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Poverty and Sources of Income Support Among Older People With Disabilities and Out of Work: Comparison of Canada and the United Kingdom

Published online by Cambridge University Press:  08 April 2021

WEN-HAO CHEN
Affiliation:
Department of Economics, National Taipei University, No. 151, University Rd., Sanxia Dist., New Taipei City 237303, Taiwan (R.O.C.) email: [email protected]
LEE BENTLEY
Affiliation:
Department of Public Health and Policy, Institute of Psychology, Health and Society, University of Liverpool, Liverpool L69 3GB, United Kingdom emails [email protected]; [email protected]; [email protected]
MARGARET WHITEHEAD
Affiliation:
Department of Public Health and Policy, Institute of Psychology, Health and Society, University of Liverpool, Liverpool L69 3GB, United Kingdom emails [email protected]; [email protected]; [email protected]
ASHLEY MCALLISTER
Affiliation:
Department of Public Health Sciences, Karolinska Institutet, 17177 Stockholm, Sweden email [email protected]
BENJAMIN BARR
Affiliation:
Department of Public Health and Policy, Institute of Psychology, Health and Society, University of Liverpool, Liverpool L69 3GB, United Kingdom emails [email protected]; [email protected]; [email protected]

Abstract

The debate about extending working lives in response to population ageing often overlooks the lack of employment opportunity for older adults with disabilities. Without work, their living standards depend heavily on government transfers. This study contributes to the literature on health inequalities by analysing the sources of income and poverty outcomes for people aged 50 to 64 in two liberal democratic countries yet with contrasting disability benefit contexts – Canada and the United Kingdom. This choice of countries offers the opportunity to assess whether the design of benefit systems has led the most disadvantaged groups to fare differently between countries. Overall, disabled older persons without work faced a markedly higher risk of poverty in Canada than in the UK. Public transfers played a much greater role in the UK, accounting for two-thirds of household income among low-educated groups, compared with one-third in Canada. The average benefit amount received was similar in both countries, but the coverage of disabled people was much lower in Canada than in the UK, leading to a high poverty risk among disabled people out of work. Our findings highlight the importance of income support systems in preventing the widening of the poverty-disability gap at older ages.

