Abstract
How and in what ways might we respond to the mounting “care deficit,” such that the dignity and well-being of both recipient
Caregiving within the United States (and elsewhere) continues to transform at an ever-increasing pace. Traditionally delivered within domestic circles, most often by women without economic recompense, two demographic shifts have considerably transformed the caregiving landscape: the transition of women, either by desire or necessity, into the paid labor market and a rising aging population. The concomitant rise in demand for and decrease in supply of caring labor has created a so-called “care deficit” (Hochschild, 2003). Such a deficit raises questions regarding not only the adequacy of caring services in relation to access, cost, and quality but also the interrelated conditions under which this labor is conceived of and delivered increasingly within the market. That is, if those (women) who previously provided this care are entering the paid labor market to whom—or rather on whom—is this labor being transferred or displaced?
A likely neoclassical economic response: Individuals (primarily women) will assume this labor and do so for low wages based on the minimal amount of skill required (i.e., theory of human capital investment; see Becker, 1971) and/or the associated intrinsic reward/nonpecuniary compensation in so doing (i.e., theory of compensating differentials; see Smith, 1979). The response from others, most notably critical feminist scholars: Women—most often those experiencing significant social and economic marginalization—are meagerly compensated and deprived adequate health and social benefits by virtue of this labor being fundamentally devalued by our society (e.g., England, 2005).
Central to the scholarship of the latter group is a critique of liberal individualism and its inability to respond to care needs in a socially equitable manner (e.g., Glenn, 2000; Held, 2002; Tronto, 1993; Young, 1997). It is argued that by emphasizing autonomous, independent individuals, liberal individualism devalues care by “obscuring the actual interdependence among people and the need for care that even ‘independent’ people have” (Glenn, 2000, p. 85). As an alternative, feminist scholars offer an ethics of care, stressing social connectedness, interdependence, and the universality of care needs (e.g., Tronto, 1993). By critically examining our conceptualizations and configurations of care and caring labor in this manner, the marginalization and exploitation of care workers—many of whom reside on the intersecting and socially volatile fault lines of gender, race, and class—is no longer relegated to the social and political periphery but instead (re)gains a central position within our individual and collective efforts toward greater social justice (e.g., Glenn, 2000; Held, 2002).
These efforts have involved a critical examination of the marketization of caring labor. Virgina Held (2002) and Nancy Folbre (2008), for example, suggest as an alternative to for-profit configurations that prioritize profit maximization, community-based, cooperative, socially responsible models might be better positioned to organizationally prioritize quality care
It is the aim of this article, then, to present (i) how and in what ways feminist theories of care call upon us to reimage the configuration and location of caring labor, with the well-being of both recipient and provider of primary concern; (ii) a case study exploring the social, emotional, and economic well-being of care providers prior to and following joining a community-based, worker-owned childcare cooperative; and (iii) a concluding section summarizing suggested next steps as we continue the work of recentering the discourse and practice of care, such that quality care
Feminist Ethics of Care
Historical Tracings
The point of departure for many care theorists is a critique of liberalism and its foundational tenets of equality, liberty, autonomy, rights, and the individual (Brown, 1995). Based on a sociopolitical frame such as this, questions arise as to how and in what ways we—individually and collectively—understand and thereby respond to care needs? That is, if members of a liberal polity are conceived of as self-sufficient and autonomous, where do children, the aging, and those temporarily or permanently in need of care—more generally—reside? Are they accorded a status somewhat (or possibly entirely) less than “citizen” and thus relegated to the social periphery? Or, is the issue of “need” fundamentally outside the domain of the liberal state and assigned, thereby, to domestic spaces in which women are most often situated—by choice, hire, or otherwise? Does the work of care then constitute—by innate virtue—the “work of women,” or is it an effect of unequal configurations of power inherent within a patriarchal liberal state?
