Jun 20, 2012

OIG All Over The Place

An e-mail I received from Social Security's Office of Inspector General (I had signed up to receive notification of newly posted audit reports.):
Like us. Follow us. Watch us.
The SSA Office of the Inspector General recently launched its Facebook and Twitter pages and its YouTube channel. 
We’ll regularly update the Facebook page with OIG happenings and activities, and we plan to post daily Twitter updates as audit reports, investigation summaries, fraud alerts, new releases, and other reviews roll through the office. Inspector General Patrick P. O’Carroll, Jr., even sent his first tweet last week. Let us know what you think of the accounts, and please recommend the pages to any interested friends.
We’ve also stocked the YouTube channel with a collection of OIG-related videos, including a brand-new, OIG-produced public service announcement, “Protecting Personal Information.”
Connect with the OIG through the following links: 
The SSA Office of the Inspector General Facebook Page
@TheSSAOIG on Twitter
The SSA Office of the Inspector General YouTube Channel

Jun 19, 2012

Going Beyond "Greedy Geezer"

     The right wing rhetoric on Social Security becomes angrier and angrier.  A right-wing columnist now likens Social Security recipients to thieves.

Congressional Hearing Scheduled

     The House Social Security Subcommittee has scheduled a hearing for June 21 on "the recently released 2012 Annual Report of the Board of Trustees of the OASDI [Old Age Survivors and Disability Insurance] Trust Funds, the effect of the trust funds’ current cash flow deficit status and future exhaustion, and the cost of delaying actions to address Social Security’s fiscal challenges for workers and beneficiaries."

Jun 18, 2012

Changes In Causes Of Disability

     This is from the Social Security Advisory Board's Aspects of Disability: Decision Making: Data and Materials.As with many of these charts, it can be read in different ways. One can certainly note the dramatic increase in disability based upon mental illness. However, I would submit that this has far more to do with the dramatic changes wrought in psychiatry by the Diagnostic and Statistical Manual (DSM) than by anything intrinsic to Social Security. If you're not familiar with the DSM, it's probably the biggest development in the history of psychiatry. It's the Bible of psychiatry. While there are plenty of critics of individual portions of the DSM, I think that few people deny that it has been a dramatically positive development. If you are outraged by this increase in the number of people found disabled due to psychiatric illness, be careful to note the dramatic drop in disability benefits awarded due to circulatory disorders -- mostly heart disease. This is also due to developments in medicine, in this case cardiology. You can't take one type of improvement in medicine without taking the other types of improvement in medicine. 
     My best guesses are that the increase in musculoskeletal approvals has to do with the aging of the population and, perhaps, to different coding at Social Security. I don't think there has actually been much change in Social Security policies or practices in evaluating musculoskeletal disorders. 

Jun 17, 2012

News You Need To Know

    The Zombielaw blog discovers the connection between Social Security and zombies.

Jun 15, 2012

Wild Inconsistency At Appeals Council

     This is from the Social Security Advisory Board's Aspects of Disability: Decision Making: Data and Materials.Notice the wild inconsistency at the Appeals Council.
     I think there are those at Social Security who believe that if upper level management at the agency had better control over the state agencies and the Administrative Law Judges, that they could make the entire disability rational and consistent. Upper level management has the Appeals Council under near complete control and look at the results.

Senate Appropriations Committee Reports Out Bill To Fund Social Security's Administrative Expenses

     The full Senate Appropriations Committee has reported out the Labor-HHS appropriations bill for fiscal year 2013, which begins on October 1, 2012. The bill provides $11.736 billion for Social Security's administrative budget, a $290 million increase. I have not yet seen anything other than the summary of the bill, which may not tell the whole story. The bills themselves are complex and confusing. Sometimes I think the bills are deliberately made confusing.
     The House Appropriations Committee has yet to take up its version of the Labor-HHS appropriations bill.