Type
Article
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Barr, B. and McHale, P. (2018), ‘The Rise and Fall of Income Replacement Disability Benefit Receipt in the United Kingdom: What Are the Consequences of Reforms?’, in MacEachen, E. (ed.), The science and politics of work disability prevention. New York: Routledge.Google Scholar
Barr, B., Taylor-Robinson, D., Stuckler, D., Loopstra, R., Reeves, A. and Whitehead, M. (2016a), ‘First, do no harm: are disability assessments associated with adverse trends in mental health? A longitudinal ecological study’, Journal of Epidemiology & Community Health, 70, 339345.CrossRefGoogle ScholarPubMed
Barr, B., Taylor-Robinson, D., Stuckler, D., Loopstra, R., Reeves, A., Wickham, S. and Whitehead, M. (2016b), ‘Fit-for-work or fit-for-unemployment? Does the reassessment of disability benefit claimants using a tougher work capability assessment help people into work?’, Journal of Epidemiology & Community Health, 70, 452458.CrossRefGoogle ScholarPubMed
Béland, D. and Waddan, A. (2014), ‘Policy change in flat pensions: Comparing Canada and the UK’, Canadian Public Administration, 57, 383400.CrossRefGoogle Scholar
Béland, D., Blomqvist, P., Andersen, J. G., Palme, J. and Waddan, A. (2014), 'The Universal Decline of Universality? Social Policy Change in Canada, Denmark, Sweden and the UK', Social Policy & Administration, 48, 739756.CrossRefGoogle Scholar
Böhnke, P. (2008), ‘Are the poor socially integrated? The link between poverty and social support in different welfare regimes’, Journal of European Social Policy, 18, 133150.CrossRefGoogle Scholar
Campolieti, M. (2001), ‘The Canada/Quebec pension plan disability program and the labor force participation of older men’, Economics Letter, 70, 421426.CrossRefGoogle Scholar
Chen, W.-H. (2019), ‘Health and transitions into nonemployment and early retirement among older workers in Canada’, Economics and Human Biology, 35, 193206.CrossRefGoogle Scholar
Chetty, R., Stepner, M., Abraham, S., et al. (2016), ‘The Association Between Income and Life Expectancy in the United States, 2001-2014’, JAMA, 315(16), 17501766.Google ScholarPubMed
Clarke, P. and Latham, K. (2014), ‘Life Course Health and Socioeconomic Profiles of Americans Aging with Disability’, Disability and Health Journal, 7, S15S23.CrossRefGoogle Scholar
Crawford, C. (2013a), ‘Disabling Poverty and Enabling Citizenship: Understanding the Poverty and Exclusion of Canadians with Disabilities’, Council of Canadians with Disabilities, Winnipeg. http://www.ccdonline.ca/en/socialpolicy/poverty-citizenship/demographic-profile/understanding-poverty-exclusion [accessed 09.11.2020].Google Scholar
Crawford, C. (2013b), 'Looking into poverty: income sources of poor people with disabilities in Canada', Institute for Research and Development on Inclusion and Society (IRIS) and Council of Canadians with Disabilities, Toronto.Google Scholar
Crystal, S., Shea, D.G. and Reyes, A.M. (2016), ‘Cumulative Advantage, Cumulative Disadvantage, and Evolving Patterns of Late-Life Inequality’, Gerontologist, 57, 910920.Google Scholar
Curnock, E., Leyland, A.H. and Popham, F. (2016), 'The impact on health of employment and welfare transitions for those receiving out-of-work disability benefits in the UK', Social Science & Medicine, 162, 110.Google Scholar
Currie, J. (2009), ‘Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development’, Journal of Economic Literature, 47, 87122.CrossRefGoogle Scholar
Dahl, E., Fløtten, T. and Lorentzen, T. (2008), ‘Poverty dynamics and social exclusion: An analysis of Norwegian panel data’, Journal of Social Policy, 37, 231249.CrossRefGoogle Scholar
Downey, D.B., von Hippel, P.T. and Broh, B.A. (2004), ‘Are Schools the Great Equalizer? Cognitive Inequality during the Summer Months and the School Year’, American Sociological Review, 69, 613635.CrossRefGoogle Scholar
DWP-DH. (2017), ‘Improving Lives: The Work, Health and Disability Green Paper. Improving Lives: The Work, Health and Disability Green Paper. London’, https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability [accessed 09.11.2020].Google Scholar
Emmerson, C., Joyce, R. and Sturrock, D. (2017), ‘Working-age incapacity and disability benefits’, in: The IFS Green Budget. Institute for Fiscal Studies, London, 177–202.Google Scholar
ESDC. (2017), ‘Annual Report of Canada Pension Plan 2016-2017’, Employment and Social Development Canada (ESDC), Ottawa. https://www.canada.ca/en/employment-social-development/programs/pensions/reports/annual-2017.html [accessed 09.11.2020].Google Scholar
ESDC. (2018), ‘Opportunity for All – Canada’s First Poverty Reduction Strategy’, Employment and Social Development Canada (ESDC), Ottawa. https://www.canada.ca/en/employment-social-development/programs/poverty-reduction/reports/strategy.html [accessed 09.11.2020].Google Scholar
Esping-Andersen, G. (1990), ‘The three worlds of welfare capitalism’, Princeton University Press.Google Scholar
Eurostat. (2018), ‘Disability: higher risk of poverty or social exclusion’, https://ec.europa.eu/eurostat/documents/4187653/9451024/People+with+disability_AROPE.jpg [accessed 09.11.2020].Google Scholar
Fumagalli, L., Knies, G. and Buck, N. (2017), ‘Understanding Society: The UK HLS harmonised BHPS User Guide’, Institute for Social and Economic Research, University of Essex.Google Scholar
Gaffney, D. (2015), ‘Retrenchment, Reform, Continuity: Welfare under the Coalition’, National Institute Economic Review, 231, R44R53.CrossRefGoogle Scholar
HBAI. (2019), ‘Households Below Average Income (HBAI) statistics’, Households Below Average Income (HBAI) statistics. https://www.gov.uk/government/collections/households-below-average-income-hbai–2 [accessed 09.11.2020].Google Scholar