Questioning the elements and social implications of liberal individualism in this manner has been the work of care theorists for several decades, beginning for most with that of Nancy Chodorow (1978) and Carol Gilligan (1982). Although since critiqued for obfuscating the social construction of gender and asymmetrical power relations between the sexes (e.g., Brown, 1995), engendering biological determinism (e.g., Moody-Adams, 1991), and reifying a particular conception of “femininity” (e.g., Deveaux, 1995), Gilligan’s work, in particular, outlined two perspectives to moral/ethical reasoning: one in which rationality is central to the attainment of justice and the other which elevates caring as a means through which needs are met. The latter’s emphasis on
Contemporary Foci
Expanding the geopolitical analysis further, several scholars argue that an insular focus on gender obfuscates the impact of other socially oppressive domains—race, class, and legal status, for example—and falsely universalizes the experience of women (e.g., Nakano Glenn, 1985, 1992). Explicit attention is brought to the ways in which women do not universally “share the same lot” (hooks, 1984), such that the liberation of some from the “oppressive ranks” of domesticity has led to the encumbrance of others (Brown, 1995; Ehrenreich & Hochschild, 2002; Harrington, 1999; Nakano Glenn, 1985, 1992; Robinson, 2006a, 2006b; Williams, 2001, 2011). As posed by Parker (1981), one must ask “who is left to perform the tasks of caring…and what implications [does that have] for the social and economic distribution—or re-distribution—of opportunities, status and freedoms” (p. 31)?
In questioning the displacement of caring labor in this way, several scholars critically interrogate the intersection of globalization and immigration in particular (Graham, 1991; Hankivsky, 2006; Harrington, 1999; Hochschild, 2002; Mahon & Robinson, 2011; Nakano Glenn, 1992; Parreñas, 2005; Raghuram, Madge, & Noxolo, 2009; Razavi, 2007; Robinson, 2006a, 2011; Sassen, 2002; Tronto, 2011; Williams, 2001). As suggested by Barbara Ehrenreich and Arlie Hochschild (2002), the extraction of resources from the South to the North has historically transformed to include not only material but also human resources, in which “…love and care [have] become the ‘new gold’” (p. 26). Immigration and citizen-related concerns regarding a “care drain,” and resulting “global care chains,” include the ways in which the children, families, and communities of migrating women are deprived care providers; the social conditions under which these women “consent” to labor within the Global North; the ways in which the readily available, “low-cost” (poorly compensated) care labor distorts the extent of care needs within Northern social policy; and the perpetuation of gendered divisions and devaluation of caring on a global scale (Harrington, 1999; Hochschild, 2002; Mahon & Robinson, 2011; Robinson, 2006a, 2011; Sassen, 2002; Williams, 2011).
Such concerns—and the social justice and human rights implications therein—have fostered continued exploration of the mechanisms through which care is devalued due to its social and cultural association with women and mothering more generally (Cancian & Oliker, 2000; England, Budig, & Folbre, 2002; England & Folbre, 1999; Folbre, 2001; Folbre & Nelson, 2000). Paula England, Budig, and Folbre (2002) have, for example, explored not only sex but also care-related wage penalties for nearly two decades, finding an average 5–6% pay penalty for those engaged in caring labor, even after controlling for education level, worker’s labor background/experience, and job characteristics. Similarly, based on a multivariant analysis of data obtained from 12 countries spanning the globe (e.g., Finland, France, Hungary, United States, Mexico, etc.), Michelle Budig and Joya Misra (2010) find a consistent care-related wage penalty,
Joan Tronto (1993) situates such findings within the larger critique and sociopolitical context of liberalism. That is, she suggests that framing care as innately natural, feminine, private, and an emotionally based response to needs positions care as the conceptual opposite of those qualities valued within liberalism, namely, masculine, public, autonomous, and rational. And, it is precisely this—the reality that care framed as such “embodies [liberalisms] opposites” or as Wendy Brown might suggest—its constitutive others—that leads to its continued devaluation (1995, p. 117). Thus, attempting to advocate for more caring social/public policy or “developing an institutional context that facilitates the work of care”
