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Inequalities of Aging: Paradoxes of Independence in
American Home Care (Anthropologies of American
Medicine: Culture, Power, and Practice Book 5)
Sinopsis :
Winner, 2020 Eileen Basker Memorial Prize, given by the
Society for Medical AnthropologyThe troubling dynamic of the
American home care industry where increased independence
for the elderly conflicts with the well being of caregivers Paid
home care is one of the fastest growing occupations in the
United States, and millions of Americans rely on these workers
to help them remain at home as they grow older. However, the
industry is rife with contradictions. The United States spends a
fortune on medical care, yet devotes comparatively few
resources on improving wages, thus placing home care

providers in the ranks of the working poor. As a result, the
work that enables some older Americans to live independently
generates profound social inequalities. Inequalities of Aging
explores the ways in which these inequalities play out on the
ground as workers, who are disproportionately women of color
and immigrants, earn poverty-level wages and often struggle
to provide for themselves and their families. The ethnographic
narrative reveals how two of the nation&#8217most pressing
concerns&#8212riing social inequality and caring for an aging
population&#8212inersect to transform the lives of older
adults, home care workers, and the world around them. The
book takes readers inside the homes and offices of people
connected to two Chicago area home care agencies serving
low-income and affluent older adults, respectively. Through
intimate portrayals of daily life, Elana D. Buch illustrates how
diverse histories, care practices, and social policies overlap
and contribute to social inequality.Illuminating the lived
experience of both workers and their clients, Inequalities of
Aging shows the different ways in which the idea of
independence both connects and shapes the lives of the
elderly and the working poor.