The Care Crisis

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.

What kinds of care are being offered or withdrawn by the welfare state? What does this mean for the caring practices and interventions of local activists? Shedding new light on austerity and neoliberal welfare reform in the UK, this vital book considers local action and activism within contexts of crisis, including the COVID-19 pandemic. Presenting compelling case studies of local action, from protesting cuts to children's services to local food provisioning and support for migrant women, this book makes visible often unseen practices of activism. It shows how the creativity and persistence of such local practices can be seen as enacting wider visions of how care should be provided by society.

At present, human society is facing a health care crisis that is affecting patients worldwide. In the United States, it is generally believed that the major problem is lack of affordable access to health care (i.e. health insurance). This book takes an unprecedented approach to address this issue by proposing that the major problem is not lack of affordable access to health care per se, but lack of access to better, safer, and more affordable medicines. The latter problem is present not only in the United States and the developing world but also in countries with socialized health care systems, such as Europe and the rest of the industrialized world. This book provides a comparative analysis of the health care systems throughout the world and also examines the biotechnology and pharmaceutical industries. Examines the health care structure of the United States, Europe, and the third world, both separately and comparatively Offers primary source insight through in-depth interviews with pharmaceutical and health care industry leaders from around the world Carefully explains, in clear terms, the intricacies of the health care and pharmaceutical system and how these intricacies have led to the current crisis Offers concrete, comprehensive solutions to the health care crisis

An examination of the global economic crisis from the perspective of care Valuing care and care work does not simply mean attributing care work more monetary value. To really achieve change, we must go further. In this groundbreaking book, Emma Dowling charts the multi-faceted 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. She examines the relations of power that play profitability and care off in against one another in a myriad of ways, exposing the devastating impact of financialisation and austerity. As the world becomes seemingly more uncaring, the calls for people to be more compassionate and empathetic towards one another—in short, to care more—become ever-more vocal. The Care Crisis challenges the idea that people ever stopped caring, but also that the deep and multi-faceted crises of our time will be solved by a simply (re)instilling the virtues of empathy. There is no easy fix. The Care Crisis enquires into the ways in which the continued off-loading of the cost of care onto the shoulders of underpaid and unpaid realms of society, untangling how this off-loading combines with commodification, marketisation and financialisation to produce the mess we are living in. The Care Crisis charts the current experiments in short-term fixes to the care crisis that are taking place within Britain, with austerity as the backdrop. It maps the economy of abandonment, raising the question: to whom care is afforded? And what would it mean to seriously value care?

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.

Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans. With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision. Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. WORDS OF PRAISE and REVIEWS Al-Agba and Bernard tell a frightening story that insiders know all too well. As mega corporations push for efficiency and tout consumer focused retail services, American healthcare is being dumbed down to the point of no return. It's a story that many media outlets are missing and one that puts you and your family's health at real risk. --John Irvine, Deductible Media Laced with actual patient cases, the book’s data and patterns of large corporations replacing physicians with non-physician practitioners, despite the vast difference in training is enlightening and astounding. The authors' extensively researched book methodically lays out the problems of our changing medical care landscape and solutions to ensure quality care. --Marilyn M. Singleton, MD, JD A masterful job of bringing to light a rapidly growing issue of what should be great concern to all of us: the proliferation of non-physician practitioners that work predominantly inside algorithms rather than applying years of training, clinical knowledge, and experience. Instead of a patient-first mentality, we are increasingly met with the sad statement of Profits Over Patients, echoed by hospitals and health insurance companies. --John M. Chamberlain, MHA, LFACHE, Board Chairman, Citizen Health A must read for patients attempting to navigate today’s healthcare marketplace. --Brian Wilhelmi MD, JD, FASA

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.

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.