Long Term Care

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A growing elderly population, less able to rely care at home, was shifted into medicated, funded long term care. Home care workers were the most disposable of the health care work force even as their work was to manage theso disposal of others. Longterm care is its low margin, but it's also relatively low costs. It really took off after this 83 reform to occupy the market niche that had been held by community hospitals.

Historian Gabriel Winant discusses The Next Shift: The Fall of Industry and the Rise of Health Care in Rust Belt America. It's a fascinating study of the emergence of the service sector and a new working class out of the wreckage of deindustrialization through the story of the rise and fall of unionized steel in Pittsburgh and its replacement by a massive hospital industry. Listen to my past interview with Winant on the social worlds that make US politics and how that sociality is rooted in the economy, carceral state, social media, religion, and more thedigradio.com/podcast/the-social-question-with-gabriel-winant Support this podcast at Patreon.com/TheDig Check out The After-Normal: Brief, Alphabetical Essays on a Changing Planet, by David Carlin and Nicole Walker rosemetalpress.com/books/the-after-normal