Parenting our parents from near and far…

Like many daughters and sons, I am a caregiver from afar, talking to my father on a daily basis, sometimes two to three times a day, consulting with nurses and doctors, and managing a cavalcade of dedicated caregivers who do “my” job by proxy. I supervise the caregivers, support them and problem solve with them. They are my eyes and ears and I am ever grateful for their insights. I’m very lucky to share this job with my sister, who takes on a lion’s share of caregiving work, and with whom I can laugh, grumble and cry when needed. We are far from alone as distance caregivers…
The elderly population in the U.S. is expected to more than double between now and 2050, according to Boston College’s Center for Work & Family.  Thousands of adult children take care of their parents. Not surprisingly, given the gender division of labor in families, about two thirds of these caregivers are daughters. On average we are about 50 years old, and the recipients of our care are on average about 77 years old. My father is a lot older than that. In fact he’s almost 100!  I truly hope I inherited his cat-has-nine-lives genes, but we shall see…
Of all the adults who care for an elder parent, a little over 10% do it like us, from afar. My sister and I tried to get our dad to come live in either of our cities, but he is rooted in his own hometown. It is there that he has established his identity and is surrounded by a flock of loved ones, including people who admire him for his past accomplishments.
There’s no doubt that caring for an elder parent requires a team effort. It’s hard to imagine how some people do it, or sometimes even how we do it!  The older our father gets, the more we have hunkered down to the task of trying to keep him healthy and engaged, and to help him remember who he is and has been in his life. And yet ultimately, there is a limit to how much power or influence we – his loved ones, friends and paid caregivers – actually have.
Nearly 60% of those who care for their elder parents are in the paid workforce, and the majority of us work full-time. Our work as caregivers is on top of – and sometimes in the midst of – our paid work. It’s not uncommon for me to get a call in the middle of my workday either from my father or about my father, and whatever work is generated from the call simply gets woven into the many strands of my other responsibilities. I’m lucky that as a consultant who makes her own hours — working odd times and places — I have the workplace flexibility that allows this weaving process. 
An increasing number of employees need flexibility in their paid work schedules to accommodate the responsibilities they have as unpaid caregivers. They may need to drive elder parents to appointments, and those of us who provide care from a distance may need to find other people to do the driving.  Whether near or far, we often make those appointments, monitor medications, buy necessities, ensure that their housing is safe, their meals nutritious, and their friends aware of what’s going on. We often need to fight to ensure that the care of our parents is high-quality and consistent. More than 54% of caregivers have advocated for their “care recipient” with providers of services and government agencies, according to the National Alliance of Caregiving.
In a report by the Center for Boston College Center for Work & Family, researchers say:

“It is surprising that employers are not moving faster to address elder care issues in the workplace. Why? Many employers just don’t know what to do, or have difficulty grasping the extent to which elder care is an issue for their employees.”

Researchers found that workers often opt not to discuss their caregiving problems with coworkers or supervisors, “a silence reinforced by our society’s reluctance to confront issues of aging and death.”


They also note that the business impact of not responding to employees’ caregiving responsibilities is significant, and includes work interruptions (e.g, unexpected time off, tardiness) which may affect worker productivity; caregiver stress and fatigue that can result in higher medical and employee assistance costs; and potential turnover when employees simply cannot balance caregiving and work demands. In fact, according to a 1995 study by Metropolitan Life Insurance Company, elder care costs a company about $3,142 a year per employee, based on various costs associated with employee productivity.

In a 2009 study by the Sloan Center on Aging & Work at Boston College, researchers found,


“Over 78% of respondents reported (that) having access to flexible work options contributes to their success as employees to a moderate or greater extent (and) 90% reported that (these) options contribute to their overall quality of life to a moderate or great extent.”
Flextime, compressed work hours and telecommuting are just some of the alternative scheduling options that can help workers with their caregiving demands. While there are some “family-friendly” companies that recognize the personal needs of their workforce, there’s still a long way to go. In a study I did on flexible work policies in five large corporations, I found that unless companies had a written work policy that all employees were aware of, employees found it difficult to negotiate an arrangement with their supervisors.  