Toward that end, Virginia Held (2002) offers a response by advocating for alternative models within a larger critique of liberal individualism. In so doing, she suggests that a particular shortcoming of liberalism lies in its failure to respond to questions concerning the marketization— Liberal individualism does not seem to address such questions as whether the institutions providing the food, the housing, the medical care, and the education, should be private and profit-making, or cooperative and socially responsible, whether, in other words, they should be in or out of the market and governed or not governed by its values. (p. 28)
Cooperative Possibilities
In contrast, the “third sector of the economy,” comprised of nonprofit entities that “fit neither the standard capitalist nor standard public-enterprise models” present an alternative, hybrid approach that “…offers local governments resources to meet care needs but encourages subcontracting to small businesses that can be held accountable for high quality” (Folbre, 2008, p. 384). In discussing recent trends within the United Kingdom toward this end, Nancy Folbre (2008) suggests that “Worker-owned businesses and cooperatives offer a particularly promising model for care provision” (p. 384). Furthering this claim, Held (2002) suggests that local, community-based cooperatives—“would not be governed by market principles…and that [they] might value care in entirely appropriate ways” (p. 24). The value of care, that is, would (likely) take priority over economic gain (Pestoff, 1992).
Classical cooperative theory
Several social theorists and reformers have long supported the implementation of cooperatives to address deleterious labor conditions and facilitate social transformation premised on greater equality and justice. Proudhon ([1923]2007), for example, argued that the increasing divisions of labor rendered the actual producer—the laborer—as “subordinated, exploited” and resulting in a “permanent condition defined by obedience and poverty” (p. 216). As an alternative, he advocated for the development of “worker associations” or cooperatives in which the laborer “resume[s] [her/]his dignity as a [wo]man and citizen,…may aspire to comfort,…and forms a part of the producing organization of which [s/]he was before but the slave” (p. 216). Likewise, writing from a classical reformist position, Bernstein (1911) suggests that cooperatives are uniquely positioned—if sufficiently financed—to facilitate improvements in the social order, particularly within the “domain of public service” (p. 124).
Contemporary significance
Based on a recent online survey of 581 individuals and 14 semi-structure interviews among those (directly and indirectly) associated with cooperatives throughout the globe, cooperatives were reported to enhance negotiating power related to contractual labor agreements and foster greater transparency with payments for service—both of which enhanced women’s income (International Labour Organization [ILO], 2015, p. 9). Likewise, the democratized nature of cooperatives supported collective action to enhance labor conditions and provided greater flexibility to support work/life balance (i.e., greater time to be with/care for members’ own kin). And, most recently, based on a survey of 182 online respondents and 29 key informant interviews, the ILO (2016) finds that “Cooperatives foster interdependency in care by privileging equitable inclusion and democratic decision-making across the care chain,” such that care recipients
Exploring the values underlying care theory and the cooperative model more directly, the complementary nature of the two clearly emerges. Joan Tronto (1993) suggests that an ethic of care is premised on valuing notions of responsibility, competence, attentiveness, and responsiveness. Similarly, the International Cooperative Alliance (2012) outlines the following values as foundational in guiding the development and governance of cooperatives: caring for others, social responsibility, democracy, equality, and solidarity. With the alignment among theoretical and applied values, it appears that cooperatives involved in the provision of caring services might be well positioned to provide—as suggested by Held (2002)—a decentralized, community-based model that institutionally values care. To explore this more directly, a case example of a worker-owned, community-based childcare cooperative is offered.
