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Friday, September 11, 2015

The Busting of the Myths About Disability Fraud

A recent blog post on a Republican threat to the Social Security disability fund elicited comments about disability fraud, implying that the fund is not worth protecting until ways are found to stop healthy people from gaming the system.

Opinion by TERESA TRITCH | The New York Times | Sept 8, 2015
There is fraud, no doubt. But there is no evidence it is rampant.

The Center on Budget and Policy Priorities explains the disability system in an excellent policy brief.

Some facts:
It is not easy to go on disability. About 60 percent of applicants for disability benefits are turned away. Some are rejected for technical reasons, mainly because they have not worked long enough: To qualify, a person must have worked for at least one fourth of his or her adult life and five of the last 10 years. Some are rejected for medical reasons: To qualify, a physical or mental disability must be severe and expected to last at least 12 months or to end in death.

In fact, it can be very hard to qualify for disability. Of the nearly 40 percent of applicants who are accepted, many are initially rejected and have undergone additional scrutiny of their claims before receiving any benefits.

It is not easy to fake a disability. People who worry about fraud tend to worry that some disabilities, including back problems and depression, are not easy to see. That doesn’t mean they are being faked. Besides, many physical disorders – which are the main cause of disability for the vast majority of people – are plainly visible. Similarly, many mental disorders that lead to disability are clearly debilitating for their sufferers, including bipolar disorder, schizophrenia and disorders associated with brain disease or damage.

If people on disability were faking it, they wouldn’t have such high death rates. People on disability are three to six times more likely to die than people in their age group who are not on disability.

Disability claims are not skyrocketing. Rather, the population most likely to go on disability, those aged 50 to 64, is growing. The potential disability population is also larger now than in the past because today’s older women are more likely to have worked enough to qualify for disability than in earlier generations. In any event, demographic pressures have already begun to subside. Adjusted for demographic factors, the share of workers on disability has gone from slightly below 4 percent in 2000 to slightly above 4 percent in 2014.

The solution to fraud in the disability system is not to make it more difficult to qualify for disability or to question the usefulness of the system itself. The United States already has stricter eligibility requirements and stingier benefits than in almost all other advanced economies, according to the Organization for Economic Cooperation and Development.

The solution to fraud is to prevent and detect it. So what has Congress done? It has refused to give the Social Security Administration the money it needs to keep up with fraud detection and maintain customer service. Since 2010, the agency’s resources have declined in real terms, even as claims have increased due to the aging of the population.

A person entering the work force today has a one in three chance of dying or qualifying for disability before retirement age. The possibility of fraud does not diminish the odds of upstanding citizens needing help. The disability system deserves everyone’s support.
Correction: September 9, 2015 
An earlier version of this post misstated the share of those approved for disability who are initially rejected. Thirty-seven percent of applications are allowed — 23 percent initially and 14 percent after some additional scrutiny. It is not accurate that more than half are initially rejected.
http://takingnote.blogs.nytimes.com/2015/09/08/busting-the-myths-about-disability-fraud/?_r=1

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