Disabled but not deserving? The perceived deservingness of disability welfare benefit claimants

Abstract

While disability benefits make up the largest group of claimants in high-income countries, we know surprisingly little about which disabled people are seen as ‘deserving’ benefits, nor whether different people in different countries judge deservingness-related characteristics similarly. This is surprising given they are increasingly the focus of retrenchment, which often affirms the deservingness of ‘truly deserving’ disabled people while focusing cuts and demands on those ‘less deserving’. This article addresses this gap using two vignette-based factorial survey experiments: (i) the nine-country ‘Stigma in Global Context – Mental Health Study’ (SGC-MHS); (ii) a new YouGov survey in Norway/the UK, together with UK replication. I find a hierarchy of symptoms/impairments, from wheelchair use (perceived as most deserving), to schizophrenia and back pain, fibromyalgia, depression and finally asthma (least deserving). Direct manipulations of deservingness-related characteristics also influence judgements, including membership of ethnic/racial ingroups and particularly blameworthiness and medical legitimation. In contrast, the effects of work ability, age and work history are relatively weak, particularly when compared to the effects on unemployed claimants. Finally, for non-disabled unemployed claimants, I confirm previous findings that right-wingers respond more strongly to deservingness-related characteristics, but Norwegians and Britons respond similarly. For disabled claimants, however, the existing picture is challenged, with, for example, Britons responding more strongly to these characteristics than Norwegians. I conclude by drawing together the implications for policy, particularly the politics of disability benefits, the role of medical legitimation and the legitimacy challenges of the increasing role of mental health in disability benefit recipiency.