Interestingly, according to the National alliance for Caregiving, from 2004 to 2009, there has been a notable increase in the percentage of caregivers who live within 20 minutes from their elder parents – from 44% to 51%. Regardless of where we live, our elder parents need us.  And as caregivers, we need support — from our family and our workplaces — to be there for them. 


Finally what can government do? Right now we have an inadequate law – the Family and Medical Leave Act – that provides unpaid leave to employees who take time off from work to care for a sick family member. Making that policy a paid leave would be a good start…

Gigi and Motherhood

I have to admit that I’m a sap for human interest stories in the news. And lately, this dominates what we are fed by the media. I’m even a sucker for the obituaries, which can provide fascinating portraits of people’s lives. The story that grabbed me this morning was the one about former tennis champ, Gigi Fernandez, and her quest to have children (http://tiny.cc/hak4h).
Never mind that I’d never heard of her (apologies to any Gigi fans!).

With a title like “A Dream Deferred: Almost Too Long”, I was hooked. Spring forward (to the middle of the story) where she and her female partner now have toddler twins, thanks to a friend who donated eggs and an anonymous sperm donor. (By the way, kudos to the New York Times for not making a big deal that they are a same-sex couple.) When Gigi’s friend asked her, “What do you need to have a baby?”, she replied “eggs”. Love that line. Wish some of my friends would ask me what I need to get exactly what I want, and then say, no problem, I have some and you can have them. (I could use a new car, for anyone who is reading this.)
Gigi struggled to get pregnant. She was over 35, which believe it or not puts a woman in the “high risk” category. I know this from personal experience, even though I did not encounter the same problems as Gigi. In addition to her age, according to her doctor, Gigi’s “Hall of Fame career” contributed to her inability to conceive. After seven infertility treatments, her doctor told her that her eggs were old. Ewww… Now there’s an image – and it must have stung.  Like many athletes, GiGi’s career was dependent on her physical strength and agility, and her body let her down. She is quoted in the article as saying, “As an athlete, you have this attitude. I can do anything with my body… That’s how you think. So your biological clock is ticking, but you’re in denial.”
Gigi soaked up our society’s cultural imperative about the value of motherhood, as reflected in her insightful comment: “There is this implication that women are here to bear children, and if you can’t bear children, you’re useless.” Actually, 18% of US women in the U.S. do not have children, a figure that is gradually rising.
In Europe, it appears that the percentages of women who do not have children are higher. In Germany and Austria, one third of women in their 40s do not have children.

Meanwhile, Gigi persevered and got what she wanted: healthy twins. She says that after a career of being very selfish, she is now selfless. One might conclude that this means she no longer works for pay. But in fact, she has figured out a way to balance the care of her twins with her work teaching tennis and running a business. Of course, she has the advantage of financial success that makes a lot of this possible.

According to U.S. Census data, there are at least 270,000 children being raised by same-sex couples. But this does not include single LGB parents or transgender parents, and it is likely that same-sex parents are under-reported by the Census.


I’m glad that of all the puff pieces I see in the news, the New York Times chose to write about a lesbian in a same-sex relationship who opened herself to an alternative form of creating a family, and succeeded.

What Would My Grandmother Say?

There is a rising anti-immigrant tide in this country that frightens me. It feeds on our depressed economy and is fueled by pervasive prejudices against people of color. The anti-immigrant law in Arizona epitomizes its ugly face, and elements of the right wing in this country are embracing the opportunity to assert a narcissistic frame on who is a “real American”. 
What would my grandmother say?
Even though this country was founded by immigrants and shaped by the immigrant ethos — the notion of a safe haven — our history is also replete with contradictions, as manifested in the darker side of our past, namely Native American genocide and slavery. Let’s also not forget that even when slavery was abolished, women were second-class citizens in this nation.

