingly relied upon as a safety net. Last year one in seven Americans was receiving SNAP, the highest share of the U.S. population on record, due in part to easing of eligibility guidelines, but also because of the weakened economy. Ohio has seen similar increases: According to USDA data, the average monthly participation in SNAP in Ohio “grew 44 percent to 1.66 million people in 2010 from 1.15 million in 2008.” As of June 2011, a quarter of residents in 70 of Ohio’s 88 counties were eligible for food assistance. The economic crisis stretched to suburbs: In Cuyahoga County the use of food stamps increased more than 20 percent in 22 suburbs between 2008 and 2010.
In many ways the SNAP program is a success. Unlike TANF, which is funded through block grants to states, the SNAP program is funded through the Farm Bill, which means the program can expand to meet increased need. Additionally, unlike other safety net programs, it is not tied to employment status, which means that, working or not working, families in need can obtain some assistance with SNAP benefits. The current caseloads reflect this difference; the TANF program caseloads increased 13 percent from December 2007 to December 2009, whereas SNAP caseloads expanded by 45 percent. SNAP’s expansion better reflects the increase in poverty and need during this recession.
Despite the strength of the SNAP program as a vital safety net for workers, the eligibility levels are quite low, and the benefits paid are small. Even so, the U.S. House of Representatives last year passed a proposal that would have reduced funding for the program by almost 20 percent and converted it to block grants to states. The proposal did not become law but its passage in the House gives a sense of how vulnerable the program is.
The SNAP program staves off hunger but provides just $1,100 per recipient per year on average, and cuts off eligibility at around $23,800 for a family of three. Pregnant women, infants and very young children are at particular risk for malnutrition, which can cause costly lifelong disabilities and deficits. To address this, the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) was established in 1972 as a program of the United States Department of Agriculture (USDA) for nutrition among low-income families. Pregnant women, postpartum women, infants and children up to age five are eligible if they are in a family earning less than 185 percent of the poverty line and if a counselor deems them at risk of malnutrition. It provides nutritious food, education at clinics, and referrals to other health services.
In 2010 in Ohio, 292,937 women and children received WIC and the average monthly benefit per person was $33.52. Modest as this figure is, participation has been associated with improved birth outcomes and lower Medicaid costs. This program too is under attack: The House appropriations bill passed in May 2011 would have slashed funding for WIC and would have ended assistance to approximately 9,700 to 14,600 Ohio recipients.
Over half a million Ohio children under age of six need childcare because their parents work. The cost is high: The average annual fee in Ohio for full-time center care of an infant is $7,761. For single Ohio parents with the median income of $21,538, the cost for one infant would comprise 36 percent of family income if they chose center-based care. To ease this financial burden and enable low-income parents to work, the federal government administers several programs aimed at improving affordability and quality of childcare, including the Child Care Development Block Grant (CCDBG), TANF and Title XX/Social Services Block Grants. The federal government is the primary funder of these programs (over $200 million), but the state also contributes $84 million to the CCDF, as well as $200,000 from the TANF block grant. While many needy families do not qualify, those that do benefit in several ways – quality of care can be increased, ability to work is made much more reliable, and income from work can stretch further.
Close to 30,000 Ohio families (with 51,000 children) receive assistance through these federally funded programs in the form of reduced childcare fees. An additional 50,000 children with family incomes below 150 percent of the poverty line can also get more modest state-level assistance. This assistance allows families to pay a smaller and more manageable fee for childcare. For instance, in 2010 an eligible family of three with an income at 100 percent of poverty ($18,310) would have paid 7 percent of family income or about $1,300 toward childcare and the program would have picked up the remaining cost.
The childcare assistance program is extremely helpful to those who qualify, even if childcare costs remain substantial for poor families. It also helps to improve quality. For instance, Ohio is one of 13 states that has established or is establishing a Quality Rating Improvement System (QRIS), which rates childcare programs and creates incentives for providers to improve their quality rating. Ohio established a QRIS in 2007, and already has 24 percent of licensed providers participating.
Ohio initially was able to avoid cuts to childcare programs by receiving federal block grants from Child Care and Development Fund (CCDF), including $207 million in 2011. However, these funds were only temporary, and instead of finding another source of revenue, Ohio leaders have slashed funding for vital services including childcare. Under the budget passed last year, the income-eligibility threshold was reduced from 150 percent of poverty to 125 percent of poverty (with an exception for those already receiving assistance). Those above 150 percent of poverty—for instance, a family of three making $27,980 a year (151 percent of poverty)— already didn’t qualify, and a family of three living on $23,348 a year (126 percent of poverty) will no longer be eligible. In addition to the stricter income requirements, the Ohio budget calls for reducing spending on childcare programs from $134.2 million in 2011 to $123.5 million in 2012.
The deep slump of 2009 to 2012 produced some of the worst unemployment levels since World War II. In 2009, the number of workers unemployed longer than six months was the highest since 1946. The unemployment rate among men soared; from May 2007 to May 2009, male unemployment increased 119 percent. In Ohio, as of March 2011, more than 400,000 workers were officially unemployed.
Unemployment insurance was created in 1935 with two goals: to temporarily replace involuntarily unemployed workers’ wages, and to promote economic stability by spurring consumer spending. In addition to helping workers make ends meet, unemployment insurance reduces chaos in workers’ lives and improves their chances of returning to work once the economy improves. Individuals who exhaust unemployment benefits before finding work are more likely to end up on Social Security disability and possibly Medicaid.
Federal-state unemployment insurance (UI) provides financial assistance to “eligible workers who are unemployed through no fault of their own (as determined under state law), and meet other eligibility requirements of state law.” Funding is based on an employer tax in all states – three states also allow employee contributions. To be eligible for unemployment insurance in Ohio, a worker must have been employed at least 20 weeks during the previous “base period” and must have earned an average weekly wage of at least $222. Typically the unemployed worker receives about two-fifths of previous pay for a limited amount of time. The time limits are generally extended for states experiencing high unemployment, or during times of economic downturn and the federal government pays for the extensions.
