Care,Paid Work,and Leisure: Rounding the Triangle

The current distribution of paid work and caring work is inequitable. Some people are combining very long hours of paid work with caring responsibilities, while others with no caring responsibilities are also excluded from paid work. Nancy Fraser's (1996) concept of gender equity, is drawn upon as a normative standard against which to evaluate different models of work and child care in France and the U.K. In practice, distinctions between work, care and leisure are blurred. Correspondingly, all citizens could spread their time more evenly between these activities in order to obtain a more equitable distribution of the costs and benefits of social reproduction.     

Women and Retirement Pensions: A Research Review

Abstract

The links between women's caring work and access to economic resources are particularly critical in the context of widespread public policy debates about retirement and pensions, many of which neglect care as a key issue for analysis. However, among feminist economists it is widely recognized that women's patterns of care provision have adverse implications for their access to economic resources in later life. The feminist economics literature examines many of the interactions between women's caring roles and their access to resources, particularly women's capacity to access economic resources through publicly mandated or regulated pension schemes. This article reviews research that places women's patterns of work and care at the center of analyses of retirement pension policy in an effort to provide a summary of research on gender and pensions policy and to contrast the extent to which differing institutional and policy frameworks accommodate women's caring roles.     

The Monetized Economy Versus Care and the Environment: Degrowth Perspectives On Reconciling an Antagonism

This paper addresses the question of how the current growth paradigm perpetuates existing gender and environmental injustices and investigates whether these can be mitigated through a degrowth work-sharing proposal. It uses an adapted framework of the “ICE model” to illustrate how ecological processes and caring activities are structurally devalued by the monetized economy in a growth paradigm. On the one hand, this paradigm perpetuates gender injustices by reinforcing dualisms and devaluing care. On the other hand, environmental injustices are perpetuated since “green growth” does not succeed in dematerializing production processes. In its critique of the growth imperative, degrowth not only promotes the alleviation of environmental injustices but also calls for a recentering of society around care. This paper concludes that, if designed in a gender-sensitive way, a degrowth work-sharing proposal as part of a broader value transformation has the potential to address both gender and environmental injustices.     

Counting Care Work in Social Policy: Valuing Unpaid Child- and Eldercare in Korea

This study demonstrates the usefulness of quantifying and valuing time spent on unpaid care work and explores the links between social policies, unpaid care work, and gender equality in the context of recent social care reforms in the Republic of Korea. Using information provided by two nationally representative surveys, this article elaborates on the gendered organization of care provision and the total costs of care services for children and the elderly, including unpaid family care, family expenditures on care services, and state support in the form of public expenditures. The study finds that omitting the role of family care services overestimates the state's role in caring for children and elderly adults. A closer look at the impact of long-term care insurance reveals the need for integrated analyses of the qualitative and quantitative aspects of the social organization of care, especially in regard to gender equality.     

The Return to Caring Skills: Gender,Class, and Occupational Wages in the US

Feminist economics has contributed to the understanding of the economic importance of care work. Most studies find a wage penalty associated with caring occupations. This study extends the feminist research on care work beyond caring occupations by identifying specific caring skills and activities derived from the 2014 O*NET job-evaluation data. Four caring skills – (1) Assisting and Caring for Others, (2) Establishing and Maintaining Interpersonal Relationships, (3) Service Orientation, and (4) Social Perceptiveness – were used in ordinary least-squares and quantile wage regressions for 623 occupations in the United States. Findings indicate that the return to caring and assisting skills results in a wage penalty for low-wage workers but a wage premium for workers in high-wage and male occupations. By identifying the impact of gender and class on the economic return to particular caring skills, the study broadens the understanding of care work, especially in relation to US wage inequality.     

Making Visible the Hidden Economy: The Case for Gender-Impact Analysis of Economic Policy

This paper makes the case for analyzing the gender impact of economic policy, based on the existence of an unpaid as well as a paid economy and on structural differences between men's and women's positions across the two economies. Economic policy is targeted on the paid economy. However, unintended impacts on the unpaid care economy may limit how effective any policy can be. Gender-impact assessment will not only make the effects of economic policies on gender inequalities transparent; it will also enable policy makers to achieve all their goals more effectively, whether or not these goals relate explicitly to gender. The introduction in the UK of a new Working Families' Tax Credit (WFTC), designed to make employment pay and help reduce child poverty, provides an example of how gender-impact assessment could have been used to improve an initial policy design. The paper also suggests criteria for evaluating economic policy, so that its full gender impact and its effects on both paid and caring economies can be assessed.     

An Economic Analysis of Yard Care and Synthetic Chemical Use: The Case of San Francisco

Yard care is an economically important household production activity that also has potentially significant environmental or health impacts. Of particular concern are the possible negative impacts of using synthetic pesticides and fertilizers. But economic models and empirical analyses of yard care and chemical use are rare. We develop a simple model of household production and consumption to analyze yard care and chemical use. We then estimate a multinomial logit model of these behavioral choices with household data from San Francisco. Attitudes towards the quality of one's outdoor residential environment and time scarcity are important determinants of the odds of chemical use whereas financial variables play the major role in determining the odds that people have and care for yards. These results could help to improve educational or marketing campaigns that aim to reduce potential or actual problems associated with yard chemical use. Better data for models similar to this one are needed for future research.     

