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Obscuring the costs of home care: restructuring at work

机译:掩盖家庭护理费用:工作结构调整

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This study of displaced home care workers reveals how managed competition serves to produce a flexible and atomized work force. Laid off when their nonprofit employer could not compete in the local home care market, workers blamed their employer and their union for their jeopardy. Obscured from local view was the role of government policy in offloading services to the market, benefiting privileged participants in the hospital, professional and market health care sectors. Workers' indignation at their own and their elderly clients' unfair treatment dissipated: they had to attend to the practical imperatives in their lives, and were unable to locate a target for their protest. Resolving to be flexible and self-sufficient in the future, they struggled to rework identities as committed carers. The study illuminates how particular organizational and political processes render services more meagre and labour more flexible, and suggests particular possibilities for both accommodating and disrupting those trends.
机译:这项对流离失所的家庭护理人员的研究揭示了有管理的竞争如何产生灵活而分散的劳动力。当非营利组织的雇主无法在当地家庭护理市场竞争时被解雇,工人们责怪雇主和工会造成了危险。从当地的观点来看,政府政策在将服务转移到市场上的作用模糊不清,使医院,专业和市场卫生保健领域的特权参与者受益。工人对自己的愤慨和对老年顾客的不公正待遇逐渐消失:他们不得不关注生活中的实际需要,无法找到抗议的目标。为了将来变得灵活和自给自足,他们努力地将身份认同作为忠诚的照顾者。该研究阐明了特定的组织和政治过程如何使服务变得更加微薄,劳动力变得更加灵活,并提出了适应和破坏这些趋势的特殊可能性。

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