When I think of our nation’s history, I think about my own grandmother. She came on her own to this country from Hungary around 1890, traveling on a ship in a wave of Eastern European Jews who were looking for a better life on these shores. The details of her trip are a little fuzzy because she didn’t like to talk about “the past”. She even yelled at my grandfather one time when he started to tell me about his childhood in Hungary. “Saul! She doesn’t want to hear what happened so long ago!”, she snapped at him in her thick Eastern European accent, a comment I regret to this day.

We do know that my grandmother was only 13 years old when she arrived and like so many before and after her, she came through Ellis Island. She lived for a time in Manhattan with relatives who made the same journey. At some point, she got back on a boat and returned to Hungary, to bring her parents back with her. I imagine that by this point, she was fluent in English and that they spoke none. They lived in New York City, and through her teen years she became a skilled seamstress, working in sweatshops by day and studying clothing patterns by night so she could master the skill. She and my grandfather met in New York, where they opened a “dry goods” store, which apparently is a store that sells just about anything. She had, by then, become a master seamstress, and was also a mother of nine children, all of whom attended public schools and ultimately “made good”, achieving the American dream of sorts.

Of her nine children, there was one dentist, two English professors (including my father), a factory owner, an accountant, an architect, a schoolteacher, a bookkeeper and a postal worker. All but one had children of their own, 21 in all, and these children had over 20 children, and on and on it goes. With each successive generation, they are one step away from their heritage, and yet most have tried — in their own ways — to maintain a connection to their history.

How many people in America have some version of this story? Either they came to this country from foreign soil or the parents came or their grandparents came, to create a better life for themselves. They may have been fleeing political persecution or poverty or both. And when they came here, they struggled to learn the language, gain new skills, find jobs, and live the American dream. When they got to this country, they worked very, very hard. Many experienced discrimination, often from people who felt threatened by them in some way or wanted someone to be lower on the totem pole than them.

As Jewish immigrants from Eastern Europe, my grandparents were Caucasian. So while they experienced discrimination as Jews and as poor people, they didn’t experience discrimination because of the color of their skin.

When I hear about the anti-immigrant “movement”, I honestly feel sick. That must have something to do with my grandmother, as I think: Who are these people who hate people who are just arriving? Who are these people who want to close the borders? Who are these people who want to pass laws that allow English only? Who are these people who want to deny a college education to children of immigrants?

And what would their grandmothers say?

Walking the Fine Line of Parenting Young Adult Children

My daughter is “launched”, having successfully completed her first year of college. A kid who never liked to leave home for more than an overnight with a friend, she welcomed change with curiosity, an open mind and excitement. The year went well for her on all fronts, as she plunged into new friendships and new academic challenges in a culturally vibrant city.  What else could a mom want? Happy kid, happy mom…
We have always been close, but we are becoming friends of a different sort now. At the same time, as her mother, I still feel a sense of responsibility and protectiveness towards her. How to balance these roles cannot be premeditated and planned. The balance strikes me emotionally, as it teeters back and forth depending on context and circumstance. 
This summer, our daughter decided to become an au pair in the UK, where we have family. I admired her ability to take charge and find a job in a country where she has never lived, and yet has citizenship. Refusing most of my offers of help, she planned her journey, found the host family, and ultimately took on the responsibility of caring for 3 young children, ages 4 and under for 6 weeks. Yikes! Just the sheer number of children would drive me crazy! But shortly after she arrived, adding additional stress to this scenario, the family dynamics went very sour and she gradually realized that she had to get out. My husband and I had planned a visit in the middle of her stay, and as the time drew nearer, we realized that the purpose of our visit was to help her extract herself from the situation.
The job of an au pair is well-defined in many countries, but my guess is that the majority of au pairs operate outside of any regulations. According to the British Au Pair Agencies Association:

“The au pair programme is an internationally recognised Cultural Exchange Programme. It offers a young individual the opportunity to travel and live/work with a host family in a new country, learn a foreign language and experience the country’s culture. The au pair will work a set amount of hours for the host family, usually doing a mixture of childcare and light housework. The au pair may have some childcare experience, but an au pair is not a nanny and should also not be treated as a housekeeper.”

