The High Cost of Good Intentions

"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 "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