The public and the welfare reform debate.
OBJECTIVE
To identify the core beliefs and policy preferences of the American public toward changing the welfare system and providing support for low-income families.


METHODS
Results are presented from 19 telephone and in-person surveys of adults nationwide between 1937 and February 1995.


METHODS
At-home interviews with adults.


METHODS
Seventeen surveys; each survey involved 1000 to 2000 adults nationwide.


METHODS
None.


RESULTS
The results showed that the public supports strong welfare reform measures (eg, time limits and work requirements), but it is reluctant simply to cut off welfare benefits to people and leave them without some means of basic support. The surveys identified five underlying beliefs that shape the public's policy preferences: (1) welfare causes more harm than good because it discourages work and causes families to break up; (2) welfare should be a temporary transition to work, not a long-term subsidy for low-income families; (3) the country spends too much on welfare programs; (4) lack of economic opportunity as well as personal responsibility is the reason people need welfare; and (5) both government and people themselves have a shared responsibility for ensuring that people have a minimum standard of living.


CONCLUSIONS
The outcome of the welfare reform debate will have a substantial impact on the 21% of the nation's children who now live in poverty. The jury is still out on what the public will support in the welfare reform debate. The Medicaid program is caught in the middle of the welfare reform debate, and its ultimate fate may rely on state rather than federal decision making.
Blendon
R J
RJ
Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass, USA.
Altman
D E
DE
Benson
J
J
Brodie
M
M
James
M
M
Chervinsky
G
G
D000328:Adult; D001294:Attitude to Health; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D008489:Medical Indigency; D011203:Poverty; D011639:Public Opinion; D012946:Social Welfare; D011795:Surveys and Questionnaires; D014481:United States