With a work force of about 2.5 million, two-thirds of whom would be affected by the proposed rule, home health and personal care is the second-fastest-growing job category in the country, projected to double by 2018. As women, immigrants and service workers have become the new face of labor, what happens to home care matters for the shape of our economy, the fate of unionism and the establishment of a decent standard of living for all.
The title may have changed, but the work has remained the same: a combination of basic bodily care and housekeeping. That care workers substituted for the unpaid labor of wives and mothers further confused their status. So did the home location. As one 64-year-old worker told Congress in 2007, “I would get time and a half pay for my overtime hours for performing the same tasks for Mrs. G. if she were in a nursing home facility. But because my work helps her to stay in her home, I am deprived of overtime pay.”
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