More stories

  • in

    What Does the New Congress Mean for Family Policy?

    Now that the dust has (nearly) settled on the 2022 midterm elections and Republicans are preparing to take control of the House while Democrats will hold onto the Senate, I wanted to check in with some family policy advocates to see what a split Congress might mean for investments in caregiving.To recap: The initial formulation of the Biden administration’s Build Back Better plan offered the prospect of “the most transformative investment in children and caregiving in generations,” including large investments in child care, elder care and expanded child tax credits. Permanently funded federal paid family leave was also on the table.None of that happened in the current Congress, with Democrats narrowly holding both houses, despite the fact that child care and leave are extremely popular. According to a new national online survey of over 1,000 voters from the First Five Years Fund: “65 percent of voters say they are disappointed (45 percent) or even angry (20 percent) that Congress failed to act” on child care this year. “Suburban women are even more dismayed — 71 percent describe themselves as angry or disappointed.”Further, 81 percent of respondents say that their member of Congress should work with the Biden administration to expand affordable child care options; 65 percent of Republicans agree. According to a Morning Consult-Politico poll from about a year ago, paid family and medical leave is even more popular; only 5 percent of registered voters said it should not be available.When I asked some of my readers in the sandwich generation about what would make their lives easier, many of them echoed the sentiments of Liza Clay Yu, who has two kids under 4 and is also caring for several older family members: “I think the most helpful thing we could hope for would be affordable, reliable, high-quality child care.”So do we have any hope that these very necessary care infrastructure policies will move forward now?Let’s remember that we still have a brief period before the 118th Congress takes over in January. Sarah Rittling, the executive director of the First Five Years Fund, said “a lot gets done potentially at the last minute,” and while she doesn’t expect any child care plans as generous as those in the original B.B.B. framework, something could be squeezed in before the end of 2022.There’s also the Pregnant Workers Fairness Act (P.W.F.A.), which would require employers to make reasonable accommodations for pregnant and postpartum and nursing workers, which already passed the House with bipartisan support. Reasonable accommodations could include a designated space for pumping breast milk, a chair to sit in for a supermarket cashier or temporary relief from certain workplace duties if they are dangerous, said Dina Bakst, the co-founder and co-president of the advocacy group A Better Balance.The bill’s proponents believe it could pass the Senate, it just needs to be put to a vote. “Leader Schumer should bring P.W.F.A. up immediately,” Bakst said. “Working women have been the backbone of our economy, and we need our leaders to stand up and give pregnant and postpartum workers the respect they deserve.” Bakst is not optimistic that P.W.F.A. would pass the House again under its new Republican leadership. “We’re literally at the end,” she said.Bakst is probably right. Christine Matthews, a pollster who’s worked with Republican clients in the past, pointed me to the Congressional Republican Study Committee Family Policy Agenda, and said “that is broadcasting what they are focused on in terms of family and children policies.” She was not surprised to see that the document listed, as its No. 1 agenda item, the statement: “We support the protection of children from far-left ideologies inside and outside the classroom.”There is child care legislation on that agenda, but it mostly concerns deregulating the industry so that it might become less expensive rather than using federal money to raise pay for care workers. That doesn’t appear to fix one of the most critical child care problems we currently have, which stems from a worker shortage owing to low pay in the industry.Similarly, the current Republican Study Committee agenda doesn’t propose a traditional paid family leave plan like those in many of our peer nations. Rather, it offers suggestions about how workers could transfer overtime pay into more paid days off and allowing states to extend Medicaid coverage for postpartum women to last more than 60 days.Even though things don’t look particularly rosy for family policy at the federal level, there are small wins happening at the state level. Vicki Shabo, a senior fellow for paid leave policy and strategy at New America, a left-leaning think tank, said, of paid family leave, “on balance, I’m excited about the possibility of state progress in places like Maine, where there’s a legislative effort and a potential ballot for 2023.” She also mentioned movement toward paid leave happening in Illinois, Michigan, Minnesota and New Mexico.Jocelyn Frye, the president of the National Partnership for Women