The Crisis Of Care

What is care and who is paying for it? Every one of us will need care at some point in life: social care, healthcare, childcare, eldercare. In the shadow of COVID-19, care has become the most urgent topic of our times. But our care systems are in crisis. Concern for the most vulnerable has been overtaken by an obsession with profits and productivity. How did we end up here? In an era of economic turmoil, lower birth rates and increased life expectancy mean a larger proportion of the population than ever before is of retirement age. As a result, more people need care, and their numbers are rising. Yet, despite the demand, public services continue to be cut and sold off. Those most in need are left to fend for themselves. In this groundbreaking book, Emma Dowling charts the multifaceted nature of care in the modern world, from the mantras of self-care and what they tell us about our anxieties to the state of the social care system. The Care Crisis examines the ways that profitability and care are played off against each other, exposing the impacts of financialisation and austerity. Dowling charts the current experiments in short-term solutions now taking place. In a new afterword, she examines the care crisis through the lens of the Covid-19 pandemic, revealing the devastating consequences of a collision between an ongoing care crisis and the coronavirus.

A deadly pandemic. Civic unrest. Economic uncertainty. The years between the 2016 and 2020 Presidential Elections exposed the vulnerability of our institutions—and ourselves—like never before. In the wake of uncertainty, the authors in this volume offer wisdom to make sense of the changes brought by these past four years. Reflecting how faith and philanthropy converge, they imagine alternative economies for faith communities, academia, and nonprofits, while also marking the unshakable encounter with grief and crisis. Authors linger in the space between what was and what will be to ask: what do we leave behind, what do we bring with us, and what possibilities exist where crisis and care converge? Their words and wisdom kindle philanthropic imagination in this moment of transition and change.

A vital collection bringing together Black Lives Matter and COVID-19 from the acclaimed political and literary magazine Boston Review. From the COVID-19 pandemic to uprisings over police brutality, we are living in the greatest social crisis of a generation. But the roots of these latest emergencies stretch back decades. At their core is a politics of death: a brutal neoliberal ideology that combines deep structural racism with a relentless assault on social welfare. Its results are the failing economic and public health systems we confront today--those that benefit the few and put the most vulnerable in harm's way. Contributors to this volume not only protest these neoliberal roots of our present catastrophe, but they insist there is only one way forward: a new kind of politics--a politics of care--that centers people's basic needs and connections to fellow citizens, the global community, and the natural world. Imagining a world that promotes the health and well-being of all, they draw on different backgrounds--from public health to philosophy, history to economics, literature to activism--as well as the example of other countries and the past, from the AIDS activist group ACT-UP to the Black radical tradition. Together they point to a future, as Simon Waxman writes, where "no one is disposable." CONTRIBUTORS Robin D. G. Kelley, Gregg Gonsalves and Amy Kapczynski, Walter Johnson, Anne L. Alstott, Melvin Rogers, Amy Hoffman, Sunaura Taylor, Vafa Ghazavi, Adele Lebano, Paul Hockenos, Paul Katz and Leandro Ferreira, Shaun Ossei-Owusu, , Colin Gordon, Jason Q. Purnell, Jamala Rogers, Dan Berger, Julie Kohler, Manoj Dias-Abey, Simon Waxman, Farah Griffin. A co-publication between Boston Review and Verso Books.

We are in the midst of a global crisis of care. How do we get out of it? The Care Manifesto puts care at the heart of the debates of our current crisis: from intimate care--childcare, healthcare, elder care--to care for the natural world. We live in a world where carelessness reigns, but it does not have to be this way. The Care Manifesto puts forth a vision for a truly caring world. The authors want to reimagine the role of care in our everyday lives, making it the organising principle in every dimension and at every scale of life. We are all dependent on each other, and only by nurturing these interdependencies can we cultivate a world in which each and every one of us can not only live but thrive. The Care Manifesto demands that we must put care at the heart of the state and the economy. A caring government must promote collective joy, not the satisfaction of individual desire. This means the transformation of how we organise work through co-operatives, localism and nationalisation. It proposes the expansion of our understanding of kinship for a more 'promiscuous care'. It calls for caring places through the reclamation of public space, to make a more convivial city. It sets out an agenda for the environment, most urgent of all, putting care at the centre of our relationship to the natural world.