In our daughter’s situation, the work hours grew to 12 per day, and the children came to rely on her nearly exclusively for their most basic needs as well as constant love and attention. As tension between the parents grew, their dependency on her grew as well
In her study of what she calls the “shadow work of nannies and au pairs,” sociologist Cameron MacDonald says, 
“Contemporary working mothers and child care providers are actively involved in a process of redefining motherhood. The nexus of this redefinition involves the negotiation of child-rearing practices, of who does what and what that division means.” 
In our daughter’s host family, the mother wanted an egalitarian marriage and the father felt that it was his wife’s “duty” to be primary caregiver. They both seethed with resentment. Sociologist Arlie Hochschild says this phenomenon is the result of a stalled gender revolution, in which women are changing and men haven’t yet caught up with them. The “mum” in the host family rebelled against her husband’s views by going out partying with single friends at high class clubs (there’s a class element here as well, of course!), and the dad rebelled by working long hours, going to the pub with his mates, and indulging in his obsession with watching car racing and playing golf. Meanwhile, the children were neglected by their parents, who preferred spending money on their vocations instead of their children. Consequently, the children were emotionally needy. 
The parents were high earners, but when it came to paying our daughter, they were stingy, nickel and diming her for cash she fronted for their children, and at times questioning the number of hours she worked for them. Since they were avoiding each other, there were times they didn’t seem to know that she was the one caring for their children. And yet each of them confided in her about their marriage. Of course, it is their children who suffer the most, and as their caregiver, our daughter wanted to protect them. At the same time, she had to protect herself.
She learned that it is difficult to leave a job, particularly one in which young children are involved. She was lucky because she speaks the language, has family nearby and parents who were there to support her. But this is often not the case for au pairs… and therefore they may be vulnerable to exploitation. Au pairs become part of the family dynamic, which in a good situation can be very fulfilling, but in a negative situation, can be emotionally wrenching, as the child caregiver becomes closer to the children. It was hard for our daughter to leave, but ultimately she knew that it was time to go, and we helped her do it. Not an easy situation, by any means.
As a visitor to this host family’s home, I was infuriated at how the family was taking advantage of her, but also awed by the amazing job our daughter did, providing love and security to the children and standing up for herself in the toughest of situations. To be honest, it also felt good being “mommy” again. And there is my challenge – finding the balance between a growing friendship with my young adult child and still maintaining the protective role of mother. Supporting her to walk away without telling her to do so…

 

The next time someone asks…


Every so often, someone – generally some man – will ask me if I work, or even better, if I still work. In the past, this comment meant: Are you a “stay-at-home mom” (first reference), ergo, not doing “more important” work in the paid labor force; or are you retired because you’re old or don’t “need” to work (second reference)? Jeez! Most women – including those with kids – work for pay. And I’d like to think that I’m still “in my prime” in terms of my labor market participation. The truth is that, like so many Americans, I work like a maniac. Why? Because I have to; I derive pleasure and purpose from it; and hopefully I can contribute something meaningful to the world… But there’s a new interpretation to that question about whether I – or any of us – work, and it has to do with the increasing normalcy of unemployment.

Despite all the government’s attempts at jump-starting the economy, the rate of unemployment has remained stubbornly high at around 10%. A recent rise in the job rate was more related to the creation of temporary jobs. In fact, some of my friends who got hired as census workers were part of that faux decrease in the unemployment rate, and when their jobs end, the unemployment rate will likely go up. Unemployment affects people from all walks of life, but it disproportionately affects people of color. For example, the unemployment rate for white men is 8%, compared to a whopping 17.1% for African-American men and 11.1% for Latino men. The unemployment rate for white women is 7.4% versus 12.4% for African-American women and 10.3% for Latinas.