and Families, who calls herself an “eternal optimist” about policy at the federal level, said she believes the conversation has moved forward in recent years. “The path is complicated, but the urgency is real” and “the support for the policies is real.” Going forward, she added, “the conversation will be less about whether there’s a value in paid leave, and increasingly a conversation about what paid leave should look like.”After a few of these conversations, I had a measure of guarded optimism about the prospects for some of these policies. I think the pandemic changed the national calculus around the issue of care. I believe more people of all political stripes are beginning to realize that many Americans need robust governmental support to continue working while raising our families.Shabo co-wrote a report for New America that found rural Americans — who do not tend to vote for Democrats — are in particular need of paid leave, because they tend to live much farther from care options. “Without access to paid sick time and paid leave for serious family and medical needs, workers are often forced to manage taking care of themselves or loved ones without pay while struggling to make ends meet, potentially jeopardizing their health, job or economic security,” the report notes. Matthews said that in focus groups she conducted among Americans from rural areas, “men were just as interested in paid family leave as the women, because they had much more rigid jobs,” and they could get fired for taking time off to care for a sick relative or wife who was having health issues postpartum.These aren’t women’s issues. They aren’t urban issues and they aren’t mom issues. They are everybody issues. The incoming Congress should remember that.Want More?In October, The Times’s Dana Goldstein reported, “Why You Can’t Find Child Care: 100,000 Workers Are Missing.” The question: “Where did they go?” The answer: “To better-paying jobs stocking shelves, cleaning offices or doing anything that pays more than $15 an hour.” In the clichéd parlance of the internet: The math is not mathing.Another congressional battle is shaping up over expanded child tax credits, which lapsed at the end of 2021, reports The Times’s Jason DeParle: “Some Democrats hope to revive payments to small groups of parents as part of a year-end tax deal, and despite Republicans taking control of the House in January, restoring the full program remains a long-term Democratic goal.”Some anti-abortion advocates are now arguing for more generous family policies. “Fighting state-level battles at the ballot box requires a greater willingness to find compromise and credible commitment to supporting women and children, rather than the legal strategy that, by necessity, took center stage from 1973 until this year,” wrote Patrick T. Brown in America magazine. He made a similar argument in a guest essay for Opinion in May.American rail workers may go on strike over the issue of paid sick leave. According to reporting in October by The Times’s Peter S. Goodman:“More than anything, workers expressed outrage over their lack of paid sick leave. Most spoke on the condition that they not be named, citing the risk of being disciplined or fired.”“‘You had guys that just didn’t want to share that they had Covid because they couldn’t afford to take off,’ said a former member of a traveling maintenance gang for a major railroad based in Alabama. ‘I believe it added to the spread on the road.’”Tiny VictoriesParenting can be a grind. Let’s celebrate the tiny victories.I designated an old pair of sweatpants as my mealtime pants. Since I frequently have a child sitting in my lap at a meal, I don’t care when those pants get covered in food.— Lisa Leininger, Ann Arbor, Mich.If you want a chance to get your Tiny Victory published, find us on Instagram @NYTparenting and use the hashtag #tinyvictories, email us or enter your Tiny Victory at the bottom of this page. Include your full name and location. Tiny Victories may be edited for clarity and style. Your name, location and comments may be published, but your contact information will not. By submitting to us, you agree that you have read, understand and accept the Reader Submission Terms in relation to all of the content and other information you send to us. More

  • in

    The Sandwich Generation Is Getting Squished

    In early 2020, I wrote about the struggles of the “sandwich generation,” demographers’ label for those who are caring for children and aging relatives at the same time. The sandwich generation parents I spoke to in that prepandemic moment talked about the emotional and financial toll of that level of caregiving responsibility. Some had to leave full-time employment or change jobs because caring for a parent with failing health and children with their own abundant needs took too much time and required too much flexibility.More than two years later, I wanted to check back in on this group (which, according to Pew Research Center, includes more than half of 40-somethings). As I’ve written regularly, the difficulties facing both parents and child care workers can be interconnected: The child care industry doesn’t pay workers enough to prevent a lot of turnover, many centers are short-staffed, parents are already paying more for child care than they are for housing in many states and inflation is making everything worse.Elder care has similar challenges. The AARP Public Policy Institute, which tracks nursing home staffing shortages by state, reports that an average of 25.1 percent of nursing homes don’t have enough direct care workers. In some states, it’s dire — over 60 percent of nursing homes in Maine, Minnesota and Wyoming are short on staff. Nursing home work became a particularly dangerous job during the pandemic: As Scientific American reported last year, “Workers in skilled nursing facilities had at least 80 deaths per 100,000 full-time employees” in 2020.Wages in the direct care field, which includes caregivers at private residences, assisted living centers and nursing homes, are “are persistently and notoriously low,” according to PHI, an advocacy group that researches elder care and disability issues. PHI noted, in a report last year, that these workers “are predominantly women, people of color and immigrants,” and that “median annual earnings are just $20,200,” due in part to “high rates of part-time employment” — and how do you support a family on that?Considering the toll Covid took on residents of nursing homes, there’s additional incentive for adult children to keep their parents living with them at home as long as possible, and that can require emotional and financial compromises. Women are more likely to be doing this care — according to the Family Caregiver Alliance, as of 2015, “The average caregiver is a 49-year-old woman who works outside the home and provides 20 hours per week of unpaid care to her mother.”Rebecca Jones’s experience is emblematic of the sandwich generation pandemic crunch. Her mother was diagnosed with early-onset dementia in 2014, which she called “a cruel and relentless illness.” Still, “we really dedicated ourselves to trying to keep her home as long as possible,” she told me. Her family relied on day programs in New England, where they live, to keep her mother occupied. One of her mother’s programs shut down because of a lack of funding before Covid hit. Jones scrambled to find another program, only for it to shut down along with everything else in March 2020.Jones was working as a paralegal at that time, and her husband is a mechanical insulator. In 2020, one of her children was a toddler and the other was an infant, and they were enrolled in a home day care. Jones, her father and her sister worked to get her mother a home health aide through Medicaid, she said. The family was able to manage, with difficulty, until March 2021, when all their arrangements collapsed at once: The woman who ran the home day care took another job, so Jones’s child care disappeared. Her mother’s condition became so bad that she could no longer remain at home, even with a health aide five hours a day.It was all too much. “I gave up a career that I love,” Jones said, because the cheapest child care she could find was $2,500 a month for her two kids, and that was financially out of her reach. Her mother, a school secretary, worked up until the day she was diagnosed with dementia, but “there’s no safety net for the elder working class. That was really so devastating,” Jones said. Her mother died that spring.According to an AARP survey from 2021, caring for older family members is a financial strain for many: “The typical annual total is significant: $7,242. On average, family caregivers are spending 26 percent of their income on caregiving activities.” That’s just the out-of-pocket cost, which doesn’t account for the sweat equity that loved ones are putting in. PHI has estimated that 43 million people provide unpaid caregiving to friends and family members, and that their “economic contribution is valued at $470 billion.”The elder care crunch is only going to become more dire as the population ages. According to a 2022 report on the imperative to improve nursing home quality from the National Academies of Sciences, Engineering and Medicine:The United States, like much of the world, has an aging population. Half of today’s 65-year-olds will need some paid long-term care services before they die. By 2030, one in four Americans will be age 65 or older. The fastest growing group will be those over age 85; this group is expected to grow from 6.5 million to 11.8 million by 2035 and 19 million by 2060. Marriage and fertility rates have declined, while life expectancy has increased, meaning fewer family caregivers will be available.The report has recommendations for improving nursing home care including increasing federal Medicaid payments to states, requiring that states use funding to raise workers’ pay and expand staffing, and requiring a full-time infection control specialist. There’s also need to form some kind of infrastructure for home care, like the kind Rebecca Jones was doing, said Amy York, the executive director of the Eldercare Workforce Alliance.But many ailing loved ones need care now, and help isn’t necessarily on the