Abstract

The idea that some poor persons "deserve" to be helped while others do not has long been influential in the USA. In the nineteenth century, "paupers" were relegated to poorhouse and subjected to onerous conditions for relief, while the blind, the deaf-mute, and others were helped in much less humiliating ways. A similar distinction underlay the categories of the comprehensive social Security Act of 1935; and its continuation has motivated various attempts to revise the welfare system by redrawing its boundaries and making work a condition of aid. Most recently, the distinction has resurfaced in discussions of subsidized medical care.