Articles Tagged with medicaid

From: Congressional Budget Office (CBO), June 8, 2026.

By Chapin White,  CBO’s Director of Health Analysis.

This week, several of my colleagues in the Congressional Budget Office’s Health Analysis Division are participating in sessions at the 15th Annual Conference of the American Society of Health Economists (ASHEcon) in Minneapolis. The sessions are part of CBO’s ongoing efforts to engage with the broader research community. Such engagement improves the quality of CBO’s analysis and makes the agency’s methods and findings more transparent and available. CBO looks forward to discussion and feedback on the following topics.

Chappell, James. The Golden Years, How Americans Invented and Resisted Old Age. Basic Books, 2024 (publication date November 19, 2024).

James Chappell’s The Golden Years provides a compelling and incisive examination of the history of aging in America from the 19th century’s radical yet unrealized visions for reparative pensions to the contemporary decline of collective policy frameworks supporting older adults. Chappell’s narrative is richly detailed and deeply thought-provoking, offering both a historical chronicle and a critique of the evolving relationship between aging, public policy, and societal expectations.

Chappell shines a light on the early idealistic efforts to repair lives disrupted by war and slavery in the post-Civil War era. These movements, though ambitious, were thwarted by political deadlock and systemic inequalities. The author paints a vivid picture of how old-age support became a prominent issue, yet remained mired in compromises that excluded many, particularly African Americans. The 1935 Social Security Act—a cornerstone of the New Deal—marked a turning point, but its benefits were initially restricted to industrial workers, leaving agricultural and domestic laborers, disproportionately Black, on the sidelines.

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