May 3, 2015

SSA OIG Has Good ROI

     From a Brookings Institution study on the Return on Investment (ROI) of Inspectors General at various agencies:

May 2, 2015

Annual Statistical Supplement

     The Social Security Administration has released its Annual Statistical Supplement for 2014. It's a compendium of almost all the statistical information about Social Security that you could ask for. By the way, as of 2013, there were 760 people drawing U.S. Social Security benefits who were living in war torn Yemen.

May 1, 2015

The Great Ideas Keep Coming

     A press release:
Today, Ways and Means Social Security Subcommittee Chairman Sam Johnson (R-TX) and Human Resources Subcommittee Chairman Charles Boustany (R-LA) introduced H.R. 2135, the Promoting Opportunity for Disability Benefit Applicants Act. The bill would authorize the Commissioner of Social Security to provide information on employment support services to individuals who are not awarded disability benefits.
Currently, applicants wait 100 days on average for an initial decision regarding a claim for benefits. Research shows this time out of the workforce makes it that much harder for denied applicants to get back to work.
To help people return to work, the bill authorizes the Commissioner of Social Security to provide denied applicants information on employment support services—both public and private non-profit—so that they may reenter the workforce instead of cycling through the application process. The bill provides information to denied applicants about services that may help them return to work and would not affect any appeal for disability benefits.   

Upon introduction, Chairman Johnson said, “We must do a better job of helping those individuals who can and want to work to do so. This bill makes sure Social Security tells these individuals about services that can help them connect to jobs.”

Upon introduction, Chairman Boustany said, “This bill provides access to important employment and work supports for individuals in need so that they can gain the necessary skills and job placement services to reenter the workforce quickly. Helping Americans find and keep good jobs to support themselves and their families is and should be our top priority.”

This bill is supported by the National Council of Disability Determination Directors and Easter Seals.  

Other House Ways and Means Committee Members co-sponsoring this legislation include Rep. Black (R-TN), Rep. Reed (R-NY), and Rep. Young (R-IN).  
     It's amazing. Republicans believe that government is almost infinitely wasteful and ineffective (except for the Defense Department) yet here are Republicans who have great faith in the ability of state vocational rehabilitation (VR) departments to return disabled people to work. My experience with the North Carolina Department of Vocational Rehabilitation is that they're so obsessed with returning a high percentage of their clients to work that the only disabled people they want to help are those who will succeed in returning to work even if they get no help at all. This isn't because the people at VR are bad or lazy or incompetent. It's because they lack the resources to help many people. They don't even have sheltered workshops anymore! I don't know how VR is supposed to accomplish anything without sheltered workshops.
     I've recently had a young client with combined cognitive difficulties and mental illness who went to VR. The only thing VR could do for him was to get him a job at a fast food restaurant and provide him with a job coach for two weeks. Predictably, he failed at the job shortly after the job coach was removed. His family took him back to VR but they had no further interest in helping him. You call this vocational rehabilitation? He should have been in a sheltered workshop first. If he showed promise there, he should have been placed in a real job with a job coach. The job coach should have worked with him for far longer than two weeks. VR shouldn't have stopped helping him just because he failed at his first job.
     If this proposed legislation advances you're going to have state vocational rehabilitation agencies lobbying against it because they don't want to be inundated by denied Social Security disability applicants. If it passes, the vast number of people who are told by Social Security to go to VR will be turned away by VR. How does that look?
     These House Republicans don't get it. The vast majority of those denied Social Security disability benefits aren't going to return to work no matter what anyone does. They're too sick.

An Overpayment Story

     Woman thinks she's been overpaid by Social Security. She contacts the agency and is told to send them a check. She does so but later receives a notice saying she really was entitled to the money. It only took eight months and several phone calls to get Social Security to refund the money to her according to a story on a Michigan television station. The story doesn't say it but there's a real possibility that she'll eventually receive another notice from Social Security saying that she really was overpaid! You think I'm kidding but I've seen it happen.

Apr 30, 2015

Baltimore Sun On Vision 2025

     The Baltimore Sun has a piece on Social Security's Vision 2025. It demonstrates the controversies that Social Security faces in making long term plans.

