The hidden costs of unretiring for low-income retirees

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  • Low-income retirees, like Claudia Rufino, face a dilemma where returning to work may push their income above limits, risking the loss of essential benefits such as Medicaid and SNAP.
  • The trade-off between earning higher wages and maintaining critical assistance programs creates a complex financial decision for many retirees.
  • Despite the desire to stay engaged in the workforce, many retirees find that unretiring isn’t worth the potential loss of healthcare, housing, and food benefits.

[UNITED STATES] For many retirees, the decision to “unretire” — returning to the workforce after years of retirement — can offer a sense of purpose and financial relief. However, for low-income retirees who depend on social safety nets like Medicaid, SNAP, and rental assistance, the financial boost from a higher paycheck could inadvertently reduce their crucial benefits, leaving them in a difficult position.

The Dilemma of Low-Income Retirees

Claudia Rufino, 72, has experienced this dilemma firsthand. A retired foster child worker from Salt Lake City, Rufino lives primarily on her $1,103 monthly Social Security payment. To supplement her income, she earns a few hundred dollars a month as a stipend for working with foster children. However, when the local school district offered her a higher-paying position, Rufino had to turn it down.

“Going back to work is not worth it for me in my situation,” Rufino explained. While the higher paycheck would increase her income, it would also push her earnings above Utah's Medicaid threshold. This would spike her out-of-pocket healthcare costs, including prescription drugs, and jeopardize her eligibility for rental assistance. For someone with minimal savings, this means struggling to cover essential costs like rent and medical care.

“I get punished if I work too much,” Rufino added, emphasizing the complex trade-off that low-income retirees face when considering returning to work. Despite her desire to contribute to society, the financial realities of her situation make “unretiring” more of a burden than a benefit.

The Social Safety Net’s Tenuous Role

Rufino’s situation is not unique. Many older Americans depend on programs like Medicaid and SNAP (Supplemental Nutrition Assistance Program) to help cover their basic needs. These programs are means-tested, meaning eligibility is based on income levels that are typically adjusted to the federal poverty line. For those with limited income, these benefits are essential.

However, as more older Americans consider returning to work to supplement their income, the income limits for these programs become a major hurdle. A small increase in income can push retirees over the threshold for these benefits, making the extra money they earn not worth the loss of crucial support.

The Struggle to Navigate Benefit Thresholds

For low-income retirees, the safety net programs they rely on can be confusing and difficult to navigate. Medicaid, for example, is available to individuals who earn up to 133% of the federal poverty level in states that have expanded the program. But the qualifications vary significantly across programs and states, with the poverty line serving as a relatively low benchmark. As a result, retirees who earn slightly above these limits may still be unable to afford basic needs but find themselves ineligible for vital assistance.

Judith Murray, a 64-year-old retiree from central Illinois, faces a similar struggle. She relies on $1,311 a month in Social Security and a $1,174 monthly SNAP allotment to get by. While the idea of returning to work seems appealing, Murray is also concerned that a higher paycheck would cut her off from the programs she depends on.

Many retirees in her position find themselves in a catch-22. They may be capable of returning to work and earning a higher salary, but the consequences of doing so could leave them worse off financially, especially if their increased earnings lead to the loss of healthcare or housing benefits.

The Growing Trend of 'Unretirement'

The trend of unretirement is growing among older Americans, especially those who want to stay engaged in the workforce and supplement their limited retirement savings. According to recent reports, a significant number of retirees are returning to work, either part-time or full-time, as a way to stay social and cover financial gaps. This phenomenon is driven in part by the soaring costs of healthcare and the need to bolster insufficient retirement funds.

However, despite the benefits that returning to work can bring, the reality of losing benefits like Medicaid and SNAP can make the choice much more complicated. For many retirees, the risk of losing these benefits outweighs the reward of a higher paycheck. For people like Rufino, the financial safety net is so crucial that the idea of unretiring is simply not worth the risk of losing it.

Navigating the Complexities of the Retirement System

Understanding the balance between earning a paycheck and maintaining benefits is crucial for retirees considering returning to work. While programs like Medicaid and SNAP provide essential support for low-income individuals, the financial thresholds for these programs can be hard to navigate. A small increase in income can result in the loss of benefits, leaving retirees in a precarious financial situation.

According to a report by the Economic Innovation Group, government aid programs, including Medicaid and SNAP, accounted for 18% of total personal income in the U.S. in 2022. This percentage has increased significantly since 1970, reflecting the rising number of older Americans who rely on these programs. At the same time, however, the poverty line has remained largely unchanged, leading to situations where retirees fall just above the cutoff for aid but are still unable to make ends meet.

Retirees like Rufino and Murray must carefully consider how much they earn and how it might affect their eligibility for critical benefits. If the extra income from returning to work results in losing their healthcare coverage, housing assistance, or food benefits, many retirees might find that staying within the thresholds for these programs is the only way to ensure their financial security.

The Emotional and Practical Costs of Unretirement

The emotional toll of unretirement is another factor that cannot be ignored. For retirees who want to stay active and engaged in society, the opportunity to return to work can be appealing. Many retirees enjoy the social aspect of working, and the additional income can offer some financial breathing room. However, the potential loss of benefits, combined with the stress of navigating complex systems, can make unretirement more of a burden than a blessing.

“I want to be contributing to society because that’s the right way to do things,” Rufino said. Yet, as the costs of healthcare and housing continue to rise, she finds herself trapped by a system that discourages work for those who need it most.

For low-income retirees, returning to work may not always be the clear path to financial stability. While the idea of earning a higher paycheck can be appealing, the reality of losing vital benefits like Medicaid, SNAP, and rental assistance can make it a risky move. In many cases, the financial support that retirees rely on is just enough to cover their basic needs, and any increase in income could push them into a situation where they can no longer afford healthcare, housing, or food.

As more older Americans consider returning to work in the face of rising living costs, policymakers must address the complexities of the benefit system. Ensuring that retirees have access to the financial support they need without the fear of losing it when they try to supplement their income will be crucial for supporting this growing demographic.

Until then, many retirees like Rufino and Murray will continue to face the tough choice of whether the benefits of unretirement outweigh the potential financial costs. For some, the answer may be clear: It’s simply not worth it.


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