A society that venerates health, youth and individual autonomy will not much enjoy thinking about birth or death. We are born helpless and need years of care until we reach the happy state of health and autonomy. At the other end of life, the same often applies: the Alzheimer’s Society tells us there are some 850,000 dementia patients in the UK and that this will rise to over a million by 2025 as life expectancy continues to rise.
If we are reluctant to dwell on the reality of human vulnerability at either end of life, we are unwilling to give much thought to its corollary: that (somewhere safely hidden from the more exciting business of being healthy, youthful and autonomous) there must be people caring for those who are unable to do it themselves. Someone is wiping those bottoms.
Traditionally, this job of caring for the very old and the very young has been “women’s work”. To a great extent, it still is: the OECD reports that, worldwide, women do between two and ten times as much caring work as men.
In the UK, this tends in statistics to be framed as “unpaid work”, a sort of poor relation of the economically productive type that happens in workplaces and contributes to GDP.
Carers UK suggests there are around 9 million people caring for others in the UK part or full-time, of whom up to 2.4 million are caring for both adults and their own children. Women carry out the lion’s share of this work: 60% according to the ONS. Full-time students do the least and, unsurprisingly, mothers with babies do the most. Older working women carry the heaviest load of people in employment, with those in the 50-60 bracket being twice as likely as their male counterparts to be carers whether of a vulnerable adult, a partner or a child or grandchild.
Second-wave feminism pushed hard against the pressure women experience to take on this work of caring. Within this variant of liberalism, caring work is routinely framed as a burden that imposes an economic “penalty” while harming the economy by keeping skilled women away from the workplace. The OECD report cited above states: “The gender gap in unpaid care work has significant implications for women’s ability to actively take part in the labour market and the type/quality of employment opportunities available to them.”
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