America's health care troubles largely stem from a great success: modern medicine can do much more today than in the past. So what's the trouble? How to pay for it. In easily comprehensible prose, MIT-trained economist Arnold Kling explains better ways of financing health care for the poor, workers, the disabled, and the elderly. Kling predicts relying less on government and more on private savings would improve health outcomes. A must-read for health care reformers.

Exploring the failure of hospice in America to care for patients and families at the end of life. Hospice is the dominant form of end-of-life care in the United States. But while the US hospice system provides many forms of treatment that are beneficial to dying people and their families, it does not encompass what is commonly referred to as long-term care, which includes help with the activities of daily living: feeding, bathing, general safety, and routine hygienic maintenance. Frequently, such care is carried out by an informal network of unpaid caregivers, such as the person's family or loved ones, who are often ill-prepared to offer this type of support. In The Crisis of US Hospice Care, Harold Braswell argues that the stress of providing long-term care typically overwhelms family members and that overdependence on familial caregiving constitutes a crisis of US hospice care that limits the freedom of dying people. Arguing for the need to focus on the time just before death, Braswell examines how the relationship of hospice to familial caregiving evolved. He traces the history of hospice over the past fifty years and describes the choice that people dying with inadequate familial support face between a neglectful home environment and an impersonal nursing home. A nuanced look at the personal and political dimensions that shape long-term, end-of-life care, this historical and ethnographic study demonstrates that the crisis in US hospice care can be alleviated only by establishing the centrality of hospice to American freedom. Providing a model for the transformative work that is required going forward, The Crisis of US Hospice Care illustrates the potential of hospice for facilitating a new way of living our last days and for having the best death possible.

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Nancy Fraser’s major new book traces the feminist movement’s evolution since the 1970s and anticipates a new—radical and egalitarian—phase of feminist thought and action. During the ferment of the New Left, “Second Wave” feminism emerged as a struggle for women’s liberation and took its place alongside other radical movements that were questioning core features of capitalist society. But feminism’s subsequent immersion in identity politics coincided with a decline in its utopian energies and the rise of neoliberalism. Now, foreseeing a revival in the movement, Fraser argues for a reinvigorated feminist radicalism able to address the global economic crisis. Feminism can be a force working in concert with other egalitarian movements in the struggle to bring the economy under democratic control, while building on the visionary potential of the earlier waves of women’s liberation. This powerful new account is set to become a landmark of feminist thought.

SHORTLISTED FOR THE ORWELL PRIZE FOR POLITICAL WRITING Long before the pandemic, care work has been underpaid and its values disregarded. In this remarkable and compassionate book, Madeleine Bunting speaks to those on the front line of the care crisis, struggling to hold together a crumbling infrastructure. A combination of extraordinary first-hand accounts of caring with a history of care and its language, Labours of Love is an impassioned call for change at a time when we need it most.

In this long-awaited updated edition of his groundbreaking work Priceless: Curing the Healthcare Crisis, renowned healthcare economist John Goodman ("father" of Health Savings Accounts) analyzes America's ongoing healthcare fiasco—including, for this edition, the extra damage Obamacare has inflicted on America's healthcare system. Goodman then provides what many critics of our healthcare system neglect: solutions. And not a moment too soon. Americans are entangled in a system with perverse incentives that raise costs, reduce quality, and make care less accessible. It's not just patients that need liberation from this labyrinth of confusion—it's doctors, businessmen, and institutions as well. Read this new work and discover: Why no one sees a real price for anything: no patient, no doctor, no employer, no employee How Obamacare's perverse incentives cause insurance companies to seek to attract the healthy and avoid the sick Why having a preexisting condition is actually WORSE under Obamacare than it was before—despite rosy political promises to the contrary Why emergency-room traffic and long waits for care have actually increased under Obamacare How Medicaid expansion spends new money insuring healthy, single adults, while doing nothing for the developmentally disabled who languish on waiting lists and children who aren't getting the pediatric care they need How the market for medical care COULD be as efficient and consumer-friendly as the market for cell phone repair... and what it would take to make that happen How to create centers of medical excellence, which compete to meet the needs of the chronically ill And much, much more ... Thoroughly researched, clearly written, and decidedly humane in its concern for the health of all Americans, John Goodman has written the healthcare book to read to understand today's healthcare crisis. His proposed solutions are bold, crucial, and most importantly, caring. Healthcare is complex. But this book isn't. It's clear, it's satisfying, and it's refreshingly human. If you read even one book about healthcare policy in America, this is the one to read.