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The High Cost of Good Intentions: A History of U.S. Federal Entitlement Programs Hardcover – Illustrated, September 26, 2017
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Federal entitlement programs are strewn throughout the pages of U.S. history, springing from the noble purpose of assisting people who are destitute through no fault of their own. Yet as federal entitlement programs have grown, so too have their inefficiency and their cost. Neither tax revenues nor revenues generated by the national economy have been able to keep pace with their rising growth, bringing the national debt to a record peacetime level.
The High Cost of Good Intentions is the first comprehensive history of these federal entitlement programs. Combining economics, history, political science, and law, John F. Cogan reveals how the creation of entitlements brings forth a steady march of liberalizing forces that cause entitlement programs to expand. This process―as visible in the eighteenth and nineteenth centuries as in the present day―is repeated until benefits are extended to nearly all who could be considered eligible, and in turn establishes a new base for future expansions. His work provides a unifying explanation for the evolutionary path that nearly all federal entitlement programs have followed over the past two hundred years, tracing both their shared past and the financial risks they pose for future generations.
- Print length512 pages
- LanguageEnglish
- PublisherStanford University Press
- Publication dateSeptember 26, 2017
- Dimensions6.4 x 1.4 x 9.1 inches
- ISBN-101503603547
- ISBN-13978-1503603547
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"Finally someone has written a comprehensive history of America's efforts to help worthy groups of Americans: the elderly, the veteran, the less fortunate, and the very young. It is a history of ever more generous help to ever larger groups of people. You can agree or disagree with the merit of all these programs, but the cost is clear, and John Cogan shows why that cost has been either ignored or passed to future generations. The first step in fixing our entitlements is knowing their history. Cogan has now given us that history." -- Bill Bradley ― former U.S. Senator
"John Cogan thoroughly reviews one of the greatest challenges facing our country: the unsustainable growth of entitlement spending. He provides a comprehensive view of the issue by looking at the history, the evolution, and the daunting numbers. Cogan brings his extraordinary knowledge and background in economics, fiscal policy, health care, and Social Security to bear in this book to give the reader a full understanding of the roots and the extent of this growing problem that must be tackled." -- Paul D. Ryan ― Speaker of the U.S. House of Representatives
"John Cogan lays bare the historic roots of the most important economic problem confronting American policymakers today: our runaway entitlements juggernaut. In the past half-century it has consumed ten percentage points of GDP, threatening productivity and economic growth. Cogan does not profess to have found an easy, short-term solution to runaway entitlement growth, but his masterful historical perspective does suggest what must be done sooner, rather than later. This is an important and splendid book." -- Alan Greenspan ― former Chairman of the Federal Reserve of the United States (1987–2006) and former Chairman of the National Commission on Social Security Reform (1983)
"John Cogan gives us a blockbuster treatise on the history of federal entitlement programs. Part education, part cautionary tale, this richly researched book is above all a fascinating and insightful saga on how and why federal entitlements grow. A valuable guide to the future." -- George P. Shultz, Distinguished Fellow, Hoover Institution, Stanford University; former U.S. Secretary of State, Treasury ― and Labor; and former Director of the U.S. Office of Management and Budget
"The High Cost of Good Intentions is a thoroughly researched, intellectually serious history of every major American entitlement program, from Revolutionary and Civil War pensions to Social Security, food stamps, and Obamacare. I know of no other work that offers such a comprehensive, readable history of the American welfare state." -- R. Shep Melnick ― Claremont Review of Books
"John Cogan's history of federal entitlement programs warns us that the ice we skate on has grown thinner decade by decade....Cogan provides useful case studies of measures that were sensible, self-limiting, and freedom-enhancing like the GI Bill, and current ones that grow as each benefit expansion leads to future entitlements that leave worthy original goals no longer recognizable." -- World Magazine 2017 Books of the Year
"[The book] will surely be of interest to academics, policymakers, and the members of the public with concern for the consequences of entitlements in the United States....[T]his is an easy book to recommend." -- Bill Dupor ― National Association for Business Economics
"People often wonder how "the land of the free" acquired such a huge government that interferes with so many parts of our lives. Cogan has shown how that happened with entitlement programs, which are a huge part of government." -- David R. Henderson ― Regulation
"John F. Cogan handles the historical details of myriad social programs with considerable competence...This book covers subjects missing from the historical literature and generalizes across cases in useful ways. It will surely aid historians as they write about the modern welfare state."––Edward D. Berkowitz, Journal of American History
About the Author
Product details
- Publisher : Stanford University Press; 1st edition (September 26, 2017)
- Language : English
- Hardcover : 512 pages
- ISBN-10 : 1503603547
- ISBN-13 : 978-1503603547
- Item Weight : 1.86 pounds
- Dimensions : 6.4 x 1.4 x 9.1 inches
- Best Sellers Rank: #723,773 in Books (See Top 100 in Books)
- #553 in Government Social Policy
- #646 in Social Services & Welfare (Books)
- #3,142 in History & Theory of Politics
- Customer Reviews:
About the author

John F. Cogan is the Leonard and Shirley Ely Senior Fellow at the Hoover Institution and a professor in the Public Policy Program at Stanford University, where he has had a continuing appointment since 1980.
Cogan is an expert in domestic policy. His current research is focused on US budget and fiscal policy, social security, and health care. He has published widely in professional journals in both economics and political science. His most recent book, Healthy, Wealthy, and Wise: Five Steps to a Better Health Care System (Hoover Institution Press, 2011), coauthored with Glenn Hubbard and Daniel Kessler, recommends federal policy changes to improve US health-care markets.