The prospects for caring: economic theory and policy analysis

This paper examines three distinguishing features of caring:that it involves the development of a relationship, that caringresponsibilities and needs are unequally distributed and thatsocial norms influence the allocation of care and caring responsibilities,to draw out their implications for analysing caring and itsmovement between unpaid and paid economies. Rising opportunitycosts of caring are found to produce pressures experienced indifferent ways across different sectors of the economy. These,coupled with inequalities in care responsibilities and labourmarket opportunities, influence the movement of care betweenpaid and unpaid economies. This analysis is then used to examinethe likely evolution of caring norms and practices and how policymight intervene to avoid an uncaring future.     

Social Control of Corporate Power: Comment

Economic activity takes place within an institutional framework. The economy, like society, represents a complex of institutions, ranging from the smallest, such as the family, to the largest and most comprehensive, the state (Chavance 2009). Institutional economics offers a broad perspective that brings forward the concept of gender, since gender is a fundamental organizing principle of institutions (Jacobsen 2003). A focus on social provisioning, typical for both feminist as well as institutional economists, leads to a broader understanding of economic activity. This broader approach includes activities like caring and care labor that cannot be entirely understood in terms of individual choices. In this paper, I explore the relationships between care and the economy from the perspective of neoclassical, institutional, and feminist economic theory. Economic theories are a basis for public policies that have a major impact on people’s lives. I argue that changing the dominating economic perspective into feminist-institutional one would improve the situation of care providers, who would, in turn, contribute to the development of society and the economy.     

Labor supply, child care, and welfare in Spanish households

This paper presents a household model in which both spouses work and care for their children, thereby obtaining a measure of household welfare. Applying this model to the Spanish case allows for drawing some basic conclusions. That is, the highest efficiency in caring for children is obtained when time is offered by the mother. Moreover, the time dedicated to child care by the father is considered as leisure time in a higher proportion than time dedicated by the mother. Also, a direct and strong relationship is detected between monetary income and welfare. Household welfare is greater when the children are older, and welfare increases when the father dedicates less time to work outside the home.The authors would like to thank the anonymous referees for their helpful comments and suggestions on an earlier version of this paper. The authors are also indebted to the Ministerio Español de Trabajo y Asuntos Sociales for its financial support.     

When caring stops, staffing doesn't matter: part II

Response to a column on caring and staffing struck a cord with Nursing Economic$ readers worldwide. Measuring caring is complicated and a healthy debate exists over how exactly to do it. The extraordinary work of Dr. Jean Watson is an excellent resource for understanding how to measure and monitor caring. Beneath the instruments for measuring caring sits foundational work that can help us clarify and understand the topic of caring and just where it sits in our philosophies, intentions, patient care models, and care delivery systems.     

Economic Progress in Australia: An Analysis of Occupational Mobility*

Educational attainment and gender are firmly established in the labour economics literature as key determinants of an individual's economic standing at a given point in time. The concern of the present paper is to determine the impact of these characteristics on economic progress over time. A multinomial logit approach to estimating occupational attainment at various career points is employed. The use of this method of analysis in conjunction with the intertemporal linking of occupations enables us to provide a number of important insights into economic progress in the Australian labour market. Additional years of education are shown to increase the probability of employment in better jobs at the time of labour market entry and also to enhance career mobility. Analysis of male-female differences highlights the sizeable gap between the occupational distributions of these groups. Part of this difference may reflect inequality of opportunity between males and females in the Australian labour market.     

Gender Development, Institutions, and Level of Economic Development

Gender inequality and the lack of gender development are major problems in developing countries. Neoclassical economics has generally argued that economic development will greatly enhance gender development. However, more recent work has emphasized the role of institutions. In this paper, a distinction is made between malleable institutions and those that change only over long periods of time. Empirical estimations of the impacts of economic development, malleable institutions, and hard-to-change institutions on gender development are carried out. The results indicate that both economic development and reform of malleable institutions are important determinants of relative gender performance. However, non-malleable institutions and cultural practices limit the impact that reform and economic development can have on relative gender performance.     

Determinants of specialist physician ambulatory visits: a neurology example

Background: Economic theory argues that specialization in medicine improves efficiency. Current literature suggests that access to and utilization of specialist care vary widely based on many determinants. Thus, understanding the determinants of specialist physician ambulatory care utilization is integral to healthcare policy.

Objectives: The objective is to investigate the individual and community determinants of specialist ambulatory care utilization—specifically neurologists. The aim was to find predictors of specialist utilization and to identify the particular determinants that can be modified by regulatory or legislative action.

Methods: A large claims database, Truven Health Analytics? Marketscan data, was used from 2007–2010 as the sample. These data are supplemented with data from the American Academy of Neurology (for geographic distribution of neurologists) and the US Census American FactFinder (for community demographic factors). Multivariate regression analysis was run to test the hypotheses. Several robustness tests of our models were included.

