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Despite a Temporary Reprieve, the

Social Security Disability Insurance

Program Needs Structural Reform


By Tejesh Pradhan   and James  C. Capretta


December 2017


The Social Security disability program needs structural reform. There has been a long-term trend
toward higher rates of disability among covered workers as the standards for assessing disability
have accommodated  larger numbers of applicants with musculoskeletal and mental health
conditions. Congress should pass legislation soon to test far-reaching changes in the program,
including: providing temporary health and income support benefits to some applicants who
might be able to return to work with proper medical care and job-placement assistance and
experience-rating the payroll tax for employers to encourage them to take steps to prevent
elevated rates of disability among their workers.


The 2017 report of the Social Security trustees, re-
leased in July, shows modest improvement in the
financial status of the Disability Insurance (DI)
trust fund compared with prior reports. The new
report shows the trust fund will be depleted of its
reserves in 2028, five years later than projected in
the 2016 report. New applications for disability
benefits are coming in below the rates that were
projected in 2016.
   Regrettably, some policymakers may assume
that this slightly improved outlook for the disabil-
ity trust fund means it is no longer necessary to
pursue significant reforms in the program. They
would be mistaken. Even with this slowdown in
new disability claims, the DI trust fund is in severe
financial distress and probably would already be in-
solvent were it not for stopgap legislation passed
by Congress in 2015 to temporarily shift tax reve-
nue from the retirement side to the disability side


of the program. This shift in payroll tax receipts is
not a long-term solution to the disability program's
funding problems because the Social Security re-
tirement program is also racing toward insolvency
and cannot afford to lose the tax revenue shifted to
disability on a permanent basis. Indeed, the retire-
ment portion of Social Security faces even larger
funding shortfalls than the disability program,
which calls into question the advisability of even a
temporary shift of revenue. The 2017 trustees' re-
port projects the Old-Age and Survivors Insurance
(OASI) trust fund will be depleted in 2035. Looked
at together, the combined retirement and disability
trust funds will be depleted of reserves in 2034.
   The disability program needs reform because it
has evolved away from its original design and can
no longer be supported by the level of taxation pre-
viously assumed to be sufficient to finance it. The
program needs a more fundamental restructuring

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