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The Social Security Administration was handed a new program in the mid-1970s (Supplemental Security Income [SSI]) and instructed to review the eligibility of disability insurance recipients in the early 1980s. Both were undertaken too quickly and with ambiguous objectives. There was considerable confusion and, for disabled beneficiaries, widespread suffering.
In Agency Under Stress, Martha Derthick examines these cases coolly and with painstaking care. It turns out to be not simply that too much was expected too quickly, but means-tested SSI was different from anything the agency had dealt with, and, under fire from constituents, Congress and the Administration switched signals
Agency Under Stress: The Social Security Administration in American Government. Ann Intern Med. 1990;113:1003. doi: 10.7326/0003-4819-113-12-1003_1
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Published: Ann Intern Med. 1990;113(12):1003.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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