Podchaser Logo
Home
Elise Andaya, "Pregnant at Work: Low-Wage Workers, Power, and Temporal Injustice" (NYU Press, 2024)

Elise Andaya, "Pregnant at Work: Low-Wage Workers, Power, and Temporal Injustice" (NYU Press, 2024)

Released Sunday, 19th May 2024
Good episode? Give it some love!
Elise Andaya, "Pregnant at Work: Low-Wage Workers, Power, and Temporal Injustice" (NYU Press, 2024)

Elise Andaya, "Pregnant at Work: Low-Wage Workers, Power, and Temporal Injustice" (NYU Press, 2024)

Elise Andaya, "Pregnant at Work: Low-Wage Workers, Power, and Temporal Injustice" (NYU Press, 2024)

Elise Andaya, "Pregnant at Work: Low-Wage Workers, Power, and Temporal Injustice" (NYU Press, 2024)

Sunday, 19th May 2024
Good episode? Give it some love!
Rate Episode

Episode Transcript

Transcripts are displayed as originally observed. Some content, including advertisements may have changed.

Use Ctrl + F to search

0:00

It's Ryan Reynolds and I'm here with Keith costar

0:02

of my upcoming film if only in theaters May

0:04

seventeenth you and tell people to big news. Or

0:07

elder. Sign up now and you'll

0:09

get unlimited for fifteen dollars a

0:11

month and six months of Paramount

0:13

Plus Essential Plan on Us Mint

0:16

mobile.com/switch. Abruptly me to forty five dollars. That would

0:18

lead to fifteen dollars from an unlimited over forty gigabytes per

0:20

month. He slower beats videos that for Atp Active Mint customers

0:22

by five. Thirty One Twenty Four, get six months of Paramount

0:24

Plus essential plan auto reduce. After six months offer ends meet

0:26

Thirty first. Twenty two people are separate care about plus registration

0:28

required. Terms and conditions apply If rated Pg. This

0:31

episode is brought to you by Shopify.

0:35

Do you have a point of sale system you can trust

0:37

or is it a

0:40

real POS? You. You need Shopify

0:42

for retail. From accepting

0:44

payments to managing inventory, Shopify

0:46

POS has everything you need to sell

0:49

in person. Go. Go to

0:51

shopify.com/system, all lowercase,

0:54

to take your retail business to the next level

0:56

today. That's

0:58

shopify.com/ system. I'd

1:00

ever North Health Services. We believe

1:02

costs shouldn't get in the way

1:05

of life changing care and we're

1:07

doing everything in our power to

1:09

make it possible to behavioral health

1:11

solutions that also keep your projections

1:13

at their best. It's possible pharmacy

1:15

benefits that benefit your. Bottom line:

1:17

It's possible complex specialty care the

1:20

cares about your are a why.

1:22

It's possible because we're already doing

1:24

it all while saving businesses billions.

1:26

That's wonder made possible. Learn more

1:28

it Ever north.com/wonder. Welcome

1:31

to the New Books Network! Hello

1:35

everyone and welcome to the new books

1:37

by Cares! I did your tower holes

1:40

and will be talking with. At

1:42

least. And day or. Am.

1:44

I pronounce your name correctly. Yes,

1:47

That's right, And she's

1:49

the author of. Pregnant. At

1:51

work. Low. Wage Workers

1:54

Power. And. To Emperor

1:56

Injustice are you doing today?

1:58

I'm. wonderful think so for having me

2:00

here. Thank you for being

2:03

on the podcast. Could

2:05

you tell the audience a few words

2:07

about yourself and how you got started

2:09

on this project? Sure. So

2:11

I'm a cultural anthropologist, which means

2:13

I study human culture and society.

2:16

And my specific interests are in

2:18

gender and health care. And

2:20

more specifically, how different

2:24

societies organize access to reproductive health,

2:26

how people get to prenatal care,

2:28

who's eligible. So

2:31

my previous work examined access to

2:33

prenatal care in Cuba. And

2:35

that resulted in a book called Conceiving Cuba,

2:37

which came out in 2014. And

2:41

once I completed that book, I was

2:43

asked to work on a project where

2:45

I interviewed low-income women in a small

2:47

city in New York State about why

2:50

they weren't accessing free reproductive screening like

2:52

mammograms and pap smears. And

2:54

one of the biggest obstacles I reported was

2:56

work schedules. Most of the work did low

2:58

wage work. And they said that

3:01

the inability to take time off health appointments

3:03

was like the biggest issue for them. And

3:06

that started me thinking, especially given

3:08

my research background and studying access

3:10

to prenatal care, if work

3:12

was such an issue for people trying

3:14

to get annual screenings, what were the

3:17

implications of working in

3:19

these low-wage jobs for women who are pregnant and

3:21

therefore had to be seeing the doctor much more

3:23

often. And so that's where this idea

3:25

of, for this project really got started.

