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Abstract
The number of poor adults age 65 and older has declined dramatically since the official poverty rate was designed back in the 1960s. Today the federal government considers fewer than 1 in 10 older adults to be poor, compared with about 1 in 3 in the 1960s. These estimates show the share of people with insufficient income to meet basic living expenses, such as food and housing. However, substantial research shows that the official poverty measure no longer reflects the true resources or needs of older adults.
The lack of an accurate poverty measure for older adults hampers efforts to reform Medicare and Social Security, which face significant revenue shortfalls. Reform proposals often aim to reduce costs by combining benefit cuts with increased cost sharing for older adults. To target any cuts or increased costs to older adults with the greatest ability to pay, an accurate measure of economic well-being is critical.
Introduction
The number of poor adults age 65 and older has
declined dramatically since the official poverty rate
was designed back in the 1960s. Today the federal government
considers fewer than 1 in 10 older adults to be
poor, compared with about 1 in 3 in the 1960s. These
estimates show the share of people with insufficient
income to meet basic living expenses, such as food and
housing. However, substantial research shows that the
official poverty measure no longer reflects the true
resources or needs of older adults.
The lack of an accurate poverty measure for older
adults hampers efforts to reform Medicare and Social
Security, which face significant revenue shortfalls.
Reform proposals often aim to reduce costs by combining
benefit cuts with increased cost sharing for older
adults. To target any cuts or increased costs to older
adults with the greatest ability to pay, an accurate
measure of economic well-being is critical.
How Should We Measure Poverty?
In 1995 the National Academy of Sciences (NAS) recommended
changing the way we measure poverty (Citro
and Michael 1995). Researchers generally agree with
their recommendation to update the thresholds that
determine minimum needs. Recent Consumer Expenditure
Survey data show that couples need 41 percent
more income than singles to cover basic needs,
rather than the 26 percent ratio used in the official
thresholds. Also, adults age 65 and older require about
as much to cover their basic needs as younger adults,
not 92 percent as much as assumed in the official
thresholds. As a result, the NAS panel recommended
raising the needs thresholds by 4 percent for older singles
(to $9,167 in 2004, up from $8,825) and by 16 percent
for older couples (to $12,915 from $11,122).
Experts also agree with the NAS recommendations
to change how income is determined. The official poverty
rate considers only basic sources of cash income.
The NAS proposed adding realized capital gains and
losses and near-cash income, such as benefits from
housing assistance and food stamps, and subtracting
income taxes. The NAS expert panel also argued that
nondiscretionary out-of-pocket medical expenses
should be deducted from income because they limit
individuals’ ability to purchase other goods. This is
particularly important for older adults because they
have relatively high medical costs.
(End of excerpt. The entire paper is available in PDF format.)
The nonpartisan Urban Institute publishes studies, reports, and books on timely topics worthy of public consideration. The views expressed are those of the authors and should not be attributed to the Urban Institute, its trustees, or its funders.
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