Jump to ContentJump to Main Navigation
Inequalities of AgingParadoxes of Independence in American Home Care$
Users without a subscription are not able to see the full content.

Elana D. Buch

Print publication date: 2018

Print ISBN-13: 9781479810734

Published to NYU Press Scholarship Online: May 2019

DOI: 10.18574/nyu/9781479810734.001.0001

Show Summary Details
Page of

PRINTED FROM NYU Press SCHOLARSHIP ONLINE (www.nyu.universitypressscholarship.com). (c) Copyright University of NYU Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in NYSO for personal use.date: 28 May 2022

Care Falls Apart

Care Falls Apart

Turnover and the Limits of Independence

(p.176) 6 Care Falls Apart
Inequalities of Aging

Elana D. Buch

NYU Press

Across the United States, home care faces perpetual worker shortages and endemically high turnover levels estimated at between 60% and 90% per year. This chapter examines cases of turnover in rich ethnographic detail, arguing that the inability of agency and public policy to recognize the interdependence of older adults, workers, and their families contributes to this startling statistic. In observed cases of turnover; job loss stemmed from workers’ inabilities to sustain both their own households and those of their older adults without blurring the boundaries between them. Workers lost jobs because of conflicts with family care and because they engaged in unsanctioned reciprocities with clients. Current attempts to protect vulnerable older adults from possible exploitation actually exacerbate the exploitation of care workers and increase instability in home care.

Keywords:   turnover, worker shortage, interdependence, households, older adults, home care work, home care policy

NYU Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.