In 2009, unemployment insurance kept over 3 million Americans out of poverty. Despite this huge success, many unemployed workers are not eligible for benefits. Currently only a little more than a quarter of the unemployed (32 percent) collect state unemployment benefits. One problem is that unemployment insurance was designed to serve the needs of the demographics of that time, which was a workforce mostly comprised of married male breadwinners. Despite major workforce shifts and some modernization of the program, eligibility requirements have not been completely updated to reflect today’s worker demographics.
Workers who earn low wages or work part-time jobs often do not qualify for unemployment insurance in Ohio because they cannot meet base earnings and minimum-weeks-worked requirements. Workers in training programs qualify for benefits in some states but not in Ohio. Additionally, workers who need to quit work for “compelling family circumstances” (such as a spouse being transferred, a family member needing full-time care or a domestic violence situation) are ineligible for benefits because their job loss is categorized as “voluntary”. Overall, just 23 percent of unemployed Ohio workers qualified for benefits last year.
Under the American Recovery and Reinvestment Act, $7 billion was set aside for states that modernized their unemployment insurance. Ohio already enacted some modernization reforms years ago, including the policy of counting workers’ most recent earnings when applying for benefits, allowing the state to receive $88.2 million of the recovery act funds. Unfortunately Ohio did not fully modernize its system under either governors Strickland or Kasich, and consequently forfeited $176.3 million in federal funds.
States like Ohio also face financial challenges because they’ve underfunded their unemployment systems. Dozens of states (including Ohio) exhausted state unemployment funds and obtained federal loans to prevent disruptions in benefits. As a result, Ohio currently owes $2.3 billion in federal loan funds. The state has had to pay interest on this borrowing and has not yet come up with a long-term fix to the solvency problem. A key element of this solution should be to raise the share of wages that employers pay taxes on. However, state policymakers so far have shied away from the issue. Federal legislation was introduced to raise the taxable wage base and forgive debt for states that establish solvency plans, but it has not moved forward. In the meantime, as federal law requires, small tax increases covering all participating employers have begun and will grow each year.
The United States has traditionally done much less to ensure health insurance coverage than other wealthy countries. However, throughout the middle years of the twentieth century, many families were able to receive health insurance coverage through a family member’s workplace. For families where the main wage earner had retired, Medicare provided coverage, and for poor jobless families, Medicaid was a safety net. Over the last 30 years, however, coverage through the workplace declined and more low-wage families found themselves without coverage and unable to afford to purchase it. This section describes what is available and what will change with the newly passed Patient Protection and Affordable Care Act.
Medicare is the largest public health program in the country. Created in 1965 as Title XVIII of the Social Security Act, Medicare provides health insurance to people age 65 and older, regardless of income or health history. When the program was implemented in 1966, a little more than fifty percent of those ages 65 and above had hospital coverage, compared to almost universal coverage today. In addition to assisting seniors, Medicare was expanded in 1972 to cover people under 65 who have permanent disabilities.
As of 2009, 47 million Americans were enrolled in Medicare, and 16 percent of Ohioans received Medicare coverage. As of 2009, 40 percent of the Ohio recipients lived below 200 percent of poverty. For many elderly, Medicare provides “essential, but incomplete” protection against medical expenses. Gaps remain in coverage – for instance, Medicare does not cover long-term care, dental or vision – and as a result, most beneficiaries have some form of supplemental coverage. In addition, the program has high deductibles and cost-sharing requirements, no limit on out-of-pocket spending, and a gap in prescription drug coverage. Lastly, securing stable funding and maintaining a high quality of care as the population ages will remain a political battle. Nonetheless, this program is an American success story, providing solid coverage at lower cost than most private programs and eliminating fears about medical costs for many older Americans.
Medicaid provides public health insurance and long-term care coverage for eligible low-income individuals and for some with chronic disease or disability who private plans exclude. Importantly, Medicaid was designed to meet increased demand during an economic downturn; enrollment can expand based on need because the program does not allow waiting lists or enrollment caps.
Medicaid works well, but more Ohioans should qualify. Many parents as well as adults without dependent children are not eligible, unless they are pregnant or disabled. In addition, in most states lawfully-residing immigrants are ineligible for the first five years of residency. There are millions of low-income Americans who are currently not eligible for Medicaid. This will improve dramatically when additional parts of the Affordable Care Act take effect in 2014.
In Ohio, 18 percent of the population relies on Medicaid. The Affordable Care Act will expand Medicaid to cover individuals at 133 percent of poverty, increasing enrollment and spending (relative to the baseline) by an estimated 31.9 percent by 2019. In the meantime, the program must survive attacks by Congress. Under the House budget bill passed on April 15, 2011, Medicaid would have been converted to a block grant and funding reduced 49 percent by 2030. Although the attempt failed, it would have resulted in states having to raise taxes, cut other spending, or cap enrollment, tighten eligibility, and reduce benefits.
Medicaid is also vital for kids. A staggering one-third of children in the United States receive health coverage from Medicaid or Children’s Health Insurance Program (CHIP), and over half of all low-income children participate in one of the two plans. Medicaid provides health insurance for the poorest children, and CHIP fills gaps by providing care for children who are low-income but outside the eligibility range of Medicaid. In Ohio, a family at 200 percent of the poverty level is eligible for CHIP, and 265,680 children were covered in early 2011. Nearly half of all Medicaid enrollees are children. While the program reaches a large number of children living in poverty, 7.9 percent of children in Ohio were uninsured last year, and over a quarter of the state’s two-year-olds are not fully immunized.
In March 2010, President Barack Obama signed the Patient Protection and Affordable Care Act after a long, protracted battle to deal with our growing health insurance crisis. By the time the Affordable Care Act is fully enacted in January 2015, small businesses and individual Americans will be able to purchase health insurance through an exchange, employers who don’t provide coverage will be required to pay penalties, insurers will not be able to deny coverage for any reason or charge premiums based on health problems, and Medicaid will be expanded to cover more of the near-poor.  As we document significant erosion of the social contract, this law represents a rare reinforcement of the social contract and will go a long way toward reducing the insecurity of Ohio families.