horizon. I asked York what sandwich generation parents can do in this moment, and she said, “One of the things that needs to be happening is that caregivers need to speak out.” She added, “Older adults tend not to, because we don’t want to think about getting older.” But lawmakers in particular need to hear from their constituents how difficult this work is, and the strain it is putting on families.If you’re not in the sandwich yet, you need to anticipate being in it someday, and get your older relatives to plan for their future. According to AARP, only 29 percent of older Americans have planned with their families how they want to be cared for as they age, and only 12 percent have purchased private long-term care insurance. Jelana Canfield, who lives in Hillsboro, Ore., and owns a bakery, told me via email that her mother, who has Parkinson’s, got long-term-care insurance after caring for her own mother, seeing how stressful it was and how financially out of reach good memory care was.But even though her own mother is in a good assisted-living situation funded by that insurance, Canfield told me she wishes she could afford to keep her mother in her own home. She said her mom calls her four or five times a day, adding, “I’ll call back while pushing my guilt down deep so I don’t cry that I’m not the one who is taking care of her anymore after three years of my husband and I doing everything for her.”Though it isn’t possible for all families, rotating family members in to help care for elders can help lighten the load. Terryn Hall, who lives in Durham, N.C. and wrote about caring for her grandmother in The Washington Post, told me about helping her mother, who is her grandmother’s primary caretaker. When Covid hit, “I jumped in and started helping out more. My mom is the primary caregiver, I was always the pinch-hitter,” she said. She took her grandma to medical appointments, made sure she had food and helped organize other family members who wanted to help.“I wish there were more frameworks or social narratives around staying home and building a community,” for younger people, Hall said. It should be just as aspirational, she said, as moving away from your family of origin to start a big career. Though she doesn’t have children, Hall said she would like to, and would want to live near family that could help her care for them.One of the things that stood out to me in the many conversations I had with parents of the sandwich generation was how isolated they felt, because the work of caring for parents with chronic illnesses at the end of their lives was so hard and so sad. Talking about how common this is, and how difficult, won’t create an elder care system where none exists, but acknowledging this as a collective experience is one way to ease the burden.Want More?In The Atlantic, Judith Shulevitz reviews new books by Elizabeth McCracken and Lynne Tillman in which “daughters try to transcribe the discordant emotions provoked by a mother’s decline and death.” As Shulevitz puts it: “Doing battle with monsters is an inescapable part of elder care. Ministering to mothers, to bodies that were once all-powerful and the source of everything good but are now reduced to helplessness, is particularly scary, or at least very eerie.”In September, writing for The Times, Paula Span looked at the quiet cost of family caregiving. “The pandemic amplified the conflict between employment and caregiving, Dr. [Yulya] Truskinovsky [an economist at Wayne State University] and colleagues found in another study. ‘Caregiving arrangements are very fragile,’ she noted. While families often patch together paid and unpaid care, ‘it’s unstable, and if one thing falls through, your whole arrangement falls apart.’”In July, The Times’s Lydia DePillis, Jeanna Smialek and Ben Casselman reported that “a lack of child care and elder care options has forced some women to limit their hours or sidelined them altogether, hurting their career prospects.”The Times’s resident ethicist ponders the question: “Am I Obligated to Look After My Insufferable Mother?”Tiny VictoriesParenting can be a grind. Let’s celebrate the tiny victories.My 4-year-old’s resistance to preschool was very high this morning and we were about to miss drop-off time. While she was in her room I turned on the “Frozen” soundtrack as loud as I could, knocked on her door like Anna does in the movie, then started dancing and singing around the house. By the second song she was laughing so much that I got her clothes on and teeth brushed and in the car seat, just in time to leave — and I felt like I got a workout in as well!— Samantha Campbell, MauiIf you want a chance to get your Tiny Victory published, find us on Instagram @NYTparenting and use the hashtag #tinyvictories; email us; or enter your Tiny Victory at the bottom of this page. Include your full name and location. Tiny Victories may be edited for clarity and style. Your name, location and comments may be published, but your contact information will not. By submitting to us, you agree that you have read, understand and accept the Reader Submission Terms in relation to all of the content and other information you send to us. More

