Inequalities of Aging: Paradoxes of Independence in American Home Care
Winner, 2020 Eileen Basker Memorial Prize, given by the Society for Medical Anthropology

The troubling dynamic of the American home care industry where increased independence for the elderly conflicts with the well being of caregivers

Paid home care is one of the fastest growing occupations in the United States, and millions of Americans rely on these workers to help them remain at home as they grow older. However, the industry is rife with contradictions. The United States spends a fortune on medical care, yet devotes comparatively few resources on improving wages, thus placing home care providers in the ranks of the working poor. As a result, the work that enables some older Americans to live independently generates profound social inequalities.

Inequalities of Aging explores the ways in which these inequalities play out on the ground as workers, who are disproportionately women of color and immigrants, earn poverty-level wages and often struggle to provide for themselves and their families. The ethnographic narrative reveals how two of the nation’s most pressing concerns—rising social inequality and caring for an aging population—intersect to transform the lives of older adults, home care workers, and the world around them.

The book takes readers inside the homes and offices of people connected to two Chicago area home care agencies serving low-income and affluent older adults, respectively. Through intimate portrayals of daily life, Elana D. Buch illustrates how diverse histories, care practices, and social policies overlap and contribute to social inequality.

Illuminating the lived experience of both workers and their clients, Inequalities of Aging shows the different ways in which the idea of independence both connects and shapes the lives of the elderly and the working poor.

1127195314
Inequalities of Aging: Paradoxes of Independence in American Home Care
Winner, 2020 Eileen Basker Memorial Prize, given by the Society for Medical Anthropology

The troubling dynamic of the American home care industry where increased independence for the elderly conflicts with the well being of caregivers

Paid home care is one of the fastest growing occupations in the United States, and millions of Americans rely on these workers to help them remain at home as they grow older. However, the industry is rife with contradictions. The United States spends a fortune on medical care, yet devotes comparatively few resources on improving wages, thus placing home care providers in the ranks of the working poor. As a result, the work that enables some older Americans to live independently generates profound social inequalities.

Inequalities of Aging explores the ways in which these inequalities play out on the ground as workers, who are disproportionately women of color and immigrants, earn poverty-level wages and often struggle to provide for themselves and their families. The ethnographic narrative reveals how two of the nation’s most pressing concerns—rising social inequality and caring for an aging population—intersect to transform the lives of older adults, home care workers, and the world around them.

The book takes readers inside the homes and offices of people connected to two Chicago area home care agencies serving low-income and affluent older adults, respectively. Through intimate portrayals of daily life, Elana D. Buch illustrates how diverse histories, care practices, and social policies overlap and contribute to social inequality.

Illuminating the lived experience of both workers and their clients, Inequalities of Aging shows the different ways in which the idea of independence both connects and shapes the lives of the elderly and the working poor.

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Inequalities of Aging: Paradoxes of Independence in American Home Care

Inequalities of Aging: Paradoxes of Independence in American Home Care

by Elana D. Buch
Inequalities of Aging: Paradoxes of Independence in American Home Care

Inequalities of Aging: Paradoxes of Independence in American Home Care

by Elana D. Buch

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Overview

Winner, 2020 Eileen Basker Memorial Prize, given by the Society for Medical Anthropology

The troubling dynamic of the American home care industry where increased independence for the elderly conflicts with the well being of caregivers

Paid home care is one of the fastest growing occupations in the United States, and millions of Americans rely on these workers to help them remain at home as they grow older. However, the industry is rife with contradictions. The United States spends a fortune on medical care, yet devotes comparatively few resources on improving wages, thus placing home care providers in the ranks of the working poor. As a result, the work that enables some older Americans to live independently generates profound social inequalities.

Inequalities of Aging explores the ways in which these inequalities play out on the ground as workers, who are disproportionately women of color and immigrants, earn poverty-level wages and often struggle to provide for themselves and their families. The ethnographic narrative reveals how two of the nation’s most pressing concerns—rising social inequality and caring for an aging population—intersect to transform the lives of older adults, home care workers, and the world around them.

The book takes readers inside the homes and offices of people connected to two Chicago area home care agencies serving low-income and affluent older adults, respectively. Through intimate portrayals of daily life, Elana D. Buch illustrates how diverse histories, care practices, and social policies overlap and contribute to social inequality.

Illuminating the lived experience of both workers and their clients, Inequalities of Aging shows the different ways in which the idea of independence both connects and shapes the lives of the elderly and the working poor.


Product Details

ISBN-13: 9781479807178
Publisher: New York University Press
Publication date: 08/28/2018
Series: Anthropologies of American Medicine: Culture, Power, and Practice , #5
Edition description: New Edition
Pages: 288
Product dimensions: 6.00(w) x 8.90(h) x 0.70(d)

About the Author

Elana D. Buch is Associate Professor of Anthropology at the University of Iowa.

Table of Contents

List of Abbreviations ix

List of Key People xi

Introduction 1

1 Generating Independence: Older Adults' Life Histories 33

2 Inheriting Care: Home Care Workers' Lives 62

3 Making Care Work: Training and Supervision in Home Care Agencies 88

4 Embodying Inequality: Empathy and Hierarchy in Daily Care 126

5 Independent Living: Housekeeping as Personkeeping 151

6 Care Falls Apart: Turnover and the Limits of Independence 176

Conclusion 201

Acknowledgments 217

Notes 221

Bibliography 241

Index 257

About the Author 263

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