Social Security provides economic insurance for families in the form of retirement benefits, disability benefits, life insurance benefits, and Medicare. The program was initially implemented in response to huge increases in poverty among the elderly. Even before the Great Depression, major demographic shifts including increased urbanization, reliance on wages rather than working the land, and a decrease in extended-family households that made the elderly especially vulnerable. It is believed that over half of the elderly in 1934 had insufficient income to support themselves.
Today, nearly one in six Ohioans receives Social Security. This crucial safety net lifts 859,000 Ohio residents out of poverty. While most beneficiaries are elderly, 47,000 Ohio children receive Social Security payments because a working parent who paid into the system died, became disabled, or retired. According to one estimate, without Social Security benefits over half of women aged 65 and older would be in poverty, whereas with Social Security that rate is reduced to 10 percent.
Despite its many successes, Social Security needs to modernize. The program is designed with a certain worker in mind – a male breadwinner who works full-time. The current system is also biased in favor of married couples, so those who are single or divorced do not fare as well as their married counterparts.
Additionally, because Social Security benefits are tied to employment, workers (primarily women) who have gaps in employment history or worked part-time suffer from lower retirement pensions. For example, women work 12 years fewer than men on average, resulting in less savings, fewer promotions and fewer pay raises over a lifetime. This combined with the fact that women live longer than men means that elderly women often deplete savings in order to pay for healthcare costs and have greater reliance upon Social Security.
Many Ohio families lack access to safe and decent affordable housing. According to the Coalition on Homelessness and Housing in Ohio (COHHIO), over a quarter million Ohio households spent more than half of their income on housing in 2010. A widely accepted formula deems housing unaffordable if it comprises more than 30 percent of a household budget.
The United States does not have a federal housing policy, in the way that it has food stamps, Medicaid, Medicare, Social Security, or even cash assistance (constrained as that now is). While federal and state programs help some low-income families, there is no guarantee, little consistency, and an extreme shortfall. Assistance peaked in 1978 and today is funded at about half that level. Meanwhile, the very low-income population grew from 10 million in 1978 to 16.3 million in 2005.
Public housing provides some eligible low-income families with access to a varied housing stock, including single-family homes and high-rise apartments. Public housing also acts as a crucial safety net for the elderly and the disabled: Two-thirds of families in public housing have a family member who is elderly or disabled.
Federal housing vouchers, such as Section 8, help some very low-income families secure housing by subsidizing the cost of rent above 30 percent of the family’s income. The voucher program is managed by a local public housing authority and lets renters live in privately owned housing. But the program has a waiting list and many eligible families cannot get any assistance.
Federal housing assistance helps only one in five low-income households in need. We provide much more to help financially secure families with housing than we do to help the neediest. Federally, approximately $230 billion supports home ownership, which benefits upper middle class and wealthy families disproportionately, while only $60 billion is focused on the rental sector. Even though extremely low-income renters comprise a quarter of all renters, 9 million extremely low-income renters currently compete for only 6.2 million affordable homes.
Because of a federal shift toward home ownership and a decrease in funding, state governments are increasingly called upon to fill the gaps. In Ohio, state-based programs such as the Housing Assistance Program and the Housing Trust Fund provide some housing assistance for low-income families. The Housing Assistance Program provides funding for emergency home repair, repair to make homes accessible to residents with disabilities, counseling and down payments for low-income individuals and families. In 2010 the program gave grants totaling $6 million and provided homeless assistance worth $20 million.
Ohio’s Housing Trust Fund was created as a result of a grassroots effort to improve housing conditions in the state. Ohio has one of the most vibrant Housing Trust Funds in the nation, the result of savvy negotiating by Ohio housing advocates. In 1990 voters approved Issue 1, a constitutional amendment making housing a public purpose, and a year later the legislature passed implementing legislation.
Today the Housing Trust Fund supports homelessness prevention, construction/rehabilitation of rental units and homeownership units and supportive services to low-income households. In addition to supporting families in need, the program helps Ohio’s economy. An analysis of the economic impact of the Housing Trust Fund found an extremely positive impact on the regional economy, ranging from a $2.31 return to a $14.54 return per dollar spent, depending on how the estimate is calculated.
Another way to help with housing is by making homes more energy efficient. A small number of poor families get this help. It’s a smart investment. The Weatherization Assistance Program, created in 1976, improves the energy efficiency of low-income households, helps lower rising home energy bills and improves home health and safety. The program got a huge boost under the 2009 American Recovery and Reinvestment Act, which allocated $5.1 billion to state weatherization assistance programs, including nearly $248 million to Ohio. Since July 2009, this program has created 1,000 jobs, weatherized 5,602 homes, and helped homeowners save an average of $350 a year (32 percent) on energy bills.
The program is a success as an economic investment, as a form of assistance to low-income families, and as a way of reducing carbon emissions. According to the U.S. Department of Energy, for every $1 invested in the program $2.73 is returned to the household and society, with $1.67 in reduced energy bills and $1.06 in non-energy benefits such as jobs, improved housing quality, and improved health and safety. In addition to saving homeowners money, the weatherization program addresses other issues in the home such as problems with unsafe combustion systems, mold or moisture.
The weatherization program only helps only a fraction of the families that could benefit from better weatherization. Those who do get assistance see long-term benefits, but many are left out. Overall, the weatherization program is extremely effective but it should be expanded to generate jobs, reduce pollution and help families lower their energy costs.
V. Help through the tax code – but who benefits?
Increasingly, the United States is delivering social benefits through our tax code. This is particularly true of programs designed to help with healthcare, child-rearing, retirement and home ownership. Benefits through the tax code include tax expenditures (such as deductions, which reduce the amount of taxes someone owes) and tax credits. Tax expenditures promote certain policies (such as home ownership, retirement saving or higher education investment) by allowing filers to deduct from taxes owed, reducing their tax bill and government revenue. Tax credits, on the other hand, apply against any taxes owed, and the difference (up to the full amount of the credit) is refunded to the taxpayer. Because low and moderate-income families typically do not owe as much in taxes, they often are not able to take full advantage of deductions.