3:29

Now you begin the book by

3:32

describing low-wage workers and

3:34

the issues they face while being

3:36

pregnant. Can you describe the

3:39

beginning of the book and

3:41

more about the woman you interviewed? Yeah,

3:44

sure. So in the beginning of the book,

3:46

I tell the story of a woman I

3:48

call Mary Ann Joseph. And she's pregnant and

3:50

she's working at a large department store about

3:52

an hour and a half subway ride from

3:55

her home. And in her

3:57

work, the policy as in many places was

3:59

to post-it. work schedules the Sunday

4:01

before the work week. So meaning

4:03

that some Sunday afternoons, she discovers

4:05

that she has to work early

4:07

the next morning, so less than

4:09

24 hours a month. So

4:12

there's a lot of issues here. Her husband also

4:14

works early shifts, so suddenly she has to engage

4:16

in all these phone calls, try and find someone

4:18

to take her two out of kids to school.

4:21

So all of this is really stressful in itself.

4:23

But this last minute notification about her

4:26

work also means that she might suddenly

4:28

discover that she's been scheduled to

4:30

work at a time when she already has

4:32

a prenatal appointment. So once

4:35

she discovers this conflict, she has two

4:37

choices. She could choose to attend prenatal

4:39

care or she can choose to go to

4:41

work. If she chooses

4:43

to attend prenatal care, she has to find

4:46

someone else to cover her shift. If

4:48

she can't find someone to cover

4:50

her shift, she gets a demerit

4:52

on her work. And either way,

4:54

whether she finds someone to cover her

4:56

shift or not, she loses income for

4:59

that shift. Maybe income that she's depending

5:01

on, she might only have full shifts

5:03

that week. So there's a financial penalty

5:06

for her for attending prenatal care. Ultimately,

5:09

she can decide she's going to work

5:11

her shift and try and reschedule her

5:13

appointment. But at the safety

5:15

net hospitals where I did my research,

5:18

which had large rosters of patients, it's

5:20

often really difficult to get an appointment

5:22

the same week that you call. So

5:24

then you might not get an appointment to the following

5:26

week or even the week off.

5:28

But then she runs into the same

5:31

problem. She doesn't know when she's going

5:33

to work that week. So maybe she

5:35

reschedules her appointment. And when work schedules

5:37

are posted, she finds out again that

5:39

there's a conflict. So this

5:41

poses a real problem because prenatal

5:43

care is time dependent. Pregnancy is

5:45

time limited. A lot

5:48

of prenatal care requires tests

5:51

that have to occur during a

5:53

particular time period. So you can't

5:55

keep pushing off care to next

5:57

week or next month. or

6:00

you become like a

6:02

bad patient or a bad mom,

6:04

someone who apparently doesn't care enough

6:06

about their pregnancy to attend prenatal

6:09

care. So there's a real ongoing

6:11

conflict here. You mentioned

6:13

in the book, precarious work. Please

6:16

explain this term and the meaning

6:18

for pregnant women. Sure,

6:20

so precarious work is

6:23

a term defined by sociologist

6:25

Ernie Calabard. And he says,

6:27

defines it as work that's

6:29

uncertain, unstable and

6:31

insecure, and where employees

6:34

receive limited benefits or

6:36

protections from either employees

6:38

or the government. Oh, I'm sorry,

6:40

either employers or the government. So,

6:43

no wage service work is a perfect

6:45

example of this precarious work because workers

6:47

often get their schedules 48 hours,

6:50

sometimes even less before they have to

6:53

work. They have often very little flexibility

6:55

about when they start, when they end.