Results: Most importantly, neurologists per capita has a meaningful impact on utilization. Additionally, the difference in neurologist usage by neurological condition is an important factor. It was also found that union status, age, comorbidities, and diagnosis are significant individual level determinants, and that the percentage of Hispanic residents and median income are significant community level determinants.

Conclusions: There are two predictors believed to be the most important. The first is the unique neurologists per 1,000 capita variable, which shows a small increase in the number of neurologists would be correlated with a small increase in the probability of seeing a neurologist. We suggest that this is within policymakers’ control, and policymakers should consider this action in the face of the predicted shortage. The second is what appears to be possible sorting by neurologists of patients based on diagnosis – the large difference in the fraction of patients seeing a neurologist by disease.     

Understanding the Gender Gap in Financial Literacy: Evidence from Australia

Using micro‐data from the Household, Income and Labour Dynamics in Australia Survey, and the Oaxaca–Blinder decomposition technique, this paper examines the determinants of the gender gap in financial literacy. The analysis suggests that human capital variables, such as age and education, are not important in explaining the gender gap in financial literacy. Labour market variables, such as sector, occupation, industry, union membership and labour market status, are important and explain around 16 per cent of the gap. This finding is dependent on the assumption that these variables are exogenous. There is a large unexplained gap, suggesting that the main determinants are neither human capital nor labour market factors.     

The determinants of entrepreneurship gender gaps: A cross‐country analysis

This paper uses aggregate data from the International Labor Organization and microeconomic data from the European Values Study to quantify gender gaps in entrepreneurship, distinguishing between gender gaps in employership and in self‐employment, and study their main empirical determinants. Our sample consists of 40 European countries and varies broadly in terms of institutional background since it includes several ex‐Communist countries. In the aggregate data we observe a gender gap in employers of 59% and a gender gap in self‐employment of 36%. These gaps have remained roughly constant in the 2000–2017 period, although there are wide differences in both their levels and evolution over time and across countries. Using microeconomic data, we find that the incidence of entrepreneurship, employership, and self‐employment among men is much larger than among women, consistent with the gaps estimated using aggregate data. Our regressions show that these gaps are still sizable even after controlling for a large set of control variables that include marital status, age, education, number of children, wealth, the participation of parents and spouse in entrepreneurship, values toward women, social capital, and prior unemployment. We identify important differences between the determinants of these gaps in ex‐Communist countries and in high‐income ones.     

Aggregate health care expenditure in the United States: evidence from cointegration tests

Unlike recent studies that are based on international cross-sectional series, this paper attempts to quantify the role of the determinants of aggregate health care expenditure per capita, using time-series data for the period of 1960–87 for the United States. The paper applies the relatively new procedures of unit root testing, cointegration and error-correction modelling. The evidence supports cointegration. Although, the results indicate that per capita income, age of the population, number of practising physicians, and public financing of health care are important determinants, the age structure of the population and number of practising physicians emerge as the major determinants of aggregate health care expenditure in the United States.     

Catholic Economic Association Minutes of the Executive Council Meeting May 13, 1961

This paper applies thematic analysis to survey data obtained from a sample of AFDC recipients to investigate the complexities of single-parent decision-making in low-income households. A basic needs budget is developed to determine the adequacy of women's wages to provide for children's minimal material needs. In surveys, parents indicate their primary goal is the well-being of the children, determined by the adequacy of several types of resources, which we categorize into four groups: 1) material resources, 2) caring resources, 3) community resources, and 4) the macro-level environment. Using this framework, we develop a schematic model of single-parent decision-making, incorporating the assumption that children's level of need and well-being are determined not only by the cost and availability of material resources but also by psychological factors such as gender conflicts, neighborhood safety, as well as parents' time and social networks that provide caring labor.     

Gender Patterns of Eldercare in China

ABSTRACT

Using the baseline wave of the China Health and Retirement Longitudinal Study (CHARLS), collected from 2011 to 2012, this study finds that among those age 60 and above, women are 7.6 percent more likely than men to have care needs and 29.3 percent more likely than men to have unmet needs; and that most of the gender gap in unmet needs is explained by the existence and health status of a spouse. Further analysis reveals a sharp gender division in patterns of family care in China. While men are more likely to receive care from their wives, women are primarily cared for by their children. Marital status and spouse health also affect provision of care, with infirm women who have healthy husbands less likely to receive care than infirm men with healthy wives. The findings have important implications for designing gender-sensitive policies in eldercare.     

健康的价值及若干决定因素：文献综述

本文综述了有关健康的价值及若干决定因素的文献。健康的价值不仅表现为其作为人类发展首要目标之一的内在价值，也体现在其对人类发展的其他维度，特别是经济发展的重要促进作用。另一方面。健康水平也受到社会其他方面的影响，例如收入、医疗可及性和公共卫生支出等。深入理解健康的价值和决定因素能更好地推动人类发展进程。