Some tax policies, such as the Earned Income Credit, are extremely helpful to low- and moderate-income families. However, the federal tax code is largely skewed in favor of those who make $50,000 a year or more, which means many working families cannot access benefits that encourage asset building and developing wealth. Major changes are needed to develop a tax system that lifts more families out of poverty.
Table 1, below, lists the major federal tax deductions and credits that help individuals save or meet basic expenses. Retirement deductions are the biggest ticket item in terms of overall cost to the federal budget – in 2010 families with enough spare income to put money away each month for retirement were able to reduce their tax liabilities, in total, by $108.2 billion. This is an important public policy. Social Security benefits are modest and families need to save beyond Social Security to retire comfortably. However, wealthy and upper middle earning families benefit far more from this set of deductions than lower-middle or low-earning families.
At about the same cost, $103.7 billion, is the home mortgage deduction. This costly program is extremely helpful in enabling people to buy a home. However, as with retirement deductions, many of the principal beneficiaries are wealthier families. The ability to deduct the cost of a second home skews this program even further toward spending on the wealthy.
Coming in third in terms of overall cost to the government is the Earned Income Credit, which is targeted toward families of modest income. The cost of this, the government’s largest anti-poverty program, is less than a fourth of the cost of the retirement and home mortgage deductions combined, each of which vastly disproportionately benefits upper middle income and wealthy families.
Earned Income Credit
The Earned Income Tax Credit (EIC) is a refundable tax credit for low- to moderate-income working families. The credit aims to make work pay by countering payroll taxes and returning money to families. An estimated half of all families with children will receive the credit at some point. In addition to the federal EIC, 24 states and the District of Columbia offer state credits but Ohio does not. The credits assist working families with expenses and partially make up for the fact that most state and local taxes are regressive and consume a greater share of moderate-income families income than of higher income families. Because filers must work to claim the credit, the EIC is seen as encouraging work, and was expanded when welfare became more restrictive.
The EIC is now the country’s largest poverty relief program. In 2011, the credit lifted 6.6 million working families out of poverty, including 3.3 million children. In addition to reducing poverty, the EIC supplements low wages, encourages work, and attempts to balance a tax system that overwhelmingly supports the wealthy.For many, the credit is a lifeline. Survey data reveals that families use the credit to pay for groceries, clothing, household necessities, rent, mortgage payments, or to fix cars, invest in education or make home repairs.
A number of studies show that this tax credit is one factor behind increased workforce participation among the poor, especially single women with children. One study found that an approximate $400 EIC increase boosted employment rates by 3.2 percentage points.
While the EIC has proven successful on many grounds, there are ways that the tax credit could help more. First, we could put in place a state EIC, which would supplement the federal credit. Second, low-income households with children where both spouses work are often ineligible for higher credits, even if the parents earn low wages. We could encourage work by allowing exclusion of half the income of the lower-earning spouse, giving the family a larger credit and reflecting the greater expenses faced by two-worker households when compared to households with a parent available for child care, household chores, and other unpaid work in the home. In addition, childless workers aged 18-24 currently are not eligible for the EIC. Some suggest changing the eligibility age to 18, with a provision excluding full-time students.
Despite the success of the EIC, more should be done to make the tax code work for low- and moderate-income families – in total tax expenditures raise the income of the highest income by 13.5 percent, while only raising the income of the bottom fifth of earners by 6.5 percent.
The Child Tax Credit (CTC) provides parents with a qualifying income up to a $1,000 credit per child. The CTC is one of the largest refundable tax credits, with $54.4 billion in tax expenditures in 2010 . The credit has two components: a basic, non-refundable tax credit, and an additional credit that is refundable. Non-refundable tax credits can only be deducted against taxes owed, so families who earn too little to pay income taxes cannot benefit, even though they pay a disproportionate share of payroll taxes, sales taxes and other state and local taxes. Unlike the EIC, the CTC is only partially refundable, meaning that the filer receives a refund only if the credit exceeds the amount of tax owed. Families can get a refund equal to 15 percent of earnings above $3,000, and up to $1,000 per child.
In 2009 the CTC lifted 2.3 million people above the official poverty line, including 1.3 million children. Despite this, the CTC is slightly regressive because more of it goes to families with taxable income than to families who don’t earn enough to pay income tax. Families without taxable income must file for the Additional CTC, the refundable portion of the credit. Families who earn less than $3,000 do not qualify for the credit at all, and families who earn between $3,000 and $9,667 only receive a partial credit. Approximately 10.6 million low-income children did not qualify for the credit in 2007, and 11 million received only a partial credit. In addition, 50 percent of African-American and 46 percent of Hispanic children either received partial or no credit because their family had low or no earnings. Many working families earn too little to qualify for a full or even a partial credit. According to the Urban Institute, a fully refundable CTC would reduce poverty by 9.2 percent.
Child Care Credit
The Child and Dependent Care Tax Credit (CDCTC) helps subsidize preschool or childcare by providing families with a tax credit between 20 and 35 percent of childcare costs, up to $3,000 for one child or $6,000 for two or more children. Families who make less than $15,000 per year qualify for the 35 percent rate, and the credit decreases by 1 percent for every $2,000 dollars in income.
Families who make between $75,000 and $200,000 benefit most from the CDCTC. Because the tax is non-refundable, families not making enough to pay federal income tax are not helped. President Obama has proposed that the 35 percent rate be expanded to all families making up to $85,000 per year. This would increase the average family’s credit from $1,200 to $2,100, and would allow 235,000 new children to be served.
The saver’s credit is designed to offset the first $2,000 that workers voluntarily contribute to IRAs and 401(k)s, as well as to promote saving for retirement. Individuals earning up to $26,500, married couples filing jointly and earning up to $53,000, and heads of household earning up to $39,750 qualify for the saver’s credit. The IRS reports that in 2006 (the most recent year for which data is available), joint filers claimed an average $213, heads of household $149, and single filers $128.
