Age and dependency: children and the aged in American social policy.

J. Axinn, M. Stern
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引用次数: 14

Abstract

major trend reversals in most social welfare programs; legal services for the poor, housing finance, health care for the poor, school lunches, student aid, food and nutrition programs, to name a few, were particularly targeted. Notably absent from the list in the beginning were programs for the aging, especially Social Security and veterans programs. Only as the economic situation tightened this past year did the Reagan administration begin to touch the social insurance system, and even then it proceeded with much caution. How did the special public concern for the aging come about and how pervasive has it been as a matter of public policy? The politically privileged position of the elderly is marked both by change and continuity. On the one hand, aged, native white men had secured substantial benefits from the Civil War pensions through the late nineteenth century. But the pensions did not cover most women or nonwhites. And when the Civil War veterans and their dependents died the extended coverage lapsed so that by 1920, there was virtually no coverage. By the time of the development of the Social Security insurance system in 1935, the aging were one of the poorest groups in American society. Thus, it is only in the relatively recent past that
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年龄与依赖:美国社会政策中的儿童与老年人。
大多数社会福利计划的主要趋势逆转;针对穷人的法律服务、住房融资、穷人的医疗保健、学校午餐、学生援助、食品和营养方案,等等,都是特别有针对性的。值得注意的是,一开始就没有针对老年人的项目,尤其是社会保障和退伍军人项目。直到去年经济形势收紧,里根政府才开始触及社会保险制度,即便如此,它也非常谨慎。公众对老龄化的特别关注是如何产生的?作为一项公共政策,它有多普遍?老年人的政治特权地位既有变化又有连续性。一方面,上了年纪的土著白人在整个19世纪晚期都从内战时期的养老金中获得了可观的福利。但是养老金并没有覆盖到大多数女性和非白人。当内战老兵和他们的家属去世后,扩大的保险范围失效了,到1920年,几乎没有保险。到1935年社会保障制度发展时,老年人已成为美国社会最贫困的群体之一。因此,它只是在相对较近的过去
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Age and dependency: children and the aged in American social policy. Values and structure in the German health care systems. Formula funding and regional planning of health services in Australia. Recalling pain and other symptoms. Cost containment and the quality of medical care: rationing strategies in an era of constrained resources.
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