Labors of Love: Nursing Homes and the Structures of Care Work [Paperback]

Every day for the next twenty years, more than 10,000 people in the United States will turn 65. With life expectancies increasing as well, many of these Americans will eventually require round-the-clock attention—and we have only begun to prepare for the challenge of caring for them. In Labors of Love, Jason Rodriquez examines the world of the fast-growing elder care industry, providing a nuanced and balanced portrait of the day-to-day lives of the people and organizations that devote their time to supporting America’s aging population.

Through extensive ethnographic research, interviews with staff and management, and analysis of internal documents, Rodriquez explores the inner workings of two different nursing homes—one for-profit and one non-profit—to understand the connections among the administrative regulations, the professional requirements, and the type of care provided in both types of facilities. He reveals a variety of challenges that nursing home care workers face day to day: battles over the budget; the administrative hurdles of Medicaid and Medicare; the employees’ struggle to balance financial stability and compassionate care for residents. Yet, Rodriquez argues, nursing home workers give meaning and dignity to their work by building emotional attachments to residents and their care. An unprecedented study, Labors of Love brings new insight into the underlying structures of a crucial and expanding sector of the American health care system.

Labors of Love is without parallel in the nursing home literature. No other ethnographer has written in such a finely detailed way about the worlds of nursing home managers. In this book, Jason Rodriquez spells out in riveting detail how nursing home managers respond to a system that incentivizes dependence and incapacity rather than independence and restorative care, how they must put on a show for state inspectors that does not and cannot reflect the reality of normal dló´