Older Americans are falling through the cracks of the programs designed to save them
- More than 3,600 older Americans have shared their financial and other regrets with Business Insider.
- Many said they regretted relying on government programs designed to keep them out of poverty.
- This is part of an ongoing series about older Americans' regrets.
America is getting older β and that shift is straining the federal programs meant to keep older people out of poverty.
Since mid-September, more than 3,600 older adults have shared their life regrets with Business Insider through reader surveys and direct emails. Many spoke about their struggles navigating programs like Social Security, the Supplemental Nutrition Assistance Program, and Medicare. This is part of a series on Americans' retirement regrets.
The overwhelming message was that these programs weren't enough to pay the bills. Retirees said they regretted not realizing this and not saving more to supplement their government checks.
BI followed up with several retirees and asked experts about the programs' performance and improvements they might need. Since most of the retirees rely on programs run by the federal government, the solutions discussed here mainly focus on the public sector. Others may have ideas for private or charitable solutions as well.
To be sure, many American retirees are doing just fine. Baby boomers have benefited from rising home and stock-market values over their lifetimes, and OECD data suggests the US's retirement system is doing well in some areas compared with those of other developed countries. Census data indicates roughly 11% of people 65 and older in the US lived inΒ poverty in 2023, down from about 25% in 1976.
Still, many people are struggling, and the pressures are only likely to grow as the population ages and funding wanes. Some argue that such trends increase the need to preserve or bolster government programs designed to reduce poverty among older adults.
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Americans increasingly rely on government checks like Social Security, and the program's funds are diminishing
Pamela Shields, 67, gets $1,470 a month in Social Security payments and an additional $600 from her jobs as a caregiver and a night-shift worker at her local grocery store. She had a long career in customer service and human resources, but she's dealt with unexpected medical expenses and two divorces, and she still provides her children with some financial support.
She said that Social Security wasn't enough to rely solely on and that she feared she wouldn't have enough to retire.
As with all beneficiaries, Shields' Social Security check amount is based on her earnings during her working years. But some major categories of spending β like housing, healthcare, and some utilities β have outpaced inflation in recent decades.
"I really want to be retired and not have to do all this stuff to make a living," Shields said. "But I don't see myself doing that."
Research from the bipartisan public-policy firm Economic Innovation Group suggests that US households like Wood's are increasingly reliant on government assistance like Social Security. EIG found that in 2022, Americans got an average of $11,500 in government payouts, representing 18% of the population's total personal income.
But Social Security may be in trouble, with payouts expected to start shrinking in the mid-2030s. As more baby boomers reach peak retirement age, the strain is expected to grow. Without a solution, they could be the last generation to receive full benefits.
"Social Security has been a very expensive program for a very long time, and it's more expensive particularly as we see upswells in the over-65 share of the population," said Benjamin Glasner, an economist at EIG.
One solution to extend the program's life is to start cutting benefits now. The US Government Accountability Office said in a report this summer that applying an across-the-board cut for all Social Security beneficiaries or cutting some spousal or widower benefits could increase longevity.
Of course, that would put people who are already struggling in an even tighter spot. Ultimately, Glasner said, the US needs more younger workers contributing to the Social Security fund through taxes. He argued that the US should invest more in helping people start and sustain families β the US's fertility rate hit a historic low this year.
"We will not be able to tax or cut our way out of this budgetary mess," he said. He also proposed consolidating various federal benefit programs, including Social Security, to reduce the administrative burden and reduce costs.
Another option is to turn up the nozzle on the program's funding sources: payroll taxes, interest on government securities, and taxes on benefits. Some Democrats, led by Sens. Bernie Sanders and Elizabeth Warren, have proposed raising payroll taxes on higher earners to help offset the cost of hiking benefits for everyone.
Gopi Shah Goda, the director of the Retirement Security Project at the center-left think tank Brookings Institution, said the US could consider how other countries address retirement programs, including using general tax revenue, like Australia, and focusing expenditures more on lower-income retirees, like Canada.
Because Social Security is among the federal government's biggest expenditures, some legislators are looking for cost-cutting strategies. House Republicans have proposed raising the age at which Americans become eligible for benefits. President-elect Donald Trump has suggested cutting Social Security income taxes for retirees, which could provide immediate relief but further imperil future funding for the program by reducing tax revenue overall.
Andrew Biggs, a senior fellow at the right-leaning American Enterprise Institute, has proposed capping monthly benefits at $2,050 beginning in 2033, arguing that this amount would keep more older Americans above the poverty line and keep benefits higher for longer than across-the-board cuts would when funding runs dry. This might mean smaller checks for higher earners, but he argued that Social Security is often inefficient for middle- and higher-income Americans because the safety net discourages them from working longer or saving more.