6:57

They might have widely varying schedules from

6:59

week to week, from work eight hours

7:02

one week and 38 hours

7:04

the next week. And

7:06

these jobs usually are ones where

7:08

there are no employer benefits, like

7:10

paid family leave after you have

7:12

your baby or paid time to

7:14

go to, if

7:17

you're sick or you need to go to prenatal care. And

7:20

this is also within the context of

7:22

the lack of treatment and protection. So

7:24

as we know, there's no federal law

7:27

about paid sick leave. And

7:29

the US is one of the few countries

7:31

and the only industrialized country that doesn't have

7:33

any paid maternity leave as well. So

7:37

for pregnant worker, pregnant

7:39

precarious work really brings different kinds of

7:41

precarity or instability. So there's been a

7:43

lot of research on economic precarity. So

7:45

the fact that you are in an

7:47

unstable job, like a job where you

7:49

might work eight hours or 40 hours

7:52

each week, makes it really difficult to

7:54

know how much money you're going to

7:56

make from week to week and to

7:58

build a household budget. plans for

8:00

the future. So there's

8:02

a lot of work on that. But

8:04

in the last decade or so, researchers

8:07

have been paying increasing attention to what

8:09

they call temporal precarity, or the fact

8:11

that these jobs also make it really

8:13

difficult to predict or plan your time,

8:15

because you don't know when you're going to be

8:17

scheduled or how many hours you're going to be scheduled.

8:20

And a lot of the

8:22

work shows that temporal precarity

8:24

is actually more associated with

8:26

employee stress and unhappiness than

8:28

economic precarity. So that's really

8:31

interesting. So in terms

8:33

of its effects on pregnant women, in

8:35

addition to things like the lack of

8:37

pay sick leave, lack of maternity leave,

8:39

temporal precarity makes it really difficult

8:41

to plan how and when you're going to go

8:43

to prenatal care. And that's kind of a point of

8:45

this book. And

8:47

we also know that low income women of

8:49

color are the ones who are most likely

8:51

to be working in these jobs. And

8:54

that these are also the women, particularly black

8:56

women, who are the most likely

8:59

to have negative reproductive outcomes like

9:01

preterm birth, fetal death, low

9:04

weight birth. So this suggests that we really

9:06

should be paying a lot more attention to

9:08

the problems of temporal precarity and the

9:10

way that work schedules shape

9:13

people's ability to get to

9:15

prenatal care. Now,

9:18

we're always looking at

9:20

who's paying for the medical care.

9:23

You talk about the affordable peer

9:25

ache and Medicaid covering many

9:27

of the benefits. What about a

9:30

woman who's undocumented? Does she get

9:32

coverage? Yeah, so

9:34

this is so dependent on

9:36

the state. In terms

9:40

of federal law, undocumented people

9:42

are generally ineligible for health

9:45

insurance. But in some

9:47

states, so like New York State

9:49

is one, undocumented pregnant

9:51

people are eligible for

9:53

Medicaid when coverage when they're pregnant.

9:55

So they have a special carve

9:57

out period when they're pregnant. from

10:00

the time that they get them a positive pregnancy

10:02

test up until 12 months

10:04

after that pregnancy ends, whether it ends

10:06

in a miscarriage or a live

10:09

birth, they get 12 months from that

10:11

period. And they can use this time

10:14

to access prenatal care, postpartum care, take

10:16

care of other issues, et cetera. And

10:19

this time was just extended actually in

10:21

2023 in New York State. When

10:23

I was doing my research, undocumented

10:26

people were only eligible up to

10:28

60 days after

10:30

the end of that pregnancy. But

10:33

there was mounting evidence that the New

10:35

York State Department of Health was looking

10:37

at that 60 days just really wasn't

10:40

enough. People were not getting the proper

10:42

postpartum care in 60 days, especially if

10:44

you have a live birth, it's very

10:47

exhausting. They weren't getting in to get

10:49

their contraception, contraceptive appointments,

10:51

that kind of thing. And

10:53

so there was a given

10:55

higher rate of maternal issues,

10:58

morbidity for

11:00

low income people, the decision was made

11:02

to extend this period of eligibility. And

11:05

so from my perspective, this is

11:07

a really important benefit, but unfortunately

11:09

it is very state dependent. So

11:11

people would have to look up

11:13

in their own particular state about

11:15

whether they're eligible. Now let's bag

11:17

back. Tell us about your

11:20

net those cells while doing this research

11:22

and how were you able to gain

11:24

trust among the women? Yeah,

11:27

so as an anthropologist, we place

11:29

a lot of emphasis in immersive

11:31

work. So what we, the

11:34

idea of being present in the place

11:36

that we're doing the research to be

11:39

able to establish relationships with people and

11:41

to see things that people might not

11:43

actually think to talk about. So some

11:46

disciplines might just do phone interviews,

11:48

for example, what pregnant service workers

11:50

put out flyers, get

11:53

phone numbers and just hold up. For anthropologists and

11:55

what I did, I

11:57

spent a year in a 16 at hospital. that

12:00

I called Belmont, and I observed

12:02

how long people were waiting for

12:04

prenatal care, their relationships with their

12:06

health providers, and I interviewed women

12:09

as they waited for their appointment.

12:11

And so this was really important because

12:13

when I started the research, I thought

12:15

that I was just going to focus

12:17

on how work schedules were a problem

12:19

for pregnant women. But

12:22

as I spent time in this

12:24

hospital, you know, both observing and

12:26

also recruiting women to participate in

12:28

interviews, I really came to

12:30

understand that women were caught between two

12:32

different stretches of time. So

12:34

one was low wage work, which required

12:37

them to be constantly flexible and available.

12:40

And the other was the slow pace

12:42

of safety net hospital care where appointments

12:44

took hours and there was

12:47

no way of knowing when you might finish

12:49

the appointment or whether you might be late

12:51

to work. And women

12:53

were really caught between these two forms of

12:55

time. And that's something I

12:58

wouldn't have known if I hadn't been kind

13:00

of on site in the hospital tracking how

13:02

long people were waiting there, listening to a

13:04

woman complain in the waiting room. And

13:07

this immersive method, which we call

13:09

anthropologists called field work, I

13:12

think was also really important to establishing trust

13:14

because many of the women that I talked

13:16

to came to recognize me because they

13:18

saw me month after month or sometimes

13:20

weekly when they came to their appointments.

13:24

And I also tried to establish myself as someone

13:26

who was on their side, so I

13:28

would provide information about policies

13:30

like the Pregnant Work Now

13:47

you've had a diverse group of people

13:50

that you studied. Tell us about

13:52

the racial identification of the

13:54

women. Yeah, so I spoke

13:56

with 55 women in

13:58

total and almost all of

14:00

those, 52 of those, 55 identified

14:03

as Black. The other

14:05

three identified as Latino

14:07

or Hispanic. And so

14:10

this really reflected the demographics

14:12

of the neighborhood around the

14:14

Safety Net Hospital, which is

14:16

a highly, you know, African-Caribbean

14:19

area. But as you point out, within

14:21

that kind of racial category, there was

14:23

a lot of variation. So only 19

14:26

of the women I spoke to were born

14:28

in the United States. The others were immigrants,

14:31

and most of them were from the

14:33

Caribbean, especially Jamaica

14:35

and Haiti, which

14:37

again, both reflect the neighborhood

14:40

surrounding the hospital. But it also reflects the

14:43

fact that in New York City, at least,

14:45

the people who do the low wage service work,

14:47

so the people I was interested in talking with,

14:51

are predominantly low-income women of

14:53

color, and many of those are

14:55

immigrants. Now,

14:58

give us a description of the income

15:00

of the women that you studied. Yeah,

15:03

so one of the things I

15:05

was interested in was people working

15:08

in low-wage service work. So I

15:10

was recruiting women who

15:13

were making $15 or

15:15

less, and at the time, the

15:19

minimum wage in New York City was about $9.

15:22

So there was kind of a little

15:24

bit of flexibility. And all

15:27

of these women were making either

15:29

minimum wage or near minimum wage,

15:31

so maybe $10,

15:34

$11, $12. This means some big

15:36

jumps in pace since then.

15:38

So home health aides,

15:40

for example, that were making $10

15:42

an hour when

15:44

I was doing my research, they

15:46

now make at least $17 an hour. And

15:50

part of that is because there's just

15:52

been so much need for their services.

15:56

But yes, so most of the all of

15:58

these people were minimum wage workers. workers

16:00

or neominimum. This

16:04

This episode is brought to you by

16:06

Shopify. Do you have a point

16:08

of sale Do you have a point of sale system you can trust

16:10

or is it a real

16:13

POS? a real POS? You

16:15

need Shopify for retail. From

16:17

accepting payments to managing inventory, Shopify

16:19

POS has everything you need to

16:22

sell in person. Go

16:24

to shopify.com/system all lowercase

16:26

to take your retail

16:28

business to the next

16:30

level today. That's shopify.com/

16:32

system. Your brain

16:35

needs support and new Ollie brainy

16:37

chews are a delightful way to take

16:39

care of your cognitive health made with

16:41

scientifically backed ingredients like Thai ginger, L-C-N-E

16:43

and coffee. Brainy chews support healthy brain

16:46

function and help you find your focus.

16:48

Stay chill or get energized. Be

16:51

kind to your mind and get these

16:53

new tropus chews at ollie.com. That's o-l-l-y.com.

16:56

These statements have not been evaluated by the Food

16:58

and Drug Administration. This product is not intended to

17:00

diagnose, treat, cure, or prevent any disease. This

17:04

episode is brought to you by Lakita by

17:06

Window. Your world can take you all over

17:08

the place like Texas. You've never been, but

17:11

it's going to be great because you're staying

17:13

at Lakita by Window. Their free bright

17:15

side breakfast will give you energy for the

17:17

day ahead. And after you can unwind using

17:19

their free high speed wifi tonight, Lakita. Tomorrow

17:22

you shine. Book your stay today at lq.com.

17:27

Now you describe the women going to

17:29

work at 7 a.m. Tell

17:31

us about that description. Yeah,

17:34

I opened one of the chapters

17:36

with a description of a really

17:39

typical scene of people going to

17:41

work because I think it tells

17:43

us so much about power, inequality

17:45

and the social organization of time.

17:47

So so in this, what

17:50

drew my field work, I lived in this

17:52

fairly kind of comfortable middle class neighborhood in

17:55

Brooklyn, and I started to

17:57

notice that around 7 a.m. or

17:59

even so that's a bit. earlier, you could see

18:01

streams of women, predominantly women of

18:03

color, who emerging from the subway

18:06

stations around the neighborhood and heading

18:08

to their jobs and people's houses

18:10

as caregivers of young children or

18:12

elderly people or to staff the

18:15

local stores. And shortly

18:17

after these women started emerging, you

18:19

know, around eight, you'd start to

18:21

see a counter flow of mostly

18:23

white professional people leaving their homes,

18:26

stopping at coffee stores and then heading

18:28

to the subway for

18:30

their jobs and finance or law

18:32

offices, etc. And

18:34

in the evening, the flow reversed. So

18:37

starting about five, you'd see all these

18:39

professional workers come out of the subway,

18:41

pick up groceries or dry cleaners and

18:44

heading home. And only after these

18:46

professional workers returned and all the

18:48

kind of local stores closed, could

18:50

the women who stashed all of

18:53

these services, so the

18:55

child care worker, the home

18:57

health aide, the barista, the

18:59

grocery cashier, etc. Only

19:01

then could they return home to their

19:04

own families, often much later into the

19:06

night. So this

19:08

fairly everyday kind of moment, at

19:10

least every day in many U.S.

19:12

cities, I think

19:14

it tells us a lot about

19:16

how low-income individuals and families are

19:19

forced in order to survive, to structure

19:21

their time around other, you know, around

19:24

their employers, more powerful groups and

19:26

make themselves available to work at

19:28

times that others might not want

19:30

to. And that's kind of fundamental

19:32

to one of the book's arguments

19:34

about how the time of people

19:37

with less power and resources is

19:39

kind of devalued. Now,

19:41

you talk about federal policy in your book.

19:45

How, it tells more about

19:47

federal policy and how

19:50

women care for themselves in

19:52

limited ways. Yeah,

19:54

so as I mentioned,

19:57

the United States actually is fairly

19:59

notorious. having very weak protections

20:01

for working people, especially

20:04

compared with other industrialized countries. And

20:06

this is something that people are

20:08

often not aware of that, that

20:10

there's only about four countries in

20:12

the world that don't have paid

20:14

maternity leave, and the United States

20:16

is one of them. So

20:19

there really isn't a lot. In

20:21

terms of pregnancy, the federal government

20:24

actually did just pass the Pregnant

20:26

Workers Fairness Act in 2022. And

20:29

that is a federal

20:31

law that guarantees reasonable

20:33

accommodations and time

20:35

off for prenatal care for pregnant working

20:38

people. So that's a

20:40

really important step. But we still don't

20:42

have any federal law, for example, around

20:44

paid sick leave, or paid

20:46

family leave, as I said. And

20:49

the only thing we do have in terms

20:51

of maternity leave or family leave is that

20:53

federal medical leave act, which was passed in

20:55

1993, so a

20:58

long time ago now, which

21:00

gives eligible workers unpaid

21:03

time to care for sick or dependent

21:06

family members for about for up to

21:08

four months without losing it. But,

21:11

and this is a huge but, this

21:13

is unpaid. So only people

21:15

who either have significant savings or

21:17

another earner that can support them

21:19

can't really take advantage of this

21:21

for any period of time. And

21:24

you have to work for at least 12 months

21:27

at a job where there's at

21:29

least 50 employees. So there's a

21:31

very large population of workers who

21:33

can't take advantage even of this

21:36

unpaid leave, either for economic issues

21:39

they can't afford to, or because they're just

21:41

not eligible. You talk about

21:43

working while pregnant, and oh,

21:46

the conflicts that the people

21:48

had to navigate, work

21:50

pre-natal period. What was your

21:52

overall finding about

21:54

this litigation? Yeah,

21:57

so I think one of the big takeaways,

21:59

which of course is not news to

22:01

any of your listeners who have ever

22:03

worked in low wage service work, it's

22:05

just how inflexible it can be and

22:07

how much effort it is for

22:10

people who work in this

22:12

huge sector to attend routine

22:14

care. So I

22:16

talked about a little bit about the

22:18

financial penalties that service workers take every

22:21

time they decide to give up a

22:23

shift in order to go

22:25

to prenatal care. And that's really different

22:27

than people who have

22:29

salary jobs where they might be able to

22:31

take a long lunch break or come to

22:33

work late to go to prenatal care and

22:35

they don't lose income as a result of

22:38

that. But service workers can't just take an

22:40

hour or two out of a shift, they

22:42

can't just call and say I'm going to

22:44

be late, they have to call out of

22:46

their entire shift. So there's

22:49

this conflict between work and

22:51

prenatal care where they're essentially incurring

22:53

a financial penalty for attending

22:55

care. But they also

22:57

can't miss too many shifts because they

22:59

risk being fired if they do so.

23:02

And this choice between either making

23:04

money or going to

23:06

prenatal care is a choice that most

23:09

middle class or professional workers just don't

23:11

have to make because that's not the

23:13

way that professional work is structured. And

23:16

this of course, as I've already

23:18

mentioned, has implications in terms of

23:21

prenatal care and reproductive health income.

23:23

So as I've mentioned before, we

23:25

already know that low income women

23:27

and women of color have much

23:29

worse reproductive outcomes than higher income

23:31

women. And in New York

23:33

City, maternal mortality rates for black women

23:35

are 12 times higher than

23:37

they are for white women and infant

23:40

mortality is three to four times higher.

23:42

And the US's maternal mortality rate, contrary

23:45

to most countries where it's declined,

23:47

has actually increased over

23:50

the last two decades. So

23:52

this issue of a really inflexible work

23:54

environment was driven home to me by

23:56

one of the women I interviewed. And

23:58

she was employed really physically

24:01

demanding job in retail, which required

24:03

her to bend a lot, lift

24:05

boxes, carry things. And during one

24:07

of her shifts, she starts to

24:09

feel contraction. And she's only

24:11

about six months pregnant. So she asked her to

24:14

leave work to go to the ER because her

24:16

doctor told her that she's at higher risk

24:18

for pre-timber. So she should get checked

24:21

out if she feels contraction. And

24:23

her supervisor says, no, you're not allowed to

24:25

go. Her contractions continue. And so she decides

24:27

to leave work and go get checked out

24:30

in the emergency. So

24:32

in the end, the contractions turn

24:34

out to be Braxton-Hicks or what's

24:36

often called false labour. But

24:39

the only way you can tell

24:41

the difference between Braxton-Hicks and true

24:43

labour is that Braxton-Hicks contractions gradually

24:45

subside rather than escalating into a

24:48

birth. So from her perspective,

24:50

it was entirely possible that she was

24:52

in labour. So she was

24:54

really in a bind. Either she left work

24:56

and she was a bad worker, or she

24:58

stays at work and is a bad patient

25:00

or bad mom. And as it

25:02

turned out, even though she brought a

25:05

letter from the ER doctors to her

25:07

supervisor, her supervisor gave her a demerit

25:09

to missing work for leaving work. And

25:11

the policy at the place was at

25:13

a workplace was treat demerit and you're

25:15

fired. So these are the kind of

25:18

rigidity that really make access

25:20

and care so difficult and that are

25:22

often invisible to people who don't work

25:24

in these sectors. In

25:28

chapter three, you discuss the

25:30

frustration of both patients and

25:32

providers because of lack of

25:35

care. What type of lack

25:37

of care are you describing

25:39

here? What's happening? Yeah,

25:42

this is one of the insights that

25:44

came out of the immersive work and

25:47

just spending hundreds of hours at the

25:49

hospital. So Safety

25:51

Net Hospitals in New York

25:53

City Like safety net, public

25:55

hospitals in much of the

25:57

US have been steadily deprioritized.

26:00

Handing over the decades you know

26:02

a lot of funding cat and

26:04

this has resulted in health care

26:06

and working conditions where. It's.

26:08

Just not great. Computers and equipment

26:11

don't work reliably. Said providers were

26:13

always talking other computers that kept

26:15

crashing. it's uncomfortably hot or cold

26:18

depending on the seeds and this

26:20

to feed providers often for the

26:22

number he should set up there.

26:25

So that sets up a situation

26:27

where everyone feels frustrated and I'm

26:29

caring for patients. Feel frustrated because

26:32

they're waiting hours for an appointment

26:34

that lot might last only about

26:36

and. And provide

26:39

a self frustrated because they feel

26:41

overworked and under time pressure to

26:43

see lots of patient. So

26:46

these temp what I could simple

26:48

racing for the way that time

26:50

and is all the knives and

26:52

the clinic means that everybody is

26:54

annoyed and everybody is frustrated. But

26:57

what's often hidden when I realized

26:59

when I was talking to patience

27:01

is providers is the scientific different

27:03

experiences of pints of patients will

27:05

waiting for ever and doctors who

27:07

are rushing around. Is. All

27:10

created by has stark economic

27:12

system which has deep her

27:14

ties to funding said these

27:16

institutions and for the people

27:18

the providers who are abdul

27:20

it carrying some low income

27:22

and vulnerable. Now

27:26

in the conclusion of the dope you

27:28

ask the question. How. Do we

27:30

value appear in an unequal. Society.

27:33

For some the A as the she came up with. I

27:37

guess the short answer is that

27:39

we don't and that we have

27:41

really struggled to sync up how

27:44

to even make this hair visible.

27:46

Larry Loan to value it. Ah,

27:48

so this a long history of

27:50

undervaluing the carrying work that women

27:53

have to dissuade done in the

27:55

home. and this is insane of

27:57

kind of invisible less of what.

28:00

from work that earns money,

28:02

which is traditionally then the round

28:04

of men. And

28:07

that when that undervalued caring work becomes

28:09

paid work, so when it becomes work

28:11

for wages like child

28:15

care workers, home health aides, people

28:17

who work in nursing homes, it's

28:20

still undervalued. It is low paid,

28:22

low status jobs that usually

28:25

come with very few benefits.

28:27

So what this means in terms of

28:30

society is that the very people that

28:32

we rely to care for us and

28:34

our loved ones when we are sick

28:36

or dependent are often the

28:38

ones that receive least care and

28:40

value themselves in terms of pay

28:43

or benefits or even job security.

28:45

Then I think that was something

28:47

that was made very clear during

28:50

the pandemic and the national conversation

28:52

about essential workers who were working

28:54

so you know constantly

28:56

during the pandemic and yet had very

28:58

little job security

29:00

or pay support. I

29:04

think the other part of this

29:06

question about care is what Anne-Marie

29:08

Slaughter called the infrastructure of care

29:10

and we do not have a

29:12

great infrastructure of care like affordable

29:15

and universal child care, maternity

29:17

leave, flexible job policies for

29:19

parents. So in other words

29:21

or paid sick leave policies

29:23

that would allow us to

29:25

care for ourselves and our

29:27

loved ones. So

29:29

I think that you know this has

29:31

become more on the table recently, these

29:34

conversations, but I think we

29:36

still are really as a society thinking

29:38

about how do we value work

29:41

that doesn't produce much profit

29:44

but is so essential in

29:48

creating human relationships and

29:50

caring for people who

29:52

are vulnerable in our

29:54

society. Now what message do you

29:56

want the reader to leave with once

29:59

they finish your Well,

30:02

I think one of the key

30:04

points I'd like readers to leave with

30:06

is how trying structured

30:09

social lives in ways that are

30:11

often invisible to people with more

30:13

resources. And so one of

30:16

the frequent comments I get when I talk about this

30:18

work is people say, oh, but

30:20

I had no idea things were so difficult.

30:23

But of course, this is

30:25

because many are talking from

30:27

a particular position where they're

30:29

protected from these punitive time

30:31

regimes because they work in

30:33

professional jobs where they have

30:35

more flexibility, or they have

30:37

money and resources to, for example,

30:39

pay a sitter to

30:41

pick up their kid when they have a work conflict

30:44

and they kind of get to school on time, or

30:47

they have private insurance and therefore go

30:49

to get health care at

30:51

places where they don't have to wait for hours

30:53

and hours to care. But

30:55

for millions of Americans and for

30:57

people around the world, the kind

31:00

of time conflict I write about

31:02

and the recognition that this is

31:04

fundamentally about social inequality, I just

31:06

parroted daily life. So

31:09

the second point, so that's one point, I

31:11

guess, the second point is my

31:13

real, superb belief that policy

31:15

and legislation matters and that

31:17

the protection of time needs

31:20

to be front and center

31:22

in our discussion of labor

31:24

and reproductive rights. And

31:26

that this is really different from now than

31:28

in the past. So our labor roles are

31:30

really still based on the kinds

31:32

of work problems that were happening in the 1930s.

31:36

So they're focused still on

31:38

things like protecting people from

31:40

overwork. But

31:42

now the problems aren't generally

31:44

about overwork. The problems of

31:46

the current labor situation is

31:49

underemployment, precarious scheduling,

31:51

and unstable work. And

31:53

we need policy to address that. So

31:56

we've seen, as I've said, we've seen some

31:58

movement on this. the Pregnant

32:00

Workers Fairness Act. Some cities

32:03

and states have recently passed

32:05

the Fair Workweek Act which

32:08

mandates employers provide fair

32:11

notice of scheduling changes to their

32:13

employees or pay their employees

32:15

a penalty. You know and

32:18

it's still too early at this point

32:20

to say how extensive the

32:22

impact of these will be in protecting workers

32:25

and promoting health but it's also really clear

32:27

that low-wage employers are not doing this of

32:29

their own. We need policy to have

32:34

to encourage or force employees

32:36

to do this. So

32:38

I guess what I'd like readers to think about

32:41

is that we need to make the

32:43

protection of time a central part in

32:45

our agenda for social justice and equality

32:47

and that actually this benefits everybody.

32:50

If we have policy protecting people's

32:52

time it's not just low income

32:54

folks that benefit but everybody

32:56

does. Well I'm

32:58

taking up enough of your time. Can

33:00

you tell us the next project you're

33:02

working on? Well

33:05

after 20 years or more

33:07

of working on issues around

33:09

reproductive health I'm

33:11

actually going to switch gears for a

33:14

little time. So like many

33:17

people during the pandemic I became

33:19

fascinated with the issue of

33:21

smell and particularly people's

33:23

reports about how distressing it was

33:25

to lose their sense of smell

33:27

which was a sense that I

33:30

hadn't really paid much attention to

33:32

and so as a medical anthropologist

33:34

I'm really interested in thinking about

33:36

how people experience this and access

33:38

to health care. So that's a

33:40

very just the very beginning of

33:43

thinking about smell and people's experience of

33:45

physical or emotional health when they lose their sense

33:47

of smell but if any of your listeners want

33:49

to talk to me have lost their sense of

33:52

smell not necessarily due to COVID but they want

33:54

to talk to me I would love to hear

33:56

from them and they can reach me through my

33:58

website at www.cst.gov. Well,

34:02

we look forward to that new project.

34:05

Again, we've been talking with Elise

34:07

Andrea, by author of

34:09

Pregnant Edwork, The Wage Workers,

34:11

Tower and Temporal Injustice. Thank

34:14

you for being on the podcast. Thank

34:16

you so much for having me.

Rate

Join Podchaser to...

  • Rate podcasts and episodes
  • Follow podcasts and creators
  • Create podcast and episode lists
  • & much more

Episode Tags

Do you host or manage this podcast?
Claim and edit this page to your liking.
,

Unlock more with Podchaser Pro

  • Audience Insights
  • Contact Information
  • Demographics
  • Charts
  • Sponsor History
  • and More!
Pro Features