  • in

    Some Women Fear Giorgia Meloni’s Far-Right Agenda Will Set Italy Back

    Some fear that the hard-right politician, whose party is expected to be the big winner in the election on Sunday, will continue policies that have kept women back.ROME — Being a woman, and mother, has been central to the political pitch of Giorgia Meloni, the hard-right politician who is likely to become Italy’s prime minister after elections on Sunday.She once ran for mayor seven months pregnant because she said powerful men had told her she couldn’t. Her most famous speech includes the refrain “I am a woman. I am a mother.” She often talks with pride about how she started a party, Brothers of Italy, and rose to the top of national politics without any special treatment.But as happy as women’s rights activists are about that fact that a woman could finally run Italy, many wish it was essentially any other woman in Italy. They fear that Ms. Meloni’s hard-right agenda, her talk about preventing abortions, opposing quotas and other measures will set back the cause of women.“It’s not a gain at all and, indeed, a possible setback from the point of view of women’s rights,” said Giorgia Serughetti, who writes about women’s issues and teaches political philosophy at Bicocca University in Milan.More than in neighboring European Union countries, women in Italy have struggled to emerge in the country’s traditionally patriarchal society. Four out of 10 Italian women don’t work. Unemployment rates are even higher for young women starting careers. Female chief executive officers lead only a tiny percentage of companies listed on Milan’s stock exchange, and there are fewer than 10 female rectors at Italy’s more than 80 universities.And for many Italian women, finding a suitable work-life balance becomes nearly impossible once children enter the equation. Affordable, all-day, public child care is nonexistent in many areas, and women paid the highest price during the pandemic, staying home even after periods of lockdown when schools were shut.All national and international indicators suggest that if women in Italy worked more, gross domestic product would largely benefit and increase.“Half of Italian women do not have economic independence,” said Linda Laura Sabbadini, a statistician and director of new technologies at Italy’s National Institute of Statistics. “That can’t just be cultural; politics clearly hasn’t done enough for women so far.”Ms. Meloni has presented herself as someone who will help, but on key issues to women, the coalition has been vague and short on details. And a coalition partner, Matteo Salvini of the anti-immigrant League party, has admired Victor Orban, the conservative prime minister of Hungary, and his family policies. The League’s leader recently said that Mr. Orban had drafted the “most advanced family policy” giving “the best results at the European level.”Matteo Salvini, right, then the Italian interior minister, next to Prime Minister Viktor Orban of Hungary at a news conference in Milan in 2018.Marco Bertorello/Agence France-Presse — Getty ImagesMr. Orban has encouraged Hungarian mothers to procreate prolifically to counter the dropping birthrate. This month, the Hungarian government passed a decree that would require women seeking an abortion to observe fetal vital signs before moving forward with the procedure.Concerns have emerged in Italy that Ms. Meloni’s center-right coalition could make it harder for women to have abortions in a country where the procedure has been legal since 1978 but is still very difficult to obtain.Asked about the law, Ms. Meloni, who has said her mother nearly aborted her, vowed in an interview that she “wouldn’t change it” as prime minister, and that abortion would remain “accessible and safe and legal.” But she added that she wanted to more fully apply a part of the law “about prevention,” which, she said, had been effectively ignored until now.Critics fear that approach would allow anti-abortion organizations to play a more prominent role in family-planning clinics and encourage even more doctors to avoid the procedure. Only about 33 percent of doctors perform legal abortions in Italy, and even less, 10 percent, in some regions.Laura Lattuada, an actress in Rome, said she was concerned that the abortion law could be chipped away with Ms. Meloni in power.“She’s constantly saying she wants to improve it, but I am not sure that her conception of protecting women and the family corresponds to the improvement of women’s rights,” she said.Abortion is hardly the only issue that has given activists pause. Italy introduced and has progressively extended the so-called pink quotas, a mandated percentage of female representation in politics and boardrooms. Many women say quotas in politics better reflect the population, while quotas in companies help overcome “old boys” networks, giving women equal access to higher paying jobs. They also give women greater visibility, they said.A mural in Rome painted by a street artist known as Harry Greb showing Ms. Meloni and other Italian politicians.Fabio Frustaci/EPA, via ShutterstockMs. Meloni is against the quotas. She argues that as a woman, she climbed the political ladder on her own and is now poised to run the country. She says that she is proof that women don’t need government interference to enforce diversity.Her supporters agreed.