The number helped by the credit is likely to decrease unless credits and qualifying income levels are adjusted for inflation. President Obama has proposed changes that would improve access to the saver’s credit for lower-income Americans. His primary change would make the credit refundable for families who don’t have federal tax liability and would deposit the credit directly into the savings account, maximizing the savings impact. Legislation to expand the Saver’s Credit during tax time was introduced previously but is awaiting introduction in the current Congress. An alternative approach, proposed by The New America Foundation, is a saver’s bonus that would match deposits made into eligible savings accounts, up to $500. This would allow saving for more purposes, encourage asset building among the poor, and level a playing field that now perversely provides more than 90 percent of wealth-building tax credits (those for home ownership and retirement) to those earning more than $50,000.
Student Loan Interest Deduction
The Student Loan Interest Deduction (SLID) is a tax deduction to help those who took out student loans in pursuit of higher education. The SLID is a deduction, rather than a credit, and therefore does not need to be itemized. The maximum deduction for tuition and fees is approximately $4,000, however, this credit changes relative to income. In fiscal year 2010, it is estimated that this reduced taxes by $760 million on those eligible. The filer’s maximum adjusted gross income must be below $80,000 or $160,000 if filing as a married couple. Loan interest deductions are either $2,500 or the balance of the loan. In the 2011 tax year just passed, this policy reduced taxes on those eligible by $1.4 billion.
While a student loan interest deduction is a good start, more should be done to support students. The New York Times reported that in 2010 student loan debt outpaced credit debt for the first time, and is expected to exceed $1 trillion in the coming year. That year, students graduated with $24,000 in debt on average. Dramatic decreases in state funding for education have made the cost out of reach for many families. As a percent of the Ohio budget, “higher education spending peaked in 1978 at 17.7 percent . . . .has fallen each year since 1996…[in 2005 was] 11.7 percent.” In 2008, the median Ohio family would need to contribute 39 percent of its income to support a child attending a four-year public institution.
Summary of tax deductions and credits: Who benefits?
Since 1950, the number of tax deductions has grown tremendously, from 12.2 percent of Americans’ adjusted gross income in 1950 to 23.9 percent in 2008. All tax expenditures combined cost more than Social Security, for example, or than Medicare and Medicaid combined as Figure 5 shows.
Unfortunately, tax deductions are skewed in favor of wealthy Americans. As one commentator notes, “The richest one percentile is 3.25 percent richer from itemized deductions, while the bottom quintile gains just a .02 percent increase in income as a result of itemized deductions.” The home mortgage deduction is one illustration of this: While those earning under $40,000 a year benefit very little from the deduction, those earning between $100,000 to $200,000 make up only 8.2 percent of returns, but claim more than 28 percent of all home mortgage interest spending.
Two large tax credits—the Earned Income Credit and the Child Tax Credit—are progressive and “increase[d] the bottom two quartiles’ income levels by 5.35 and 3.99 percent, respectively.” On the other hand, non-refundable tax credits (such as the Hope Credit and the Child Care Tax Credit) favor middle-class families, but even these credits “are dwarfed in comparison to the deductions, exclusions, and refundable credits.” In the end, tax expenditures that assist working families are overshadowed by the extensive deductions and exclusions that favor higher earners.
Ohio families are struggling. Many can’t find work and many have left the workforce. Even those who are working often can’t meet their families’ needs through work. Although much of what we hear about the economy raises fears, the truth is that our economy is larger than ever and is generally productive and profitable. Yet workers are not sharing in these profits.
The public sector does much to help those in poverty. Social Security, Medicare, Medicaid, Food Assistance and unemployment insurance do an enormous amount to stabilize communities, meet medical needs, assist middle class families and raise people out of poverty. Other programs also help, although more sporadically. But these programs are too restrictive in eligibility and too many are left behind.
Americans show tremendous support for work, both in what they say and in what they do. But work is falling short for too many of us. The social contract must be updated – either by increasing our demands on what employers provide for their employees, or by increasing what the public sector offers to fill the gap. Without such change, we will continue to see high levels of poverty, staggering levels of inequality, and insecurity around food, housing, retirement income and health coverage. Such insecurity is not acceptable in what remains, credit ratings and stock fluctuations aside, the wealthiest country on the planet and throughout history.
 Social Security Administration, Historical Background and Development of Social Security, available at http://www.ssa.gov/history/briefhistory3.html.
 U.S. Census Bureau, Income, Poverty and Health Insurance in the United States: 2009 – Highlights: http://1.usa.gov/cikdtw (between 2008 and 2009, the poverty rate among those age 65 and above dropped from 9.7 percent to 8.9 percent).
 Social Security Administration, supra note 1.
 See section on the increased demand for social services.
 National Women’s Law Center, Social Security: Vital to Ohio Women and Families, (visited June 22, 2011).
 The Wall Street Journal, Real Time Economics Blog, May 31, 2011, Share of Population on Food Stamps Grows in Most States, available at http://on.wsj.com/laExlP.
 See Dave Davis, “Calls to 2-1-1 help agency up by 11 percent,” The Plain Dealer, January 25, 2011, http://blog.cleveland.com/metro/2011/01/record_numbers_of_suburban_res.html.
 Response rates ranges from 17 to 38 percent depending on the question, with an average response rate of 23 percent.
 Gallup News Service, Family, Health Most Important Aspects of Life, January 3, 2003, http://bit.ly/JFyqkd.
 Gallup News Service, Work and Workplace, August 8-10, 2005, http://bit.ly/IV9hD9.
 The national unemployment rate was 4.6 percent in July 2007 before the recession began and 4.3 percent in March 2003 before the previous recession. See Center for Budget and Policy Priorities, Chad Stone, et. al. “Addressing Longstanding Gaps in Unemployment Insurance Coverage,” August 7, 2007, http://bit.ly/KYJaHA.
