Cover of The High Cost of Good Intentions by John F. Cogan
The High Cost of Good Intentions
A History of U.S. Federal Entitlement Programs
John F. Cogan

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September 2017
512 pages.
$45.00

Cloth ISBN: 9781503603547

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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.

About the author

John F. Cogan is the Leonard and Shirley Ely Senior Fellow at the Hoover Institution and a faculty member in Stanford University's Public Policy Program.

"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

"John Cogan's book is an extensively researched and unbiased examination of how well-intentioned federal entitlement programs have evolved to become our country's number one fiscal challenge. His timely historical work deepens our understanding of how entitlement programs have grown into a costly burden that we ultimately cannot afford. Cogan makes clear that slowing the growth of entitlements is essential and that meeting this challenge is more about simple arithmetic than ideology. This book should be read by anyone interested in addressing our nation's fiscal and economic future, regardless of their political persuasion."

—Sam Nunn, former U.S. Senator

"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