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The SSI one also tends to discourage disabled people from doing any work, because any ability to earn income, even a small amount intermittently, is taken as evidence that you aren't really permanently disabled. I have an American uncle with MS, who can't work at all now, but in earlier stages of the disease he probably could have worked some of the time (not a steady job, because he'd be relatively better for a few months then relatively worse again, but a part-time job for part of the year would probably have been ok). But he was advised that SSI disability just isn't set up for that: you can't be completely disabled some months a year and work part-time other months. You are either permanently disabled and get a monthly benefit, or you aren't disabled and get nothing. Since he wouldn't be able to work regularly enough to support himself through work, he went on SSI disability and didn't work at all, which was probably not ideal for either the economy or him.

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