Commissioner Wants Child SSI Study

From the Boston Globe:

The commissioner of the Social Security Administration for the first time publicly acknowledged yesterday that there are major flaws with the $10 billion children’s disability program his agency oversees and said he was aggressively seeking congressional approval to conduct an independent scientific study of the program’s weaknesses.

In an extensive interview at the Globe, Michael Astrue said that such a study, which would cost about $10 million, could provide a dispassionate, scientific basis for changing aspects of the children’s Supplemental Security Income (SSI) program, which can be overhauled only by congressional decree.

The best organization to identify problems within the swiftly growing program, he said, is the Institute of Medicine, the nonprofit health research wing of the National Academy of Sciences. ...

“Too much of legislation happens by sound bite and anecdote,’’ Astrue said. “It’s one of the things I worry about in this area. When you see how shrill the advocates are, and then you see what we are getting from the other side of the fence, too, what kind of legislation is this going to look like if we’re not careful?’’ ...

The commissioner was careful not to say that parents were deliberately cheating the system. Rather, he said the law makes the SSI program, by statute, vulnerable to being manipulated by families, lawyers, and others with financial incentives to gain SSI benefits. ...

He said he has a strong suspicion that many children who are deemed troubled do not warrant a disability label, as given by the SSI program. In many instances, he said, the children do not qualify under stricter adult SSI standards once they turn 18.

“I think that’s a sign that there’s a certain percentage of them there that shouldn’t have been there in the first place,’’ he said.

Let me say that in the area where we practice, most attorneys avoid the SSI child's cases. My firm takes a few of them but many attorneys, perhaps most, avoid them altogether. We mostly avoid ADHD, seizures and asthma as the primary basis for a child's disability claim since these types of SSI child's cases are particularly problematic. My guess is that most Social Security attorneys across the country either do not take the SSI children's cases or take only a select few. In general, the SSI child's cases are just tough to win at the hearing level. Everybody who deals with them says the same thing -- often the mother has more serious problems than the child. It can be tough to separate how how much of the child's problems are due to the mother's own psychiatric problems and how much is innate to the child. This is not every case but  there are enough cases like this to be very noticeable. 

Still, there are cases that cry out for SSI child's benefits. I remember one  case I had where the child had severe hearing problems from birth. Tragically, even though the child had good parents, the problem was not recognized until too late. There is a time period in a child's life during which it must be able to hear spoken speech. If the child is not able to hear speech during this time period, the child will never be able to understand spoken speech or be able to speak effectively. Social Security denied the child since by the time the claim was filed the child had a hearing aid and could hear sound but the sound was meaningless to the child and would remain so. The child was approved by an Administrative Law Judge.