I haven't had time to read Quinones's book but elsewhere I did find
confirmation of the point he's making. It comes from a chilling article
by Nicholas Eberstadt of the American Enterprise Institute (HT2 John
Cochrane). The article is titled "
Our Miserable 21st Century" Eberstadt quotes the section of Quinones's book that Russ drew on and then adds:
You may now wish to ask: What share of prime-working-age
men these days are enrolled in Medicaid? According to the Census
Bureau's SIPP survey (Survey of Income and Program Participation), as of
2013, over one-fifth (21 percent) of all civilian men between
25 and 55 years of age were Medicaid beneficiaries. For prime-age people
not in the labor force, the share was over half (53 percent). And for
un-working Anglos (non-Hispanic white men not in the labor force) of
prime working age, the share enrolled in Medicaid was 48 percent.
(italics in original)
Eberstadt adds:
By the way: Of the entire un-working prime-age male Anglo
population in 2013, nearly three-fifths (57 percent) were reportedly
collecting disability benefits from one or more government disability
program in 2013. Disability checks and means-tested benefits cannot
support a lavish lifestyle. But they can offer a permanent alternative
to paid employment, and for growing numbers of American men, they do.
The rise of these programs has coincided with the death of work for
larger and larger numbers of American men not yet of retirement age. We
cannot say that these programs caused the death of work for millions
upon millions of younger men: What is incontrovertible, however, is that
they have financed it--just as Medicaid inadvertently helped
finance America's immense and increasing appetite for opioids in our new
century. (italics in original)
So those of us who demonize government and think it's incompetent still
have a solid basis for those views. I agree with Quinones on one thing,
though: this is not a laughing matter.
Also, unlike Quinones, I don't see how opiate addiction threatens
people's liberty or how jailers and cops in the drug war apparently
don't."
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