 Economic Policy Institute, “Fix it and Forget it,” December 19, 2009, http://bit.ly/K35HDA.
 “Ohio poverty at more than a 30-year high, census numbers show,” September 14, 2011, Associated Press story on Cleveland Plain Dealer blog: http://bit.ly/IQUokd.
 Ohio jobs data sends mixed messages for March, April 20th, 2012, Policy Matters Ohio http://bit.ly/IaA7RS.
 Center on Budget and Policy Priorities, Fact Sheet, Ohio: Income Inequality Grew in Ohio Over the Past Two Decades, http://www.cbpp.org/cms/index.cfm?fa=view&id=2716, April 2008.
 New America Foundation, Lauren Damme, The Vulnerable American Worker, July 2010, http://bit.ly/JAGOPx (visited July 11, 2011).
 New America Foundation, supra note 29 at 4.
 Halbert, Hannah, Policy Matters Ohio, Shrinking employment law enforcement funding raises risk of wage theft, June 2011 and follow up interview, February 2012.
 Economic Policy Institute, EPI Issue Brief, Shifting Risk: Workers Today Near Retirement More Vulnerable and with Lower Pensions, July 21, 2005, available at http://www.epi.org/publications/entry/ib213/.
 The White House Middle Class Task Force, February 2010, Annual Report of the White House Task Force on the Middle Class, www.whitehouse.gov/sites/default/files/microsites/100226-annual-report-middle-class.pdf
 2010 Kaiser Family Foundation, The Uninsured: A Primer, at http://www.kff.org/uninsured/upload/7451-06.pdf.
 The Ohio Health Family Survey, Key 2010 OFHS Findings, available at http://bit.ly/JqAREa.
 U.S Department of Labor, Bureau of Labor Statistics, at http://www.bls.gov/news.release/ebs2.nr0.htm.
 AFL-CIO Working America, “Young Workers: A Lost Decade,” at http://bit.ly/LgaVgK.
 CBO Analysis of the Major Health Care Legislation Enacted in March 2010, Congressional Budget Office, Testimony before Subcommittee on Health Committee on Energy & Commerce, U.S. House of Representatives on March 30, 2011.
 Economic Policy Institute, Access to Sick Days is Vastly Unequal, available at http://bit.ly/e9blJ1.
 Hanauer, Amy, A Healthy Standard: Paid Sick Days in Ohio, Policy Matters Ohio, 2007
 Policy Matters Ohio, Outbreak in Ohio: Cost of the 2008 Norovirus Incident in Kent: http://bit.ly/ILtfAk.
 Gould, Elise, Kai Filion, and Andrew Green, “The Need for Paid Sick Days,” Economic Policy Institute, June 29, 2011, www.epi.org/publications/entry/7247/.
 According to the Ohio’s Kids Count 2010 Data Book, the American Community Survey found that there were 496,890 Ohio children living in poverty, but only 132,601 receiving cash assistance in 2008. This differs from the number later in this paragraph both because the years differ (2008 vs 2010) and because this number measures children and the 2010 number measures families, some of which have more than one child.
 U.S. Department of Health and Human Services, supra note 8.
 CLASP, TANF Policy Brief: Cash Assistance Since Welfare Reform, January 21, 2011, http://bit.ly/eXJFNj.
 The Center on Budget and Policy Priorities, “Policy Basics: An Introduction to TANF,” available at http://www.cbpp.org/cms/index.cfm?fa=view&id=936&saved=1.
 Catherine Candisky, “Welfare-to-Work Faltering in Ohio: State Fined $136M for Failing to Find Jobs for Enough Aid Recipients,” The Columbus Dispatch, May 22, 2011, http://bit.ly/LR1x5X.
 Joanne Huist Smith, “State Cuts, Soaring Need Cut into Services for Young, Old and Poor,” Dayton Daily News, March 28, 2011, http://bit.ly/fPGzch.
 Sack, Kevin, “Trying to Cut Welfare the Ohio Way”, The New York Times, April 3, 1995.
 U.S. Department of Agriculture, Frequently Asked Questions about the Supplemental Nutrition Assistance Program, at www.fns.usda.gov/snap/faqs.htm#1.
 Food Research and Action Center (FRAC), SNAP/Food Stamp Monthly Participation Data, February 2011, http://frac.org/reports-and-resources/snapfood-stamp-monthly-participation-data/ (visited June 23, 2011).
 Politifact, “Rep. Dennis Kucinich says one-quarter of residents qualify for emergency food in 70 of Ohio's 88 counties,” The Plain Dealer, June 1, 2011, http://bit.ly/oUdFAd (visited June 27, 2011).
 Margaret Bernstein, “Cleveland Food bank Surpasses its 2011 Harvest for Hunger goal by 1 Million Meals,” The Plain Dealer, June 9, 2011, http://blog.cleveland.com/metro/2011/06/cleveland_foodbank_surpasses_i.html.
 U.S. Department of Agriculture, A Short History of SNAP, http://1.usa.gov/aHGw0d.
 Dorothy Rosenbaum, House-Passed Proposal to Block-Grant And Cut SNAP (Food Stamps) Rests on False Claims About Program Growth, Center on Budget and Policy Priorities, Last updated May 5, 2011.
 USDA Food and Nutrition Service, About WIC, http://1.usa.gov/gDa7Go (visited June 25, 2011).
 Children’s Defense Fund, Children in Ohio, (visited June 27, 2011) http://bit.ly/K3ghu3.
 National WIC Association, How WIC Impacts the People of Ohio, http://nwica.org/sites/default/files/Ohio.pdf
 Center on Budget and Policy Priorities, Zoë Neuberger and Robert Greenstein, House WIC Cuts Would End Food Assistance for 300,000 to 450,000 Low-Income Women and Children, June 23, 2011, http://bit.ly/ir81Mo.
 National Association of Child Care Resource and Referral Agencies (NACCRRA), 2011 Child Care in the State of: Ohio, available at http://www.naccrra.org/publications/naccrra-publications/publications/SFS-Ohio.pdf.
