Presidents -- United States -- Messages; United States -- Politics and government -- Sources
The comprehensive health program which I recommended on November 19, 1945,
will require substantial additions to the Social Security System and, in
conjunction with other changes that need to be made, will require further
consideration of the financial basis for social security. The system of
prepaid medical care which I have recommended is expected eventually to
require amounts equivalent to 4 percent of earnings up to $3,600 a year,
which is about the average of present expenditures by individuals for
medical care. The pooling of medical costs, under a plan which permits each
individual to make a free choice of doctor and hospital, would assure that
individuals receive adequate treatment and hospitalization when they are
faced with emergencies for which they cannot budget individually. In
addition, I recommended insurance benefits to replace part of the earnings
lost through temporary sickness and permanent disability.
Even without these proposed major additions, it would now be time to
undertake a thorough reconsideration of our social security laws. The
structure should be expanded and liberalized. Provision should be made for
extending coverage credit to veterans for the period of their service in
the armed forces. In the financial provisions we must reconcile the
actuarial needs of social security, including health insurance, with the
requirements of a revenue system that is designed to promote a high level
of consumption and full employment.
(k) Education.
Although the major responsibility for financing education rests with the
States, some assistance has long been given by the Federal Government.
Further assistance is desirable and essential. There are many areas and
some whole States where good schools cannot be provided without imposing an
undue local tax burden on the citizens. It is essential to provide adequate
elementary and secondary schools everywhere, and additional educational
opportunities for large numbers of people beyond the secondary level.
Accordingly, I repeat the proposal of last year's Budget Message that the
Federal Government provide financial aid to assist the States in assuring
more nearly equal opportunities for a good education. The proposed Federal
grants for current educational expenditures should be made for the purpose
of improving the educational system where improvement is most needed. They
should not be used to replace existing non-Federal expenditures, or even to
restore merely the situation which existed before the war.
In the future we expect incomes considerably higher than before the war.
Higher incomes should make it possible for State and local governments and
for individuals to support higher and more nearly adequate expenditures for
education. But inequality among the States will still remain, and Federal
help will still be needed.
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