Childcare Case Example
Current Configurations of Labor
The labor conditions of childcare workers have come to be defined by chronically low—at times poverty level—wages, poor (if any) benefits, and lack of advancement opportunities (e.g., Cleveland, Forer, Hyatt, Japel, & Krashinsky, 2007; U.S. Department of Labor, 2014; Whitebook & Sakai, 2004). Based on a survey of occupational earnings, the U.S. Department of Labor (2014) estimates the median hourly wage of nearly 600,000 U.S. childcare workers to be US$9.48, with a corresponding annual median wage of US$19,730. Occupations exhibiting comparable median wages include locker room, coatroom, and dressing room attendants (US$9.59); dishwashers (US$9.03); fast food cooks (US$9.15); short order cooks (US$9.71); and baggage porters and bellhops (US$10.06; U.S. Department of Labor, 2014).
Based on a sample of 659 childcare workers within the San Francisco Bay Area, Whitebook and Sakai (2004) report that despite the fact that 37% of the lead childcare teachers (
Worker-Owned Cooperative Alternatives
Seeking alternative configurations of labor that structurally prioritize both quality care
BCCC is a worker-owned cooperative providing childcare services in the Sunset Park neighborhood of Brooklyn, NY. In late 2006, the Center for Family Life (hereafter referred to as the Center), a nonprofit, community-based organization providing various services (e.g., family counseling, foster care services, school-based programs, youth and adult employment programs) to the Sunset Park Community since 1978, recognized that their community—of which approximately 90% are immigrants—was facing significant employment barriers. As the Center’s cooperative development director at the time, Bransburg, LMSW, suggested that many of the women were engaged in domestic services and/or babysitting, often on a part-time basis further impacting their already low-earning potential (V. Bransburg, personal communication, October 6, 2013).
In response, the Center sought the guidance of Women’s Action to Gain Economic Security (renamed
And, in June of 2008, the BCCC was launched as a “nonprofit cooperative corporation.” The nonprofit structure was chosen as it was the most cost-effective (i.e., would not require a formal office with central bookkeeping, payroll, etc.) and time-effective model that enabled members to continue to provide services in much the same way as their previous work as independent nannies. As a result, contracts are drawn between clients and individual members and not the cooperative. The revenue that is generated from individual clients goes directly to the member providing service, minus the current US$100/month membership fee (which collectively covers the costs of a full-time office manager’s salary and benefits, utilities, administration, cooperative developer consultation, marketing, childcare during meetings, trainings, etc.). The full-time office manager provides support to new members by updating resumes/references and practice interviewing and negotiation as well as scheduling and assigning new jobs based on member’s established criteria emphasizing equity.
The initial 19 founding members of BCCC—
Since its inception, BCCC has provided services to approximately 1,200 individuals/families and currently provides ongoing services to approximately 345 families. Given the success and increasing demand for services (based on a referral model), BCCC has opened its membership 5 times to new members, which has more than doubled its membership with 36 (as of February 2016) current member owners. Upon joining, new members are expected to participate in a five-session training program covering topics such as child development, CPR, child health, and workers’ rights, with a current cost of US$145. Currently, approximately 14 (39%) members work full time (40–50 hr/week), earning an average of US$600–US$750/week (depending on the number of children in care). The remaining 22 members (61%) work a mix of part time (3–39 hr/week) and “rapid care” (clients calling with 24 hr or less notice), earning US$16–US$22/hr, depending on the number of children in care. Several members have also joined a member-run advocacy organization—
Based on the coop’s success, the Center sponsored a survey in April 2010 among
Labor Conditions and Indicators of Well-Being Prior to and Following Joining BCCC.
These results highlight the ways in which BCCC has been able to achieve and, in many ways, surpass it stated goal of “creating living wage jobs that will be done in a safe and healthy environment, as well as to provide social supports and educational opportunities for [its] members” (http://www.beyondcare.coop). It has, for example, increased the hourly wages of members previously earning an average of US$8.73/hr to approximately US$15/hr (for full time, with US$16–US$22 for part time depending on the number of children in care), considerably higher than the industry median of US$9.48/hr and New York’s hourly average of US$12.37 (U.S. Department of Labor, 2014). Given such a significant wage increase, many (61%) of the current worker-owners have, moreover, elected to work part time (15–25 hr/week) to support increased time with their own children (V. Bransburg, personal communication, November, 15, 2015). Finally, BCCC notes a significant improvement in the employment stability of its growing membership (of whom 50% were previously unemployed or partially employed), noting an average yearly rate of 6.8% turnover (ranging from 0%–26.5% between 2008 and 2015; see Table 2),
Annual BCC Membership and Turnover.