 U.S. Department of Health and Human Services, Administration for Children and Families, The Office of Child Care’s National Child Care Information and Technical Assistance Center, State Profile: Ohio, http://nccic.acf.hhs.gov/.
 The Future of Children, Princeton-Brookings, 11 Caring for Infants and Toddlers 15 Spring/Summer 2001)
 National Women’s Law Center, Child Care: Helping Families Work and Children Succeed, http://bit.ly/L3lXcM (“single mothers of young children who received child care assistance were 39 percent more likely to still be employed after two years and former welfare recipients were 82 percent more likely to still be employed after two years than those who did not receive any help paying for child care”)
 National Association of Child Care Resource and Referral Agencies (NACCRRA), 2011 Child Care in the State of: Ohio, available at www.naccrra.org/publications/naccrra-publications/publications/SFS-Ohio.pdf.
 Ohio Department of Job and Family Services, Child Care Fact Sheet
 National Women’s Law Center, State Child Care Assistance Policies 2010: Ohio.
 National Women’s Law Center, Promising State Child Care Quality and Infant/Toddler Initiatives, April 07, 2011, available at http://www.nwlc.org/sites/default/files/pdfs/statechildcarequalityinitiativesapril2011_0.pdf.
 U.S. Department of Health and Human Services, Administration for Children and Families, Office of Child Care, CCDF Funding Allocations, available at http://www.acf.hhs.gov/programs/ccb/law/allocations/state.htm
 Joe Vardon, “Kasich’s Budget: Current Child-Care Enrollees Can Stay; Subsidy Eligibility Would be Tighter for New Families,” Columbus Dispatch, April 12, 2011.
 Urban Institute, Reducing Poverty and Economic Distress after ARRA, http://bit.ly/JecYhW. (visited June 13, 2011).
 Ohio Department of Job and Family Services, April 2012 Press Release, available at http://1.usa.gov/GKDt43.
 United States Government Accountability Office, Unemployment Insurance: Information on Benefit Receipt, www.gao.gov/new.items/d05291.pdf (visited June 28, 2011).
 Economic Policy Institute, Extending unemployment insurance is the fiscally responsible thing to do, http://bit.ly/cw6xUp (visited June 28, 2011).
 United States Department of Labor, State Unemployment Insurance Benefits, http://bit.ly/ujLac.
 Ohio Department of Job and Family Services, Unemployment Compensation FAQ’s, available at http://jfs.ohio.gov/unemp_comp_faq/faq_elig_definitions1.stm.
 In the majority of state workers are eligible for a maximum of 26 weeks of Unemployment Insurance. Center on Budget and Policy Priorities, Introduction to Unemployment Insurance, http://bit.ly/chXWfH (visited June 25, 2011).
 Center on Budget and Policy Priorities, Unemployment: By the Numbers, http://bit.ly/JgDtWA (June 30, 2011).
 National Employment Law Project, Unemployment Insurance Modernization: Filling the Gaps in the Unemployment Safety Net While Stimulating the Economy, http://bit.ly/Kn1oXB. (visited June 27, 2011.)
 Center of Budget and Policy Priorities, Addressing Longstanding Gaps in Unemployment Insurance Coverage, http://www.cbpp.org/cms/index.cfm?fa=view&id=517 (visited June 28, 2011).
 Schiller, Zach, August 2010, “Less than one year left until Ohio loses $176 million for unemployment compensation,” Policy Matters Ohio, http://www.policymattersohio.org/pdf/UCRelease2010_08.pdf (visited June 28, 2011).
 Policy Matters Ohio, Less than two months until Ohio loses $176 million for unemployment Compensation, July 11, 2011, http://policymattersohio.org/UnemploymentRelease2011_0711.htm.
 Catherine Candisky, “State Debt for Jobless Benefits Looming,” The Columbus Dispatch, December 19, 2010, available at http://bit.ly/ho1aFa.
 Kaiser Family Foundation, Fact Sheet, Medicare at a Glance, http://bit.ly/K0LkJG (visited June 29, 2011).
 Social Security Administration, 30th Anniversary of Medicare, Health Care Financing Review,
 Kaiser Family Foundation, Ohio: Distribution of Medicare Enrollees by Federal Poverty Level, states (2008-2009), U.S. (2009), www.statehealthfacts.org/profileind.jsp?ind=295&cat=6&rgn=37 (visited June 29, 2011).
 Diane Rowland, Sc.D., and Barbara Lyons, Ph.D., Medicare, Medicaid, and the Elderly Poor, Health Care Financing Review 64, http://www.ssa.gov/history/pdf/WhatMedicareMeant.pdf (visited June 29, 2011).
 Kaiser Family Foundation, Fact Sheet, Medicare at a Glance, http://bit.ly/K0LkJG (visited June 29, 2011).
 Kaiser Family Foundation, State Health Facts, Facts At-A-Glance, available at http://bit.ly/KflO4w.
 Kaiser Family Foundation, Ohio: Medicaid Expansion, available at http://bit.ly/K0LUXG.
 Center on Budget and Policy Priorities, Ryan Medicaid Block Grant Would Cause Severe Reductions in Health Care and Long-Term Care for Seniors, People with Disabilities, and Children, May 3, 2011, at http://bit.ly/mvEEhD.
 Kaiser Family Foundation, Kaiser Commission on Key Facts, Health Coverage of Children: The Role of Medicaid and CHIP, February 2011, available at http://www.kff.org/uninsured/upload/7698-05.pdf.
 Children’s Defense Fund, Children in Ohio, available at http://bit.ly/gtdXOx.
 As of January 2011, 47 percent of Ohio Medicaid enrollees were children. Ibid.
 Kaiser Family Foundation, Summary of Coverage Provisions in the Patient Protection and Affordable Care Act, publication #8023-R available at www.kff.org.
 Social Security Administration, Historical Background and Development of Social Security, available at http://www.ssa.gov/history/briefhistory3.html.