In this current recession, men initially experienced higher job losses than women, because the industries first hit – like housing, construction and manufacturing – are dominated by men. But downsizing has become an increasingly gender-neutral phenomenon. As the recession has expanded, women are losing more jobs and at a slightly faster rate than men in key sectors like retail and service work. According to Valerie Norton, a Public Policy Fellow at the National Women’s Law Center, in January, 2009, women’s unemployment was at the highest rate in 16 years and had the largest single-year increase in 33 years.

In the past few weeks, I have had numerous conversations with friends and acquaintances about the difficulty they’re having finding a job, or how they’re worried about being laid off from their current job. There’s the 20-something armed with degrees who has been thinking about launching a business and meanwhile is working in unpaid internships. There’s the highly educated manager who thought her job was stable, but her organization doesn’t have the funds to cover her, so she’s scrambling to network with contacts near and far. And there’s that person I knew ten years ago and haven’t heard from in ages who suddenly asked me to “link in”. I don’t blame her; I’d be doing the same thing.

I empathize with each of their circumstances. I’ve been out-of-a-job or underemployed a few times in my life, and because I make my living as a consultant, it could happen again. The first time I was without a job, I was in my early 20s. I had worked for a year in a psychiatric hospital and saved enough money to travel in Europe for nearly a year. I came back home – job-less – to an icy, grey Syracuse, New York winter, with no prospects or plans. Poor me… (you think). I had the time of my life, being carefree, so it’s probably hard to “feel my pain.” But I discovered a very dark place emotionally that lingered for months. Although I only had me to support, I was still terrified of the abyss that seemed to lie in my future. Ultimately, I ended up in graduate school, that legitimating haven for the unemployed (that is, those who can afford it time-wise and financially). With a nice scholarship, I had returned to the familiar womb of education, which paid off when I re-entered the job market. My second experience of unemployment was equally tough and unfortunately, I didn’t seem to have learned anything from my first experience. I was quite adept at internalizing the depression of the economy, fighting an internal battle about my value to society, until I again landed back on my feet with a new job.

Like many a sociologist, I have sought to understand life’s experiences by broadening the palette of my own mind and studying the phenomenon. Over the years, I have done a number of workplace studies, and invariably, even if the study isn’t about UN-employment, it becomes about unemployment or, equally difficult, about the challenges of working in dysfunctional workplaces. From my vantage point, most workplaces have a touch of crazy, and well-adjusted employees recognize this and maintain some perspective.

In one workplace study I did in six major corporations, examining the impact of flexible work policies on bottom line issues, two of the participating companies announced lay-offs during the course of the study. In one case, managers from around the country were brought into an auditorium, where the CEO announced the downsizing plan, charging the managers with the task of executing it. As you can imagine, the waves of fear and anger rippled throughout the corporation. In another company, the two top guys in the firm released a video which all employees watched at the same time, in which they sat comfortably in their mahogany wood-paneled office and speaking directly into the camera, announcing major lay-offs, and audaciously suggesting employees now had the opportunity to spend more time with their families. Seriously?! All the people I interviewed at that company were scrambling to figure out their next move, all second-guessing who was on “the list”. They were furious and they felt betrayed.

In another corporation, I was hired to conduct research on why people were leaving their jobs, and then the corporation announced it was downsizing thousands of employees. What were they thinking?! My work partner and I spent three years conducting phone interviews with 350 people about “why they were leaving” and invariably, the interview became a phone therapy session about how they felt betrayed by the company. In one unit, contract workers were brought in before the long-term employees left. Most (yes most) of the workers we interviewed in this unit confided in us that they were seeing a psychiatrist and taking Prozac. We just wanted to say to them, ‘Talk to your co-workers! You’re not alone!’ But confidentiality didn’t allow that…

One of the hardest hit groups is unmarried women, many of whom are mothers or caregivers. According to Liz Weiss and Heather Boushey, economists from the Center for American Progress, “The high unemployment of unmarried women, and particularly the 1.3 million unemployed female heads of household who are primary breadwinners for their families, is devastating to their financial circumstances and standard of living.” Unmarried women have much higher unemployment than married women. In October, 2009, 10.3% of unmarried women age 20 and over and 5.7% of married women were unemployed.

