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Social Programs

Vox’s home for examining the state of social security, Medicaid, Medicare, welfare, food stamps, and more.

Politics
Today in Obamacare: an interview with the Harvard researcher who found Medicaid saves livesToday in Obamacare: an interview with the Harvard researcher who found Medicaid saves lives
Politics

Disparities in health care are now more about income inequality than racial inequality.

By Julia Belluz
Politics
53% of Republicans don’t know repealing Obamacare repeals the Medicaid expansion53% of Republicans don’t know repealing Obamacare repeals the Medicaid expansion
Politics

What happens when they find out?

By Ezra Klein
Politics
Today in Obamacare: the big hurdle to block-granting Medicaid — explained by a GOP legislator who wants to do itToday in Obamacare: the big hurdle to block-granting Medicaid — explained by a GOP legislator who wants to do it
Politics

Rep. Phil Roe (R-TN) likes Medicaid block grants. But the politics, he says, are getting messy.

By Sarah Kliff
Politics
Trump: I’ll protect Social Security. Trump’s budget director: Maybe not.Trump: I’ll protect Social Security. Trump’s budget director: Maybe not.
Politics

Here’s another promise Trump might break.

By Dylan Matthews
Politics
Donald Trump’s plan to cut Medicaid spending, explainedDonald Trump’s plan to cut Medicaid spending, explained
Politics

Trump’s HHS pick would reduce the program’s budget by $1 trillion over the next decade.

By Sarah Kliff
Health Care
Republicans have a clear plan to cut Medicare — but they may not go through with itRepublicans have a clear plan to cut Medicare — but they may not go through with it
Health Care

“It would be a fundamental change in how Medicare works.”

By Sarah Kliff
Politics
Senate Democrats are spoiling for a Medicare fight they may not getSenate Democrats are spoiling for a Medicare fight they may not get
Politics

“Make our day.”

By Matthew Yglesias
States are using welfare money to fund anti-abortion propaganda
Health Care

Funds intended for needy families are going to “crisis pregnancy centers,” which lie to women to try to talk them out of abortion.

By Emily Crockett
Politics
The freedom lover’s case for the welfare stateThe freedom lover’s case for the welfare state
Politics

When people know they have a safety net, they are more willing to free up other areas of the economy.

By Will Wilkinson
Politics
Lillie Harden was Bill Clinton’s welfare reform success story. Welfare reform failed her.Lillie Harden was Bill Clinton’s welfare reform success story. Welfare reform failed her.
Politics

Honoring Harden’s legacy includes recognizing the limits of welfare reform that doesn’t reform what makes welfare necessary.

By Victoria M. Massie
Politics
Hillary Clinton lobbied Congress to pass welfare reform. Now she barely tries to defend itHillary Clinton lobbied Congress to pass welfare reform. Now she barely tries to defend it
Politics

She still hasn’t totally owned up to its failure.

By Dylan Matthews
Politics
The Weeds: Welfare policy is hard. Welfare politics may be even harder.The Weeds: Welfare policy is hard. Welfare politics may be even harder.
Podcast
Politics
Maine’s governor is threatening to take food stamps away from 190,000 peopleMaine’s governor is threatening to take food stamps away from 190,000 people
Politics

He says he won’t let “billions of taxpayer dollars finance a steady diet of Mars bars and Mountain Dew.”

By Dylan Matthews
“If the goal was to get rid of poverty, we failed”: the legacy of the 1996 welfare reform
Politics

Bill Clinton’s signature domestic policy achievement, its effects, and its legacy, explained.

By Dylan Matthews
Social Programs
Medicare’s system for chronic illness failed my parents. Here’s how I want to fix it.Medicare’s system for chronic illness failed my parents. Here’s how I want to fix it.
Social Programs

A US senator explains why it’s essential to update the Medicare guarantee.

By Ron Wyden
Politics
President Obama’s huge reversal on Social Security is a big win for liberalsPresident Obama’s huge reversal on Social Security is a big win for liberals
Politics

Once he wanted to cut it. Now he wants to expand it.

By Dylan Matthews
Politics
Hillary Clinton wants to let people “buy in” to MedicareHillary Clinton wants to let people “buy in” to Medicare
Politics

What you need to know.

By Matthew Yglesias
Politics
It’s time to junk 401(k)s and IRAs and have Social Security finance our whole retirementsIt’s time to junk 401(k)s and IRAs and have Social Security finance our whole retirements
Politics
North Carolina is the latest state to find welfare recipients rarely use illegal drugsNorth Carolina is the latest state to find welfare recipients rarely use illegal drugs
Politics

New results have some wondering if drug tests are the best way to use the state’s resources.