Conclusion
By calling upon feminist scholarship, particularly that which interrogates the conditions under which caring labor is or might be rendered, the fallibility of liberal individualism to adequately define and thereby respond to care needs is emphasized. In particular, Brown’s analysis (1995) draws attention to the implicit, dualistic assumptions of liberalism and, in doing so, attempts to decenter the discourse of rights and autonomy and elicit questions such as
Said care needs are, moreover, rising exponentially given unprecedented demographic shifts in the aging population. The United Nations (2013) projects a near doubling of the global aging population (60 years and over), increasing from “841 million people in 2013 to more than 2 billion in 2050” (p. xii). Within the United States alone, the population of those 65 and over is projected to increase from 43 million (13.7%) in 2012 to nearly 73 million (∼20%) in 2030 (Ortman, Velkoff, & Hogan, 2014). Such a staggering rise in care demands has heightened concerns regarding not only access, cost, and quality of care but also the conditions under which this labor is being delivered—increasingly so within market-based settings (e.g., Kochera, Straight, & Guterbock, 2005; Poo & Conrad, 2015; Raghuram et al., 2009; Razavi, 2007; Wielink, Huijsman, & McDonnell, 1997).
Recent estimates suggest that more than three million direct care workers—certified nursing assistant/aides, home health aides, and personal and home care aides—are providing “70 to 80 percent of the hands-on, long-term care and personal assistance” to aging or disabled Americans (Paraprofessional Health Institute [PHI], 2011, p. 1). Such demands have led to personal-care aides and home health aides, in particular, becoming the “fastest growing occupations” in the country, with the overall demand for workers topping 5 million by 2020 (2011, p. 2). However, alarming to many are the ways in which the demographic composition of these carers parallels those found within the childcare sector, namely, middle-aged (average of 41 years) women (89%) of color (53%), who earn a median annual salary of US$17,000 (or US$14,000 among personal and home care aides) resulting in a significant number (49%, or nearly one in two) relying on public benefits such as Medicaid or Supplementary Nutrition Assistance Program to support themselves and their families (PHI, 2011, p. 1).
Attempting to respond to rising care demands with a keen understanding of the ways in which “
As evidenced in the BCCC case example, cooperative owner-membership positively impacts—individually and collectively—the social, economic, and emotional well-being of women who, prior to, occupied exceptionally vulnerable positions within the labor market precisely because of their gender, racial, and cultural identity and immigration status. Given, for example, the near doubling of their wages,
These findings, although preliminary, emphasize the critical importance of continued research on the worker-owned cooperative model and its impact on labor conditions as well as the social and emotional well-being of those (women) proving caring and service-oriented labor. Toward that end, mixed-methods comparisons of differences with respect to these outcomes as they relate to various organizational forms (i.e., for-profit, nonprofit, and worker-owned cooperatives) as well as in-depth analyses concerning the reflections, insights, and quality assessments of those consuming said services (directly or indirectly) are needed. Therein, specific attention should be brought to bear on the mechanism through which cooperatives do or might serve to counterbalance the devastating effects of global care chairs (Hochschild, 2002; Mahon & Robinson, 2011; Robinson, 2006a, 2011; Sassen, 2002) by organizationally prioritizing the labor conditions, well-being,
Final Thoughts
Given the current constellation of care demands and the sociopolitical and economic context in which care is being rendered, the challenge to seek out alternative configurations of caring labor that prioritize the dignity and well-being of both care recipient
Footnotes
Acknowledgments
The authors greatly acknowledge the worker-owners of the
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