“They never gave her anything, she took it. She won on her own,” said Lucia Loddo, 54, who was waving a banner supporting Ms. Meloni at a rally in Cagliari. She said that for women, Ms. Meloni’s ascent “is the most beautiful thing. All of the men have been disasters. She is prepared.”About 25 percent of Italian woman voting on Sunday are expected to cast their ballots for Ms. Meloni, though pollsters failed to ask women whether her gender was a factor in their vote, which is itself telling of the attention given to women voters here. Ms. Meloni is polling at least 25 percent nationally, the highest of any candidate.Ms. Meloni has won voters over with her down-to-earth and straight-talking manner (she often speaks in Roman dialect). But the secret to her popularity has less to do with her personality or policy proposals than that she was essentially the lone leader of a major party to stay in the opposition during the national unity government of Mario Draghi.That allowed her to campaign in a country that is perennially looking for someone new as a fresh face, even though she has been in Parliament for nearly two decades and was a minister in a past government.In that time, Italy has had a lackluster track record in empowering women in the work force, and experts say something else needs to be done.“We have to create the conditions for employment because we are at the bottom of the list in Europe,” said Ida Maggi of Stati Generali delle Donne, an association working to get women’s issues on the electoral agenda. It makes Italy “look bad,” she said.One area where Ms. Meloni and even her most committed critics agree is the need for more nursery schools. The government of Mr. Draghi last year allocated billions of euros to build nurseries and extend child care services. But the problem is by no means solved.In many Italian regions, a shortage of free nursery schools, along with short school days and three-month vacations, make sit difficult for working mothers to juggle their schedules. Even though many women are staying at home, the country has one of the lowest birthrates in Europe, something Ms. Meloni’s center-right coalition has pledged to redress.Speaking to supporters in Milan this month, Ms. Meloni said that she and her allies would work toward getting free child-care services, part of “a huge plan to boost the birthrate, to support motherhood.” With only 400,000 births last year, Italy was going through more than a demographic winter, she said: “It’s an ice age.”Ms. Meloni addressing supporters in Piazza Duomo in Milan in September.Piero Cruciatti/Agence France-Presse — Getty Images“I don’t want this nation to disappear,” she said, adding that the problem should not be solved through immigration. “I want our families to have children,” she added to a roar of applause.But critics are not convinced her party, or likely coalition, is entirely committed to the cause of women.Polls carried out last year show that while the majority of Italians said more should be done to reach gender equality, those numbers were considerably lower among supporters of Brothers of Italy and the League.One campaign video for a candidate from the Forza Italia party, another coalition ally, was roundly mocked for promising a salary to women who don’t work outside the home. The party is led by Silvio Berlusconi, who, Ms. Meloni said in the interview, put her “in difficulty as a woman” with his sex scandals when she was a young minister in his government.After decades of unfulfilled campaign promises, there is skepticism writ large that any of the parties will really champion women’s causes.Promises about “the needs and priorities of women” — including free day care and subsidies for families — tend to vanish once it’s time to actually put measures in place, said Laura Moschini, whose organization, the Gender Interuniversity Observatory, has drafted a “handbook for good government” highlighting women’s concerns.Those issues have discouraged women from voting, and the possibility of electing Ms. Meloni as the first female prime minister is not motivating women. Heading into the election on Sunday, polls suggest that more than a third of Italian women probably won’t vote.Ms. Meloni with Mr. Salvini, left, and Silvio Berlusconi at the center-right coalition’s closing rally in Rome on Thursday.Gregorio Borgia/Associated Press“I’m disgusted by the entire political system,” said Laura Porrega, who described herself as a “desperate housewife” because she wasn’t able to find a job. “When they want your taxes, they remember your name, but I’ve gotten nothing from the country at all.” she said.Ms. Serughetti, the Bicocca professor, said that women “don’t see their interests being represented,” so they’d rather abstain.“The decision of women not to vote is a sort of protest to this order of things,” she said.Jason Horowitz More