There's a common misperception that the U.S. is the land of small government, where the poor receive little assistance.
To many on the left, the U.S. is a uniquely bad actor, eschewing the enlightened social democracy of Western Europe and leaving the economically unfortunate to suffer. Those on the right tend to take a more positive view of the same notion, trumpeting the U.S.'s small welfare state as evidence of a commitment to free markets and self-reliance.
As with most myths, there is a grain of truth to the idea. With the repeal of the individual health-care mandate, the U.S. has returned to its status as one of the only developed countries not to provide some form of universal health care. The U.S. also spends (a bit) less of its gross domestic product on social spending than the Organization for Economic Cooperation and Development as a whole:
But the U.S.'s reputation as a bastion of cutthroat capitalism is exaggerated. Its social safety net is only a couple of percentage points less costly than the OECD total, and it's larger than that of Canada, Australia or South Korea.
Furthermore, U.S. government transfers have been increasing. The U.S. system of taxation and spending has become more progressive during the past two decades. Per-capita government transfers were about $8,567 a person in 2016, up from about $5,371 at the turn of the century (adjusted for inflation) — an increase of 60 percent:
The increasing generosity of the U.S. safety net in the 21st century began under President George W. Bush. Although mostly remembered for the war in Iraq, Bush in many ways fulfilled his promise to be a "compassionate conservative." Major expansions of the Supplemental Nutrition Assistance Program, commonly known as food stamps, were carried out in 2002 and 2008. Bush's Medicare reform added prescription-drug benefits to the government's premier health-care program. And Bush's so-called housing-first policy reduced homelessness dramatically during his second term.
Overall, real per-capita government transfers increased by about 38 percent during the eight years of the Bush administration.
Under Barack Obama the pace of welfare expansion slowed a bit, probably as a result of the Great Recession. But it didn't stop. Food stamps continued to expand, extended unemployment insurance helped many during the recession, and homelessness kept declining. Obama also implemented a number of tax credits for low-income families and passed the Affordable Care Act, which subsidizes health insurance.