Losing a job usually means losing employer-supported health insurance, which is one reason why national health care reform is so critical. Weiss and Boushey report that there are an additional 276,000 children of unemployed single mothers who no longer have access to health insurance. Poverty rates for unmarried women are usually much higher than for married women (20.8 percent versus 6.2 percent of women 18 and over in 2008, the most recent data available), and poverty rates are probably higher because of growing unemployment.

At the policy level, we need an infusion of funds into job creation and job training programs, and better family policies to support women and men when they are “inbetween” jobs. Universal early childhood education, paid family leave and universal non-stigmatized family allowances would go a long way. At the personal level, it looks like those with more education experience less job loss, so this is another area that requires government policy and support.

Meanwhile, the next time some one – probably some man – asks me if I’m working or still working, I will ask for clarification. Are you asking if I’m unemployed? Do I look like I have a sugar daddy or momma? Do you really think I look old enough to have retired? Or maybe I’ll just smile and say “yes”.

From child care to early care and education: it’s still a struggle…

In the early 1980s, I was radicalized by a small band of smart and committed child care workers who lobbied me when I was working for Jack Backman, a progressive state Senator in Massachusetts. First of all, as a new Bostonian who was just starting on the job, I was totally flattered that anyone would lobby me! But moreover, these incredible child care teachers were activists who loved children and understood firsthand the wage inequities for teachers caring for young children. The governor at the time called child care a “Cadillac service”, in other words, something superfluous – because women were expected to be primary caregivers for their children. But even then, 30 years ago, this view was way out of sync with the reality of women in the labor force, and especially the rise of mothers – about ½ of all mothers with infants and around ¾ of mothers with children under 5 – who continued to work for pay after their babies were born.

My child care activist buddies did their work well, and I came to believe that childcare– or early care and education as it is now called – was one of the most important issues for working parents and their children. It wasn’t a hard sell for Senator Backman, who sponsored a bill to create universal child care for all. At the time, this bill seemed outrageous, the kind of outrageous that inspired behind-his-back twitters (the old-fashioned, non-techy kind). But I have learned that in the world of policy, we NEED outrageous to push the debate towards the possible…

Suffice it to say, the bill never went anywhere. Over these past 30 years, the child care movement has matured into the early childhood education movement, fueled in part by the push for educational achievement of young children, as well as by the economic reality that two-parent families need/require stable child care services to maintain economic stability. The movement throughout the country around early care and education continues to grow. There has been progress, and Massachusetts has had some notable victories. A few decades after Senator Backman’s failed legislation, a Massachusetts-based group called the Early Education for All Campaign, mobilized support among legislators and advocates around a universal pre-kindergarten bill. The bill passed, creating access to public education for all Massachusetts 4-year-olds.

But there’s still a long way to go, and we could learn a lot from family policies in Europe that include paid parental leave, universal child care (that serves very young children), and non-stigmatized financial support for family caregiving…

Short of more radical change, we need to unravel some of the systemic glitches…
In a recent NY Times article (5/23: Cuts to Child Care Subsidy Thwarts More Job Seekers) – we learn that the Arizona state budget has cut funding for subsidized child care, forcing some low-income mothers to quit their jobs and instead receive state welfare benefits. These are single women who depend on their salaries to support their families. They will look for another job, but they need to keep their salaries below a certain limit to access subsidized child care.
http://www.nytimes.com/2010/05/24/business/economy/24childcare.html?pagewanted=3&sq=child%20care%20subsidy%20thwarts&st=cse&scp=1),

What’s wrong with this picture? Once again – or should I say still – we see that early care and education services are critical to family survival, and our social welfare policies in this nation undermine family economic stability.