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John Cogan's new book shows that entitlement programs such as Social Security, Medicare, and Medicaid present enormous fiscal problems for the U.S. government, and damage those they are designed to help. The beneficiaries have often been government functionaries and others involved in the social services system. Often, subsidies are misdirected to the non-poor. Yet despite clear failures, solutions are vexing.

Review of Cogan, The High Cost of Good Intentions: A History of U.S. Federal Entitlement Programs