Caring for Our Own: Why There is No Political Demand for New by Sandra R. Levitsky

By Sandra R. Levitsky

Getting older populations and dramatic adjustments in health and wellbeing care provision, family constitution, and women's hard work strength participation during the last part century have created what many observers have dubbed a "crisis in care": call for for care of the outdated and infirm is quickly starting to be, whereas the availability of non-public care in the kin is considerably contracting. And but, regardless of the well-documented antagonistic results of up to date care dilemmas at the monetary safeguard of households, the actual and psychological future health of relatives care prone, the base line of companies, and the monetary overall healthiness of present social welfare courses, American households have proven little inclination for translating their inner most care difficulties into political calls for for social coverage reform.

Caring for Our personal inverts an everlasting query of social welfare politics. instead of asking why the yankee country hasn't spoke back to unmet social welfare wishes by means of increasing social entitlements, this e-book asks: Why do not American households view unmet social welfare wishes because the foundation for calls for for brand spanking new country entitlements? How do conventional ideals in relations accountability for social welfare persist even within the face of well-documented unmet desire? the reply, this booklet argues, lies in a greater knowing of the way members think options to the social welfare difficulties they confront and what prevents new understandings of social welfare provision from constructing into political call for for replacement social preparations. taking care of Our personal considers the strong ways that present social guidelines form the political mind's eye, reinforcing longstanding values approximately relatives accountability, subverting grievances grounded in notions of social accountability, and in a few infrequent situations, developing new types of social provision that may go beyond current ideological divisions in American social politics.

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Extra info for Caring for Our Own: Why There is No Political Demand for New American Social Welfare Rights

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As the analysis in the following chapters will show, the policy solutions in the United States that accomplish this are residualist13 public assistance programs: safety nets such as Medicaid and Temporary Assistance to Needy Families that retain the primacy of family responsibility for social welfare by offering only minimal assistance to families in need. Medicaid resonates with family caregivers as a policy solution to unmet care needs by providing state assistance in ways that do not compromise caregivers’ status as “dutiful” family members.

Medicare covers one-hundred days of care in a nursing facility for those recently discharged from a hospital and who need skilled nursing care or rehabilitative therapy, and provides some home health benefits for those beneficiaries with chronic or disabling conditions who require skilled nursing care following hospitalization. Unlike Medicaid, however, Medicare provides no assistance for those who need help with personal care, such as bathing, dressing, feeding, adult day care, or respite care.

In the second phase of the study, I led nine support groups in a peer group discussion about specific legislative initiatives involving long-term care. 25 The purpose of the peer group meetings was to observe how participants related their personal caregiving experiences to larger sociopolitical issues of long-term care provision, and how they envisioned “solutions” to the dilemmas raised in providing long-term care. During the peer group sessions I introduced four general policy proposals pertaining to funding for respite care, caregiver allowances, tax credits for caregiving expenses, and paid family leave, and asked participants to discuss how the proposals would affect their personal situations and to consider the benefits and drawbacks of each proposal.

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