Early Intervention

     Social Security is seeking information for an "early intervention mental health demonstration study." The agency is only giving 17 days to respond to its request for a good deal of information, suggesting that publication of the request is a formality, that Social Security has already identified a contractor.
     I hope this works but I'd be surprised if it does. Mental health problems aren't like appendicitis. They seldom crop up suddenly. If they do, it's usually something like a bad reaction to a prescription medication, a problem that wouldn't result in a person receiving Social Security disability benefits anyway. I have seen no sign that early intervention results in better long term results than late intervention. Less suffering but not less long term disability. You must have been disabled or be predicted to be disabled for at least a year to get Social Security disability. If mental health treatment is going to give you good relief for your psychiatric condition, you're not likely to get on benefits in the first place. In fact, even if you don't get good results from mental health treatment, you're not likely to get on benefits without a lengthy fight.

Apr 29, 2015

The "Vision Thing"

     The Social Security Administration has released Vision 2025, the long-awaited statement of how the agency expects to be operating ten years from now. I don't think I've ever read a more vacuous government document. Here's an excerpt from Acting Commissioner Colvin's message on the report to give readers a feel:
As the public moves confidently into the future, we must also change the way we operate. We are compelled to anticipate the social and technical advancements that offer new ways of navigating an ever-changing society. Our challenge is to embrace technological enhancements to achieve efficiency without sacrificing the personalized service for which we are known. Toward this end, we will build a stronger, ever-capable workforce, adopt engaging and contemporary training methods, expand our information and communication technologies, and modernize our operational capabilities. Of course, we must proceed toward this rapidly changing future, mindful of many present day realities. Our budgets will undoubtedly fluctuate, organized interests may express new agendas, social demographics will vary, and executive orders and congressional mandates will continue to affect the way we do business. Yet if we view such possibilities as opportunities, we can focus on creative solutions for meeting these challenges. Regardless of the complexities we might consider in the future, we must never disregard our customers’ expectations for excellence.
     No, it doesn't get specific at some later point in the document. It just stays at this level of advanced meaningless abstraction.
     Let me hasten to say that despite what I've quoted above, neither the Acting Commissioner nor upper management at Social Security is brain dead. They only produce such drivel because they're forced to. Here are the problems they're trying to address:
  • The Government Accountability Office (GAO), egged on by some Republicans in Congress, keeps demanding that Social Security produce a "vision" for the future but it's not just any vision they want. For years, they have made relentless demands for a "vision" that does away with person to person service at Social Security because person to person service is just so passe in this age of the internet and so much money could be saved if we just got rid of the old fashioned idea that you should be able to actually talk with someone about your case. 
  • The people at GAO have no clue about the complexity of Social Security. As far as they're concerned, it's just retirement benefits. Survivor and disability benefits are nothing more than a footnote. SSI isn't even a footnote as far as they're concerned. Mentally ill people? Let them use their computers! Cognitively impaired people? Surely, someone other than Social Security can help them with their Social Security problems. You can't expect government to do everything!
  • Despite egging GAO on with its insane demands that Social Security plan for the elimination of face to face service, individual Republicans in Congress definitely don't want field offices closed in their districts. They believe, in the abstract, that technology can replace personal service but not when it comes to their districts. It goes without saying Democrats don't want field offices closed.
  • Social Security management is well aware that doing away with face to face service is unthinkable. The programs they operate are far too complex to function without a field office structure. Not only can that not be done by 2025; it won't be possible by 2125.
  • It's impossible to make any meaningful plans for service delivery in 2025 because of budget uncertainty. In fact, it's almost impossible to make meaningful plans for service delivery in 2016 because of budget uncertainty. 
  • Even without budgetary uncertainty, who knows what technology will bring us by 2025. Does anyone think that Steve Jobs ever had a ten year plan for what would happen with the iPhone? Anyone who thinks they have a clear view of what will happen with technology in the future shouldn't be working for Social Security because they're delusional.
  • Few people in upper management at Social Security now expect to be in upper management at the agency in 2025. They're responsible people but they're bureaucrats. They're mostly concerned with getting by from year to year. GAO's demands for a "vision" for 2025 are laughable, so Social Security produces a laughable "vision."

Apr 28, 2015

Sad

     From Social Security:
For 4/28/15, The Social Security Administration Offices at Headquarters are dismissing early as a precautionary measure. Please remain calm and follow all traffic commands. There are no credible threats at this time. Please adhere to the following schedule for an orderly dismissal. 10:30 am WOC Building/Childcare, 11:00 am Wabash/NCC/ Security West, 11:30 am West Building/East Building, 12:00 pm Annex/ RMB, 12:30 pm Altmeyer.
     Pray for everyone's safety and for the future of the city of Baltimore.

     Update: Social Security plans to open its central offices as usual on Wednesday.