D. Street, SPECIAL INTERESTS OR CITIZENS RIGHTS - SENIOR POWER, SOCIAL-SECURITY,AND MEDICARE, International journal of health services, 27(4), 1997, pp. 727-751
Conventional political analysts and mainstream media accounts attribut
e substantial political power to the elderly in the United States. Thi
s attribution of ''senior power'' is usually made in the context of th
e politics of Social Security and Medicare. This article contrasts the
conventional construction of elderly political actors as a special in
terest with a more critical perspective that views Social Security and
Medicare as citizens' rights. Critical examination of the welfare sta
te's role in creating age as a potential political cleavage and the po
litics of Social Security and Medicare reveals that there is no undiff
erentiated politics of aging in the United States. Rather, age interac
ts with a variety of other statuses such as race/ethnicity, gender, an
d class to condition citizens' political mobilization. Welfare state p
olicies-social insurance programs like Social Security and Medicare, m
eans-tested programs like Medicaid and Supplemental Security Income, a
nd targeted tax expenditures for private pensions and health insurance
-differentially empower particular subgroups of elderly citizens and r
outinely disadvantage the most vulnerable elderly, including minority
elders, women, and the oldest old.