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March 2024 (Volume 102)
Quarterly Article
Peter Muennig
Daniel W. Belsky
Daniel Malinsky
Kieu-Giang Nguyen
Zohn Rosen
Heidi L. Allen
December 2024
September 2024
June 2023
Back to The Milbank Quarterly
Policy Points:
For workers who eke out a hand-to-mouth existence, an income supplement at tax time could plausibly have a positive and measurable impact on economic well-being and health by improving purchasing power for healthy foods or renting an apartment in a safer neighborhood.1 It could also alleviate the psychological stress associated with living paycheck to paycheck, which is associated with premature aging throughout the life course.2, 3 However, it is difficult to qualify for many welfare programs in the United States, and often the neediest go without because of bureaucratic barriers, such as onerous filing requirements.4
Low-wage work can be a particularly insidious health threat for single adults without children in America because this group is often ineligible for welfare income supplements. Although single adults without custodial children are eligible for the Earned Income Tax Credit (EITC), they are only eligible for one-fourth of the amount provided to single parents with one child.5