 National Women’s Law Center, Social Security: Vital to Ohio Women and Families, available at www.nwlc.org/sites/default/files/pdfs/ohio_ss_factsheet.pdf.
 Urban Institute, C. Eugene Steuerle, Melissa M. Favreault, Social Security for Yesterday's Family?, 2002, www.urban.org/retirement_policy/url.cfm?ID=310598 (June 29, 2011).
 Cornelius Frank, “More Women Outlive Retirement Savings, Rely on Social Security,” Springfield News-Sun, June 9, 2011, available at http://bit.ly/lodS3Z.
 Coalition on Homelessness and Housing in Ohio, http://www.cohhio.org/ (visited June 21, 2011).
 U.S. Department of Housing and Urban Development, HUD’s Public Housing Program, available at http://portal.hud.gov/hudportal/HUD?src=/topics/rental_assistance/phprog.
 National Low-Income Housing Coalition, “Housing Assistance for Low Income Households: States do not Fill the Gaps,” page 4, October 2008, available at http://www.nlihc.org/doc/PATCHWORK.pdf.
 National Low-Income Housing Coalition, 2011 Advocate’s Guide to Housing and Community Development Policy, page 23, available at http://www.nlihc.org/doc/2011-Advocates-Guide.pdf.
 Id. at 11.
 National Low-Income Housing Coalition, supra note 107.
 Ohio Department of Development, Housing, Shelter and Supportive Services Programs, Housing Assistance Grant Program, http://bit.ly/IVeIC5 (visited June 30, 2011).
 Ohio Department of Development, FY 2010 Homeless Assistance Grant Program Award Recipients, at http://bit.ly/Jh2YWr.
 Housing Matters Newsletter, Texas Low Income Housing Information Service, 2007, http://bit.ly/JeUNPw.
 Ohio Housing Trust Fund, 2010 Annual Report, available at http://bit.ly/IVeMli.
 Coalition on Homelessness and Housing in Ohio, Economic and Job Creation Impact Study of the Ohio Housing Trust Fund Allocation, Fiscal years 2006-2009, http://bit.ly/LiZHba.
 U.S. Department of Energy, Weatherization Assistance Program, “The Recovery Act: Ohio Close Up,” January 2010, http://www1.eere.energy.gov/wip/project_map/project_details_new.aspx?pid=92.
 U.S. Department of Health and Human Services, Office of Community Services, Fact Sheet: Low Income Housing Energy Assistance Program, available at http://1.usa.gov/JeV7xL.
 U.S. Department of Energy, Weatherization Assistance Program, “The Recovery Act: Ohio Close Up,” January 2010, http://www1.eere.energy.gov/wip/project_map/project_details_new.aspx?pid=92.
 New America Foundation, Lauren Damme, The Regressive Delivery of Social Welfare Benefits in the U.S., November 2010, http://newamerica.net/sites/newamerica.net/files/policydocs/NSC%205.pdf (visited July 18, 2011).
 Center on Budget and Policy Priorities, A Hand Up, supra note x.
 Center for American Progress, Earned Income Tax Credit and Child Tax Credit 101, January 31, 2008, http://www.americanprogress.org/issues/2008/01/eitc_101.html (visited July 5, 2011).
 IRS, 10 Facts About the Child Tax Credit, http://1.usa.gov/b2aBNK (visited July 6, 2011).
 Damme, supra note 127 at 6.
 Center for Budget and Policy Priorities, Policy Basics: The Child Tax Credit, November 10, 2009, http://www.cbpp.org/files/policybasics-ctc.pdf (visited July 20, 2011)
 Center for Budget and Policy Priorities, supra note 144.
 Center for American Progress, supra note 146.
 Urban Institute and Brookings Institution Tax Policy Center, Quick Facts: Child and Dependent Care Tax Credit (CDCTC), http://www.taxpolicycenter.org/press/quickfacts_cdctc.cfm (visited July 1, 2010).
 IRS, Plan Now to Get Full Benefit of Saver’s Credit; Tax Break Helps Low- and Moderate-Income Workers Save for Retirement, http://www.irs.gov/newsroom/article/0,,id=200742,00.html (visited July 6, 2011)
 IRS, Saver’s Credit for Retirement Savings Contribution, August 2008, at http://1.usa.gov/9fGIR7 (visited July 2011).
 IRS, Plan Now to Get Full Benefit of Saver’s Credit, supra note 33.
 Center on Budget and Policy Priorities, Saver's Credit For Moderate-Income Families Would Fade Away Over Time Under House-Passed Pension Bill, July 17, 2006, http://www.cbpp.org/cms/?fa=view&id=123, (July 6, 2011).
 http://hdl.loc.gov/loc.uscongress/legislation.111hr1961 and http://hdl.loc.gov/loc.uscongress/legislation.111s3090
 New America Foundation, The Saver's Bonus: Encouraging and Facilitating Savings by Working Families at Tax Time, July 2009, http://newamerica.net/publications/policy/savers_bonus (visited July 5, 2011).
 IRS, Student Loan Interest Deduction, March 10, 2011, http://www.irs.gov/taxtopics/tc456.html (July 19, 2011).
 New America Foundation, Federal Education Budget Project, Background and Analysis: Federal Education Tax Benefits, June 7, 2011, http://febp.newamerica.net/background-analysis/federal-education-tax-benefits?print.
 New America Foundation, supra note 180.
 The New York Times, Tamar Lewin, “Burden of College Loans on Graduates Grows,” April 11, 2011, http://www.nytimes.com/2011/04/12/education/12college.html?_r=2&hpw.
 Policy Matters Ohio, Wendy Patton and Kiel Albrecht, College Bound at 1, August 2005, available at http://www.policymattersohio.org/pdf/College_Bound_2005.pdf
 NCHEMS Information Center for National Higher Education Policymaking and Analysis, Affordability: Percent of Family Income Needed to Pay for College - by Type of Institution, 2008- Ohio, http://bit.ly/JkfurD. (visited July 6, 2011).
 Damme, New America Foundation, supra note 180 at 3.
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