By Victoria M. Massie
Politics
Trump endorses an idea liberals love: letting Medicare negotiate drug pricesTrump endorses an idea liberals love: letting Medicare negotiate drug prices
Politics

Republican frontrunner Donald Trump has embraced a policy that liberals love.

By Sarah Kliff
Politics
One big problem with Medicare for all: Medicare coverage isn’t that greatOne big problem with Medicare for all: Medicare coverage isn’t that great
Politics

If we really did extend Medicare to cover all Americans, a lot of people would likely find themselves quite disappointed with the benefits.

By Sarah Kliff
Politics
Bernie Sanders has released his Medicare-for-all plan. Here’s how he pays for it.Bernie Sanders has released his Medicare-for-all plan. Here’s how he pays for it.
Politics

The main way: taxing the rich a LOT.

By Dylan Matthews
Politics
Economists tested 7 welfare programs to see if they made people lazy. They didn’t.Economists tested 7 welfare programs to see if they made people lazy. They didn’t.
Politics

Giving poor people cash is a pretty great idea.

By Dylan Matthews
Social Programs
We know substance abuse deaths are rising. But Medicare won’t let researchers study it.We know substance abuse deaths are rising. But Medicare won’t let researchers study it.
Social Programs

The federal agency that oversees the nation’s largest trove of health data won’t let researchers study the problem.

By Dan Diamond
Politics
5 things you should know about the Republican welfare state5 things you should know about the Republican welfare state
Politics

It’s very real, and it redistributes wealth upward.

By Christopher Faricy
Social Programs
The budget deal made a change that’s good for Medicaid — and bad for Martin ShkreliThe budget deal made a change that’s good for Medicaid — and bad for Martin Shkreli
Social Programs

Companies that produce generic drugs must pay back the government if the price of their drugs grows faster than inflation.

By Dan Diamond
Politics
Study: Food stamps do much more to fight poverty than we thoughtStudy: Food stamps do much more to fight poverty than we thought
Politics

Twice as much, in fact.

By Dylan Matthews
I get food stamps, and I’m not ashamed — I’m angry
Features

Don’t look down on me — look down on the employers who don’t pay a living wage.

By Christine Gilbert
Politics
Superman makes the case for welfareSuperman makes the case for welfare
Politics

“Hop on the welfare wagon,” says the Last Son of Krypton.

By Matthew Yglesias
Politics
Martin O’Malley wants boosts to Social Security that even Bernie Sanders hasn’t called forMartin O’Malley wants boosts to Social Security that even Bernie Sanders hasn’t called for
Politics

The other left-of-Hillary candidate lays out his agenda.

By Dylan Matthews
Politics
Social Security and the 2016 presidential campaign, explainedSocial Security and the 2016 presidential campaign, explained
Politics

The third rail of American politics was a non-factor in 2008 and 2012. That’s set to change.

By Matthew Yglesias
Meet John Kasich, the man who defended expanding Medicaid on the GOP debate stage
Politics

For years, he’s argued that it was the Christian thing to do.

By Andrew Prokop
How Medicaid forces families like mine to stay poor
Features

I didn’t know how broken America’s safety net was until my sister-in-law became paralyzed.

By Andrea Louise Campbell
Politics
Jeb Bush says we should “phase out” MedicareJeb Bush says we should “phase out” Medicare
Politics

Give him this — he’s honest.

By Matthew Yglesias
Politics
Medicare wants to pay doctors to talk about death. Expect political controversy.Medicare wants to pay doctors to talk about death. Expect political controversy.
Politics

The Obama administration is reviving a controversial policy to pay doctors for end-of-life talks.

By Sarah Kliff
Politics
Where Chris Christie stands on the issues, from Social Security cuts to same-sex marriageWhere Chris Christie stands on the issues, from Social Security cuts to same-sex marriage
Politics

The New Jersey governor is a foreign policy hawk, a tax-cutter, and has straddled the line on social issues.

By Andrew Prokop
Politics
No, Jeb Bush didn’t just say he’d privatize Social SecurityNo, Jeb Bush didn’t just say he’d privatize Social Security
Politics

He does want to increase the retirement age, though.

By Andrew Prokop
Politics
Report: Chinese hackers took Social Security numbers for every federal employeeReport: Chinese hackers took Social Security numbers for every federal employee
Politics

The attackers were looking for employment records for the federal government.

By Timothy B. Lee
Politics
401(k)s are failing many Americans. Why not expand Social Security instead?401(k)s are failing many Americans. Why not expand Social Security instead?
Politics

How to pay for it? “Scrap the cap.”

By Dylan Matthews
Politics
The White House is trying to strong-arm Florida into expanding MedicaidThe White House is trying to strong-arm Florida into expanding Medicaid
Politics

If the tactic works, the White House may have found a model to use again and again to overcome one of the most significant remaining hurdles to Obamacare’s goal of universal health-care coverage.

By Sarah Kliff