Cogan has devoted a considerable part of his career to public service. He served as assistant secretary for policy in the US Department of Labor from 1981 to 1983. From 1983 to 1986, he served as associate director in the US Office of Management and Budget (OMB). His responsibilities included developing and reviewing all health, housing, education, and employment training programs and policies.
Cogan has served on numerous congressional, presidential, and California state advisory commissions. He served on the California State Commission on the 21st Century Economy and the California Public Employee Post-Employment Benefits Commission. He served on President George W. Bush's Commission to Strengthen Social Security, the US Bipartisan Commission on Health Care (the Pepper Commission), the Social Security Notch Commission, and the National Academy of Sciences' Panel on Poverty and Family Assistance.
Cogan serves on the board of directors of Gilead Sciences and Venture Lending and Leasing. He also serves on the board of trustees of the Charles Schwab Family of Funds and Sacred Heart Schools in Atherton, CA.
Cogan received his AB in 1969 and his PhD in 1976 from the University of California at Los Angeles, both in economics. He was an associate economist at the RAND Corporation from 1975 to 1980. In 1979, Cogan was appointed a national fellow at the Hoover Institution; in 1980 he was appointed a senior research fellow; and in 1984 he became a senior fellow.
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Customers find the book incredible, stimulating, and well worth buying. They describe it as informative, well-researched, and documented. Readers also praise the writing quality as well-written and understandable to the average reader. They mention the history is complete and clear.
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Customers find the book incredible, funny, and powerful. They say it's a stimulating read and an excellent primer on the inability of liberal governments to reign. Readers also mention the book is well worth buying, reading, and sharing with others.
"This book is excellent. Well written and the information is great. This really hits home the problems with big government that is power hungry...." Read more
"...This book is well worth buying, reading and sharing with others!..." Read more
"...Required reading for all citizens." Read more
"Excellent primer on the inability of liberal government to reign in its fatal tendency to overreach...." Read more
Customers find the book informative, well-researched, and documented. They appreciate the excellent resource section. Readers also say the author is a careful researcher and good writer.
"This book is excellent. Well written and the information is great. This really hits home the problems with big government that is power hungry...." Read more
"Well researched and documented...." Read more
"...Excellent resource section. Very much helped me understand the plight of social security... security is a false label." Read more
"Fast shipping, informative, A+" Read more
Customers find the writing quality of the book well-written and understandable to the average reader.
"This book is excellent. Well written and the information is great. This really hits home the problems with big government that is power hungry...." Read more
"...Very understandable to the average reader." Read more
"...It's really well written but requires undisturbed concentration for all the facts...." Read more
"Incredible book - Well written, funny, yet powerful. Shows us how we as a country have gotten into the "entitlement" mess we are in...." Read more
Customers find the book's history complete and clear. They also say it's digestible.
"Nice historical review of how Federal gov't entitlement programs get started, grow, and almost never solve what they were created to do...." Read more
"Great book, complete history" Read more
"A digestible and clear history of entitlements in America..." Read more
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Highly recommend this book! It validates to me why we are at a crossroad in this country. There’s light at the end of the tunnel, unfortunately it’s a train.
abundant statistical data and a timeline showing how our Federal Government has consistently expanded entitlements far beyond the funds needed to stay afloat, fiscally. This book is well worth buying, reading and sharing with others!
This should be every voter’s handbook for putting pressure on our elected Congressional Representatives to change policies that, left intact, will ultimately bankrupt our Nation and leave future generations to try and pick up the pieces. Time for action, and this book gives us the ammunition!
Reviewed in the United States on April 1, 2019
abundant statistical data and a timeline showing how our Federal Government has consistently expanded entitlements far beyond the funds needed to stay afloat, fiscally. This book is well worth buying, reading and sharing with others!
This should be every voter’s handbook for putting pressure on our elected Congressional Representatives to change policies that, left intact, will ultimately bankrupt our Nation and leave future generations to try and pick up the pieces. Time for action, and this book gives us the ammunition!
The book goes into great detail about how our current entitlement programs started and morphed, but could have spent more time over the recent history. ACA and the significant expansion of food stamps, unemployment benefits, and other entitlement/welfare benefits in the past 10 years could have been more thoroughly reviewed. If there was ever a case to support term limits, line item vetoes by presidents and balanced budgets, this book provides all the necessary documentation.
Required reading for all citizens.
It did not start with payment to injured soldiers of that war, for that was a truly logical system to help folks who could not make a living due to injury. But the steady erosion of logic for the payment began with what the author shows as corroding every benefit system legislated by the US and State governments. The corrosion consists of the logic that those at the margins who are "no less deserving of aid," and therefore expanding the benefit to cover others. At that point the financial sanity used to bring about the original benefit is trammeled and tossed to the wind, frequently bankrupting the funding of the original benefits. That does no good for those truly in need. That does no good for those who should be working and contributing to society. It does no good to the moral framework that the public see the leaders (unless one is on the receiving end of the largesse.)
Cogan is thorough, which is needed for such a grave subject as welfare. Thorough is also needed for the subject of bankrupting the current major benefits: Social Security, Medicare, Medicaid and Obamacare (ACA).
Unfortunately, the average voter will never sit through the five hundred pages of sage advice, hence news sound-bites may doom us to electing the same type of folks who want to give away our future.



