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The Fight to Protect America's Growing Home Care Workforce

A proposed change to federal labor law will cover more home care workers.


People who care for children, elderly people, and disabled folks of all ages in home settings make it possible for the rest of us to head to our jobs, yet they're consistently left out of basic labor protections. That’s finally starting to change. In 2010, New York passed a Domestic Workers’ Bill of Rights that ensures decent work hours, paid time off, and recourse for discrimination. Now, the fight for similar bills has expanded to other states. The issue also recently made progress at the federal level, with President Obama announcing a proposed change to federal labor law late last year December that will cover more home care workers. The comment period for the proposed change ends next week.

These workers, predominantly women and people of color, comprise a booming industry: The number of home health aide jobs, for example, is projected to grow by 50 percent by 2018. But the pay and benefits remain dismal, with home health aides earning a median salary of less than $10 an hour. They rarely receive paid time off, almost 40 percent have no health insurance, and half rely on public benefits to supplement their incomes. Nannies don’t fare any better: A recent survey showed that the most common pay is $600 per week, or $31,200 a year before taxes.

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In April, Katherine Hook was laid off from her job as an administrative assistant, a title she’s held since graduating from high school in 1968. Now 60, Hook had worked at CenterPoint Engineering in Mechanicsburg, Penn., for 11 and a half years. One day, she was assisting a group of professional engineers and designers. The next, she was told to clear out her desk. “We had no clue, no idea that there was anything wrong,” she says. "I jokingly said to the president, 'You should fire the marketing department,' but he said, 'Oh no, they’re the ones getting us work,'" she recalls. "If they’re getting us work, why am I being let go?" Her duties have now been handed off to one of the designers.

Since the recession technically ended in 2009, all of the weak growth in jobs has gone to men while women’s employment has declined. Men have gained 805,000 jobs, but women have lost a total of 281,000. The percentage of women who have a job hasn’t been this low since 1988. Cuts to state budgets help explain why women are falling behind: In the face of large budget shortfalls, women have lost 343,000 public-sector jobs, accounting for 70 percent of the cuts between June 2009 and June 2011,

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