Universalism Fixes Flawed Welfare States

Thousands of Americans cohabitate but don't marry because doing so would result in the loss of Medicaid eligibility. Marriage penalties (and bonuses) are just part of why we need a universal social-democratic welfare state.

Rear View Of Couple On Rooftop Terrace Looking Out Over City Skyline At Sunset

Many couples make the decision to get married based on whether their benefits will be negatively affected (monkeybusinessimages / Getty Images)


Rachel Cohen has a recent piece in Vox about a conservative welfare reform aimed at removing marriage penalties. This comes up a lot in conservative welfare circles, especially during and after presidential elections. It is doubtful that major policy changes will be made in this area, but it is a topic worth discussing, both in itself and also as a way of illustrating the superiority of a different way of doing tax and welfare policy.

The basic problem is that, whenever you create a welfare benefit that is restricted to families or households with income below a certain level, you make it so that eligibility turns, in part, on how many earners live in a given family or household. If family income needs to be below $20,000 per year to be eligible for a benefit, then a single-earner family earning $15,000 is eligible. But if two single-earners making $15,000 get married, their combined income would go to $30,000 and they would become ineligible for the benefit.

This is distributively unfair and has the effect of preventing some people from marrying. I actually know people in my family who, for many years, cohabitated but didn’t marry because doing so would result in the loss of Medicaid eligibility.

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