Hjalmarsson, S. and Mood, C. (2015), ‘Do poorer youth have fewer friends? The role of household and child economic resources in adolescent school-class friendships’, Children and Youth Services Review, 57, 201211.CrossRefGoogle Scholar
Jones, M. (2016), ‘Disability and labor market outcomes’, Bonn: IZA World of Labor: 253.Google Scholar
Joseph Rowntree Foundation. (2019a), ‘Impact of poverty on relationships’, https://www.jrf.org.uk/data/impact-poverty-relationships [accessed 09.11.2020].Google Scholar
Joseph Rowntree Foundation. (2019b), ‘Where next for Universal Credit and tackling poverty’, https://www.jrf.org.uk/report/where-next-universal-credit-and-tackling-poverty [accessed 09.11.2020].Google Scholar
Lindsay, C., Greve, B., Cabras, I., Ellison, N. and Kellett, S. (2015), ‘Assessing the evidence base on health, employability and the labour market – lessons for activation in the UK’, Social Policy & Administration, 49(2), 143160.CrossRefGoogle Scholar
MacInnes, T., Tinson, A., Gaffney, D., Horgan, G. and Baumberg, B. (2014), ‘Disability, long-term conditions and poverty’, New Policy Institute, London.Google Scholar
Maki, D.R. (1993), ‘The Economic Implications of Disability Insurance in Canada’, Journal of Labor Economics, 11, S148S169.Google Scholar
Mann, H. (1957), ‘The republic and the school: Horace Mann on the education of free men’, in Cremin, L.A. (ed.), Teachers College, Columbia University.Google Scholar
McVicar, D. (2008), ‘Why Have UK Disability Benefit Rolls Grown so Much?’, Journal of Economic Surveys, 22, 114139.Google Scholar
Mendelson, M., Battle, K., Torjman, S. and Lightman, E. (2010), ‘A basic income plan for Canadians with severe disabilities’, Caledon Institute of Social Policy, Ottawa.Google Scholar
Mood, C. and Jonsson, J.O. (2015), ‘The social consequences of poverty: An empirical test on longitudinal data’, Social Indicators Research, 127, 633652.CrossRefGoogle Scholar
Moore, J.C., Stinson, L.L. and Welniak, E.J. (2000), ‘Income Measurement Error in Surveys: A Review’, Journal of Official Statistics, 16, 331361.Google Scholar
Mustard, C., Dickie, C. and Chan, S. (2007), ‘Disability income security benefits for working-age Canadians’, Institute for Work and Health Working Paper 339, Toronto.Google Scholar
OECD. (2003), ‘Transforming Disability into Ability. Policies to Promote Work and Income Security for Disabled People’, Paris: OECD Publishing.Google Scholar
OECD. (2010a), ‘Sickness, disability and work: breaking the barriers; a synthesis of findings across OECD countries’, Paris: OECD Publishing.Google Scholar
OECD. (2010b), ‘Sickness, Disability and Work: Breaking the barriers. Canada: Opportunities for Collaboration’, Paris: OECD Publishing.Google Scholar
OECD. (2017), ‘Preventing Ageing Unequally’, Paris: OECD Publishing.Google Scholar
OECD. (2018), ‘Benefit generosity and work incentives for recipients of disability benefits in 12 EU member states’, https://taxben.oecd.org/tax-ben-resources/Benefit-generosity-and-work-incentives-for-disability-benefit-recipients.pdf [accessed 09.11.2020].Google Scholar
OECD Poverty rate. (2019), ‘Poverty rate (indicator)’, doi: 10.1787/0fe1315d-en [accessed 09.11.2020].CrossRefGoogle Scholar
OECD Social spending. (2019), ‘Social spending (indicator)’, doi: 10.1787/7497563b-en [accessed 09.11.2020].CrossRefGoogle Scholar
Prince, M. and Peters, Y. (2015), ‘Disabling Poverty and Enabling Citizenship’, Council of Canadians with Disabilities (CCD), Winnipeg.Google Scholar
Saunders, M., Barr, B., McHale, P. and Hamelmann, C. (2017), ‘Key policies for addressing the social determinants of health and health inequities’, Health Evidence Network Synthesis Report 52, World Health Organization Europe.Google Scholar
Sawhill, I.V. (1988), ‘Poverty in The U. S.: Why Is It so Persistent?’, Journal of Economic Literature, 26, 10731119.Google Scholar
Simpson, W. and Stevens, H. (2016), ‘The Disability Tax Credit: Why it Fails and How to Fix it’, University of Calgary SPP Research Paper, 9(24), Calgary.Google Scholar
Stapleton, J. and Procyk, S. (2010), ‘A patchwork quilt: income security for Canadians with disabilities, Issue briefing’, Institute for Work and Health, Toronto.Google Scholar
Stapleton, J., Tweddle, A. and Gibson, K. (2013), ‘The Welfareization of Disability Incomes in Ontario: What are the Factors Causing this Trend?’, Metcalf Foundation, Toronto. https://metcalffoundation.com/publication/the-welfareization-of-disability-incomes-in-ontario [accessed 09.11.2020].Google Scholar
Statistics Canada. (2015), ‘Low Income Lines, 2013-2014: Update’, Income Research Paper Series, Catalogue no. 75F0002M – No. 002, Ottawa.Google Scholar
Tinson, A., Aldridge, H., Born, B. T. and Hughes, C. (2016), ‘Disability and poverty’, New Policy Institute, London. https://www.npi.org.uk/publications/income-and-poverty/disability-and-poverty [accessed 09.11.2020].Google Scholar
UNICEF Canada. (2018), ‘The Equalizer: How Education Created Fairness for Children in Canada’, UNICEF Report Card 15: Canadian Companion, UNICEF Canada, Toronto.Google Scholar
United Nations. (2016), ‘Convention on the Rights of Persons with Disabilities (CRPD)’, United Nations Enable. https://www.un.org/development/desa/disabilities/convention-on-the-rights-of persons-with-disabilities.html [accessed 09.11.2020].Google Scholar
Waddan, A. and Béland, D. (2019), ‘Universality and Social Policy in the United Kingdom’, in Béland, D., Marchildon, G.P. and Prince, M.J. (eds.), Universality and social policy in Canada. Toronto, 179190.Google Scholar
Wall, K. (2017), ‘Low income among persons with a disability in Canada’, Statistics Canada, Catalogue no. 75-006-X, Ottawa.Google Scholar