"Because of the taxes charged to fund those benefits, people tend to reduce their labor supply," Biggs said. "If I'm getting an extra $500 per month from Social Security, that's going to reduce the amount I save for retirement."
One way to help workers save more and extend the life of Social Security would be to increase access to employer-match 401(k)s at work. In a December fact sheet, AARP cited an estimate that 56 million Americans β the vast majority of whom earned less than $50,000 βΒ lacked access to retirement savings plans through their employer.
A handful of BI's survey respondents mentioned wishing they had 401(k) matching at work or jobs that provided financial guidance for retirement.
Still, retirees' average Social Security benefits are over 40% higher than they were in the 1970s when accounting for inflation. Participation in β and contributions to β retirement plans has increased since the 1970s. People are also claiming Social Security slightly later in life.
Researchers said that delaying taking Social Security could substantially improve people's retirement security, provided they have other income sources.
Some Medicare and private insurance plans hike premiums on older people or don't cover some needs
Older Americans told BI that medical emergencies, the need for long-term care, or expensive prescriptions eroded their savings. Whether they have private or government insurance, out-of-pocket costs add up. For those on a budget, affording healthcare and other essentials can be challenging, especially if medical conditions keep them from working.
Ronda Nichols, 60, worked as a paralegal, but her career ended when she slipped on ice in 2008. Her emergency savings weren't enough to cover her surgery, which, with aftercare costs, cost well into the hundreds of thousands of dollars. Nichols, whose Medicare premium is paid for by Idaho, lives on about $1,100 in disability and $300 from her late husband's pension each month, much of which goes toward prescriptions and over-the-counter pain medications.
"Economically this injury has really impacted me, because every month I think if my Social Security doesn't come I'm screwed," Nichols said.
About 68 million people are enrolled in Medicare, which is divided into traditional Medicare and private insurance overseen by Medicare, such as Medicare Advantage plans.
Dr. Joel Shalowitz, a specialist in geriatric medicine who formerly taught at Northwestern University, said older people could save money on health-insurance premiums if private policies and Medicare Advantage health plans were forbidden from steeply hiking rates for older beneficiaries, as some policies on the Affordable Care Act Marketplace are.
Plus, he said, if allΒ Medicare plans offered health savings accounts, older adults could build emergency funds for medical expenses and out-of-pocket costs.
Goda said many older Americans aren't aware that some Medicare plans don't cover long-term care, hearing aids, or dental care. "It's in a way impossible to know every possible outcome of what ailment you might have and how your health insurance will cover the resulting costs associated with that," Goda said.
She suggested that streamlining access to benefits and subsidizing services for people who need long-term care could improve the system. Goda added that an aging population doesn't always correspond to increased dependency. She argued that the US should invest in health throughout people's lives, citing research that childhood Medicaid eligibility for young people with disabilities was associated with higher employment and lower transfer-program costs decades later.
In a 2023 article, David Henderson, a research fellow at the right-leaning Hoover Institution, said that if Medicare cuts were to happen, Americans might value turning the program into a per capita benefit where each person receives a set amount to spend as they see fit and particularly sick people get double the allocation.
"Spending $900 billion on 65 million people would give each person $13,800," Henderson wrote. "The vast majority of people would value this $13,800 much more than they would value the amount that Medicare spent on their health care."
An outdated poverty line is preventing some older Americans from getting help
The poverty line, set at $15,060 annually for a single person, has been calculated nearly the same way since the 1960s, when housing was cheaper and groceries were a larger component of household budgets. Many government-assistance programs, like SNAP or Medicaid, base their eligibility criteria on this measure.
Older Americans told BI these programs didn't always provide enough aid to pay their bills. Mary and Steve Dacus, both in their late 60s in Robinson, Illinois, receive $23 in SNAP benefits and $2,140 in Social Security income a month. Mary previously told BI that she and her husband felt food insecure, and she called their limited SNAP allotment "pitiful."
Americans over 65 account for the largest increase in households classified as ALICE: asset-limited, income-constrained, employed. These Americans are still working and make too much to qualify for most government benefits but not enough to cover all their bills. Stephanie Hoopes, the national director of United For ALICE, said that removing complicated paperwork and verification steps could streamline applications for aid programs.
She said that raising the federal poverty threshold and expanding eligibility for government-assistance programs could also help many people access essentials. Of course, any safety-net expansion would have to be paid for by higher taxes or changes in state and federal budgets.
Hoopes added that benefits could be adjusted based on how inflation affects the costs of housing, childcare, food, transportation, healthcare, and technology, adding that this "would allow participants to keep up with the cost of their basic needs."
Still, changing the poverty line would most likely mean that government-assistance programs like SNAP would need more funding to operate, and it would increase the number of Americans considered to be in poverty β a politically unpopular move.
Are you an older American with any life regrets you'd be comfortable sharing with a reporter? Please fill out this quick form.