SSI is disappearing before our eyes, destroyed by antiquated income and resource rules and inadequate resources for the Social Security Administration to do much other than cut people off benefits.
From The New Republic:
Republicans have claimed over and over again that they are not trying to cut Social Security and Medicare. Heck, Joe Biden got them to agree they would not make cuts to the programs in a memorable verbal maneuver during his State of the Union speech earlier this year.
And yet, the Republican Study Committee (of which some three quarters of House Republicans are members of) just released its desired 2024 budget in which the party seeks to, you guessed it, cut Social Security and Medicare. ...
The proposed budget would effectively make cuts to Social Security by increasing the retirement age for future retirees. The document seeks to assure people that there would only be “modest adjustments,” but does not list what Republicans think the new retirement age should be.
On Medicare, Republicans propose requiring disabled Americans to wait longer before getting benefits and turning Medicare into a “premium support” system, a long-floated Republican idea that essentially turns the government program into a voucher scheme. ...
From Forbes:
Previously, much has been written about the dangers posed by AI and algorithmic decision-making tools in relation to people with disabilities. ...
[B]rand new tech startup Advocate is not only planning to turn this trend on its head but to achieve this through using a sophisticated mixture of AI and human expertise to address one of the most significant historic pain points afflicting the disability community. Namely, the unbearable delays and complexities involved in navigating America’s burdensome Social Security Disability Insurance system. ...
The fledgling company has just announced $4 million in seed funding to build a technology platform that aims to not only shorten and streamline the process of applying for long-term disability benefits but also provides claimants with a clear view of the strength of their application and chances of success. ...
Advocate CEO Emilie Poteat, an accredited disability benefits advocate herself, has already drafted expert advisors onto the corporate team in the shape of former Commissioner of Social Security, Jo Anne Barnhart and the former Secretary of Veterans Affairs, David Shulkin. ...
At the front end, users of Advocate will encounter an elegant and accessible platform that assists them in optimizing their claim by connecting to, prioritizing and synthesizing electronic health records as well as providing a means of filing the paperwork itself. ...
Why is it that I have a feeling that Jo Anne Barnhart's involvement is a sign that this endeavor is destined to fail? Of course, there's also the fact that this focuses on the application process. Yes, the application process is a barrier but it pales in comparison with the other barriers in the process, such as the long backlogs and high denial rates. A $4 million AI project isn't going to solve those.
I remain distressed that Social Security's new Listings for liver disease remains as brutal as ever. One feature of dealing with clients with failing livers is officially called fetor hepaticus. It's sometimes called "breath of the dead." It's an extremely disturbing smell on the breath of some people with failing livers. I wonder whether any of those who drafted these Listings have ever smelled fetor hepaticus. The idea that anyone whose liver disease has progressed to this point can work seems preposterous once you smell it yet such patients are often denied Social Security disability benefits. It's not the smell that disables them. It's just obvious that anyone with that smell isn't long for this world. I can't emphasize too much just how viscerally disturbing fetor hepaticus is. It smells as if the person has already started dying on the inside. Why are patients in this condition being denied?
On March 18, 2023, Charis Clark and Karen Litschgi of the Bureau of Labor Statistics (BLS) gave a presentation to the American Board of Vocational Experts (ABVE) on the Occupational Requirements Survey: Date and Upcoming Changes. By Freedom of Information Act request I have obtained the Powerpoint slide deck they used for the presentation. (I appreciate the Department of Labor's promptness in responding to my request.) I don't see any surprises in it but if you're interested in what's going on with Social Security's effort to have BLS create a new occupational information system for use in determining disability you should take a look. As boring as this may seem, it's vitally important to the future of Social Security disability determination. The seemingly never-ending process to develop a new system deserves close scrutiny. I don't trust Social Security on this. I'm not sure that anyone who knows much about this trusts Social Security.
Below are links to the original Powerpoint version and to a version that I printed to PDF. If you're using the PDF version, you will see links in the upper left hand corner of the screens leading to notes apparently used by the presenters. Those notes were apparently not visible to the audience. If you use the Powerpoint version, those notes are visible at the bottom of the screen.
From What Factors Explain the Drop in Disability Insurance Rolls from 2015 to 2019? by Siyan Liu and Laura D. Quinby for the Center for Retirement Research at Boston College:
