Abstract
This chapter reports findings of an empirical study on female home care workers’ experiences of providing home-based personal care for senior clients in Shanghai. It unravels how care work has been shaped by the rural-urban divide from care workers’ perspective. The experiences of providing care are fractured on three fronts: (1) care is simultaneously viewed as a moral duty and paid work; (2) care workers are caught in between resisting the disdained care worker identity and embracing the image of a compassionate self as care provider; and (3) care work performed by migrant and local care workers is differentially valued. The conclusion reflects on the role social policy plays in shaping care work in a transitioning society and argues that public care programs could perpetuate inequalities if care is considered an area in isolation from other policy realms, such as social protection.
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Notes
- 1.
The household registration (hukou) system is a pivotal institution in China through which the Chinese government controls the migration of people and organizes welfare provision. This system was introduced in the 1950s. It categorizes Chinese citizens into “agricultural” (i.e., rural) and “non-agricultural” (i.e., urban) classes.
- 2.
Street-level government is the lowest level of government in Shanghai. The population of the streets varies from thirty thousand to almost two hundred thousand people in Yangpu, the district with which this study is concerned.
- 3.
The hukou system institutionalized contrasting urban and rural administrations. In the former, the government was responsible for providing welfare benefits, usually through employment, to the residents, e.g., rationed food, housing, health care, and education; whereas in the latter, people were expected to be self-sustaining or rely on collective cooperation. China’s post-reform social policy development clearly prioritized the urban areas. Rural migrants were long treated as “second-class citizens” in terms of denied welfare benefits and public services in cities where they work and live. In recent years, efforts have been made to mitigate the rural-urban gap by developing universal social programs, but their practical success is yet to be assessed (Hong and Kongshøj 2014).
- 4.
This is hardly a new idea, for servants and maids have always existed in Chinese culture, for example as depicted in the Chinese literary classic, Dream of the Red Chamber. However, the forty years of socialism should have, in theory, reset class differences, eradicating such servitude.
- 5.
This is not an exhaustive list because local variations in dialect may exist.
- 6.
Definitions were translated from the fifth and sixth versions of the Contemporary Chinese Dictionary.
References
Ao, Xiang, Dawei Jiang and Zhong Zhao. 2016. “The Impact of Rural-Urban Migration on the Health of the Left-behind Parents.” China Economic Review 37: 126–39.
Bartlett, Helen and David Phillips. 1997. “Ageing and Aged Care in the People’s Republic of China: National and Local Issues and Perspectives.” Health & Place 3, 3: 149–59.
Bettio, Francesca, Annamaria Simonazzi and Paola Villa. 2006. “Change in Care Regimes and Female Migration: The ‘Care Drain’ in the Mediterranean.” Journal of European Social Policy 16: 271–85.
Browne, Colette V. and Kathryn L Braun. 2008. “Globalization, Women’s Migration, and the Long-Term-Care Workforce.” The Gerontologist 48, 1: 16–24.
Chappell, Neena L. 2008. “Comparing Caregivers to Older Adults in Shanghai.” Asian Journal of Gerontology & Geriatrics 3, 2: 57–65.
Chen, Feinian and Guangya Liu. 2009. “Population Aging in China.” In International Handbook of Population Aging, edited by Peter Uhlenberg, 157–72. Dordrecht: Springer Netherlands, 2009.
Chen, Sheying. 1996. Social Policy of the Economic State and Community Care in Chinese Culture: Aging, Family, Urban Change, and the Socialist Welfare Pluralism. Brookfield, VT: Avebury.
Chichin, Eileen R. 1993. “Home Care Is Where the Heart Is.” Home Health Care Services Quarterly 13, 1–2: 161–77.
Chu, Leung-Wing, and Iris Chi. 2008. “Nursing Homes in China.” Journal of the American Medical Directors Association 9: 237–43.
Daly, Mary. 2001. “Care Work: The Quest for Security.” In Care Work: The Quest for Security, edited by Mary Daly, 33–56. Geneva: ILO.
Dong, Xinqi, E-Shien Chang, Ping Zeng and Melissa A Simon. 2015. “Suicide in the Global Chinese Aging Population: A Review of Risk and Protective Factors, Consequences, and Interventions.” Aging and Disease 6, 2: 121–30.
England, Paula and Nancy Folbre. 1999. “The Cost of Caring.” The Annals of the American Academy of Political and Social Science 561: 39–51.
Folbre, Nancy and Julie Nelson. 2000. “For Love or Money–Or Both?” Journal of Economic Perspectives 14 (4): 123–40.
Fujisawa, Rie and Francesca Colombo. 2009. “The Long-Term Care Workforce: Overview and Strategies to Adapt Supply to a Growing Demand.” OECD Health Working Papers, No. 44. Paris: OECD Publishing.
Giles, John, Dewen Wang and Changbao Zhao. 2010. “Can China’s Rural Elderly Count on Support from Adult Children? Implications of Rural-to-Urban Migration.” Journal of Population Ageing 3, 3: 183–204.
Griffin, Anne. 1983. “A Philosophical-Analysis of Caring in Nursing.” Journal of Advanced Nursing 8, 4: 289–95.
Gu, Danan, and Denese A. Vlosky. 2008. “Long-Term Care Needs and Related Issues in China.” In Social Sciences in Health Care and Medicine, edited by Janet Garner and Thelma Christiansen, 51–84. Hauppauge, NY: Nova Science Publisher.
Guo, Man, Maria P. Aranda and Merril Silverstein. 2009. “The Impact of out-Migration on the Inter-Generational Support and Psychological Wellbeing of Older Adults in Rural China.” Ageing and Society 29: 1085–1104.
Herd, Richard, Vincent Koen and Anders Reutersward. 2010. “China’s Labour Market in Transition: Job Creation, Migration and Regulation.” OECD Economics Department Working Papers, No. 749. Paris: OECD.
Hochschild, Arlie Russell. 2000. “Global Care Chains and Emotional Surplus Value.” In On the Edge: Living with Global Capitalism, edited by Hutton Will and Anthony Giddens, 130–46. London, UK: Vintage, 2000.
Hochschild, Arlie Russell. 2003. The Managed Heart: Commercialization of Human Feeling, 2nd ed. Berkeley, CA: University of California Press.
Hong, Liu, and Kristian Kongshøj. 2014. “China’s Welfare Reform: An Ambiguous Road towards a Social Protection Floor.” Global Social Policy 14, 3: 352–68.
Huang, Shirlena, Leng Leng Thang, and Mika Toyota. 2012. “Transnational Mobilities for Care: Rethinking the Dynamics of Care in Asia.” Global Networks 12, 2: 129–34.
ILO. 2015. “ILO Global Estimates on Migrant Workers: Results and Methodology - Special Focus on Migrant Domestic Workers.” Geneva: International Labour Organization.
James, Nicky. 1992. “Care = Organization + Physical Labor + Emotional Labor.” Sociology of Health & Illness 14: 488–509.
Kofman, Eleonore and Parvati Raghuram. 2009. “The Implications of Migration for Gender and Care Regimes in the South.” Social Policy and Development Programme Papers, No. 41. Geneva: UNRISD.
Li, Shi. 2008. “Rural Migrant Workers in China: Scenario, Challenges and Public Policy.” Working Paper, No. 89. Geneva: ILO.
Liu, Yan-wu. 2013. “The Suicides of the Rural Elderly and the Crisis Intervention in China: 1980–2009.” South China Population 2013, 2: 57–64.
Michel, Sonya and Ito Peng. 2012. “All in the Family? Migrants, Nationhood, and Care Regimes in Asia and North America.” Journal of European Social Policy 22: 406–18.
Neysmith, Sheila, and Barbara Nichols. 1994. “Working Conditions in Home Care: Comparing Three Groups of Workers.” Canadian Journal on Aging 13: 169–86.
Peng, Ito. 2017. “Transnational Migration of Domestic and Care Workers in Asia Pacific.” Geneva: International Labour Organization.
Razavi, Shahra. 2007. “The Political and Social Economy of Care in a Development Context.” Programme on Gender and Development, Paper No. 3. Geneva: UNRISD.
Razavi, Shahra and Silke Staab. 2010. “Underpaid and Overworked: A Cross-National Perspective on Care Workers.” International Labour Review 149: 407–22.
Shutes, Isabel and Carlos Chiatti. 2012. “Migrant Labour and the Marketisation of Care for Older People: The Employment of Migrant Care Workers by Families and Service Providers.” Journal of European Social Policy 22: 392–405.
Sun, Rongjun. 2002. “Old Age Support in Contemporary Urban China from Both Parents’ and Children’s Perspectives.” Research on Aging 24: 337–59.
Whyte, Martin King and Xu Qin. 2003. “Support for Aging Parents from Daughters versus Sons.” In China’s Revolutions and Intergenerational Relations, edited by Martin King Whyte, 167–96. Ann Arbor, MI: Center for China Studies, University of Michigan.
Wu, Bei, Mary W. Carter, R. Turner Goins and Chunrong Cheng. 2005. “Emerging Services for Community-Based Long-Term Care in Urban China: A Systematic Analysis of Shanghai’s Community-Based Agencies.” Journal of Aging & Social Policy 17, 4: 37–60.
Wu, Bei, Zong-Fu Mao and Renyao Zhong. 2009. “Long-Term Care Arrangements in Rural China: Review of Recent Developments.” Journal of the American Medical Directors Association 10: 472–77.
Yao, Yang. 2014. “The Lewis Turning Point: Is There a Labour Shortage in China?” In Oxford Companion to the Economics of China, edited by Shenggen Fan, Ravi Kanbur, Shang-Jin Wei, and Xiaobo Zhang, 388–92. Oxford, UK: Oxford University Press.
Yeates, Nicola. 2012. “Global Care Chains: A State-of-the-Art Review and Future Directions in Care Transnationalization Research.” Global Networks 12, 2: 135–54.
Zeng, Yi, and Zhenglian Wang. 2003. “Dynamics of Family and Elderly Living Arrangements in China: New Lessons Learned from the 2000 Census.” China Review 3, 2: 95–119.
Zhan, Heying Jenny. 2005. “Aging, Health Care, and Elder Care: Perpetuation of Gender Inequalities in China.” Health Care for Women International 26: 693–712.
Zhou, Yicheng, Linyi Zhou, Changluan Fu, You Wang, Qingle Liu, Hongtao Wu, Rongjun Zhang, and Linfeng Zheng. 2015. “Socio-Economic Factors Related with the Subjective Well-Being of the Rural Elderly People Living Independently in China.” International Journal for Equity in Health 14: 1–9.
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Hong, L. (2017). Home Care for Elders in China’s Rural-Urban Dualism: Care Workers’ Fractured Experiences. In: Michel, S., Peng, I. (eds) Gender, Migration, and the Work of Care. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-55086-2_4
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