Showing posts with label work incentives. Show all posts
Showing posts with label work incentives. Show all posts

Tuesday, May 12, 2026

Employment and Disability

In a recent course session I was in, the classroom discussion delved into the topic of disability benefits and work eligibility. A student in class shared their own experiences, highlighting their frustrations, uncertainty, and the financial stress they were facing. Unfortunately, disability programs and policy in the US are not a mainstream topic of discussion within our society, which is structured around the able-bodied experience. However, it is still a key matter, especially with the recent actions and proposed plans by the Trump administration, which center on reducing support for welfare policies.


There is no doubt that, in comparison to the past, progress has been made in disability programs. But there is still work to be done. In the US, disability policy is set counterintuitively; it aims to support those who can’t work consistently, but can simultaneously discourage and disincentivize individuals who try to work, forcing them into a dilemma of facing economic risk. Despite work incentives within disability policies, concerns lie with how frameworks continue to perceive employment and experiencing disability as mutually exclusive, as seen with the complex application processes, complicated reporting requirements, strict income thresholds, and punitive benefit cliffs. Much of our policy seems to encourage staticity, and such rigidity reduces autonomy and control, creates constant concern, and fosters a sense of financial limitations. People with disabilities may reduce/turn down hours or decline certain jobs, as going over certain thresholds may terminate the necessary benefits they are receiving. It's a system that enforces stagnation and essentially punishes the desire to attain economic and social autonomy as a person with disabilities. 


For example, SSDI has a Trial Work Period that allows for nine months of high earnings, but after that, earnings above “substantial gainful activity” may lead to losing benefits. This can cause many individuals to limit themselves to lower-paying jobs or irregular work to avoid completely losing necessary benefits. Similarly, for SSI, every added dollar above the income exclusion threshold reduces benefits by $1 for every $2 earned. Within this, a major stressor for people is maintaining vital medical coverage (such as Medicaid or Medicare). Healthcare is vital for many individuals with disabilities, as it gives people access to life-sustaining and essential care. Making it so healthcare eligibility is rigid, with strict income thresholds, puts people with disabilities in a difficult situation, as they must restrict themselves to continue getting such access to healthcare, cautious of any triggers that would lead to losing such medical support.


Benefits don’t just represent monetary support- they represent access to healthcare, housing stability, and maintaining a good quality of life. The anxieties and fear of losing such support can make the path toward employment seem more like a gamble, not a path toward further independence. On top of all of this, the Trump administration has taken steps and is looking toward eliminating support for vital policies. In 2025, they cut off federal support for the intervention training within the SOAR program, which teaches caseworkers to be adept at navigating the complicated disability application process, and also supplies other important support and resources to their target population of individuals facing homelessness, particularly those experiencing severe mental health illnesses. 

Disability is not a monolithic reality- it can be unpredictable, fluctuate for some people (some days may be better than others), and can be impacted by the environment and factors surrounding the individual. In moving toward a system that truly values independence and supports individuals with disabilities, efforts should focus on reflecting how employment and disability can coexist. As a society, we can move towards universal healthcare, not tied to income/employment or benefits eligibility. There can be steps toward pushing for more gradual benefit tapering and bolstering employment supports, such as with part-time, episodic, or accommodated work. Within all of this, it is vital to make navigating the system of disability programs and policies clearer, simpler, and better communicated. Policy and discussion should revolve around the basis that individuals with disabilities want meaningful activity, autonomy, and stability, grounded in values such as dignity, inclusion, equity, and person-centered support. We can not walk away or allow administration decisions veer away from vital welfare policies and support. The current system can perpetuate a sense of ‘movement as dangerous,’ forcing people to ‘stay still.’ We must reshape this, as support should be a foundation people can safely build upon, where mobility is genuinely supported.

Wednesday, March 28, 2018

Adults with Developmental Disabilities


Reflection Paper
In class we talk about many different populations of people, but I think that one that gets overlooked is adults with developmental disabilities. I worked in a sheltered workshop for a little over 7 years and have seen first hand the kinds of financial difficulties they have. Just like children, these adults, don’t have much of a voice when it come to their own personal finances. Most of them do not understand the concept of money.

A lot of adults with developmental disabilities live in group homes. Much of their financial income is determined by the state. They are covered by Medicaid, SSI, SSDI and some receive SNAP. According to the Social Security Website most are covered by SSDI (87%), if their parents had a work history and the person was diagnosed before the age of 18.  I knew a few others that qualified for Black Lung Survivors Benefits.

Case workers scrambled to make sure that no one clients savings got over $2,000 for fear of them losing benefits. A couple years ago there was a panic when they reduced the amount of cash that was disbursed every month to clients in ICF group homes. For most it went from $60 to $50 or $40. Ten or twenty dollars does not seem like much to most, but they use that for things most people take for granted. Haircuts, a coffee, new shoes, clothes, or entertainment. Often clients that went to the workshop could not go on any outings that month because they lacked the funds. These were not extravagant outings. They were things like going to get a coffee, ice cream, or go to the zoo. 

A good thing was the clients never had to worry about healthcare, housing, or food. That was covered. When they got $60 a month that put them at $2 a day for cash. They were better off than pretty much everyone in the book $2 a Day since they don’t have to worry about food or shelter. These people can not advocate for themselves, although some try their best. One client from an ICF home knew that he would only get a certain amount of cash each month no matter how much he worked. It was sad to see some of the clients that had no concept of money working every day, sometimes making upwards of $200 a paycheck. They never get to see that paycheck. They get the allotted $40-$50 and the rest goes towards their room and board. 

Like anyone else, disabled or not, we want independence. Many of these clients could make a wage enough to pay for outings, clothing, haircuts, entertainment, or anything else that they need without going without new shoes for several months due to lack of cash funds. A higher functioning client wanted so badly to get out of the workshop and into the community working. She walked everywhere, went to interviews, and eventually landed herself 2-part time jobs while working at the workshop. She wanted to better herself and make enough money to do the things she loved. Since she was bringing in “too much” income she had to start paying into Medicaid.

I know there must be limits to what people can get because I can see it getting out of hand. Where is the line drawn though? If you increase their benefits so they have more cash, then that money is probably coming out of some other program. If you let them make as much as they want without losing benefits the state will be losing money. I believe that every adult with a developmental disability should be able to keep what they earn. Obviously if they make an obscene amount of money then yes, they should pay for some of their benefits. I don’t see the harm in them keeping what they earn.