Belabored: Our Neglected Human Infrastructure, with Sadé Dozan

Belabored: Our Neglected Human Infrastructure, with Sadé Dozan

Sadé Dozan of Caring Across Generations discusses the Build Back Better bill, which would put some $150 billion into Medicaid-supported homecare services.

Long-term caregivers and supporters rally in Los Angeles on July 13, 2021 for greater federal and local investment in the country's caregiving infrastructure. (Frederic J. Brown / AFP)

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The Build Back Better bill, also known as the “human infrastructure” package, was just passed by the House. The bill, which still needs to pass the Senate, includes significant investments in home and community-based care—these are the home health aides and other direct care workers who tend to seniors and people with disabilities. As we’ve reported before on Belabored, this has long been an undervalued and overlooked component of the healthcare workforce, and for decades, homecare workers—the vast majority low-income women and women of color—were excluded from key federal labor protections, including the federal minimum wage. Although there have been incremental improvements in the industry’s working conditions over the years as more homecare workers have organized and even unionized, homecare workers today are typically still earning poverty wages. The latest version of the Build Back Better bill, the House of Representatives just passed, would put some $150 billion into Medicaid-supported homecare services as part of a broader investment in social programs from affordable housing to preschool. In turn, labor advocates hope that additional investment in the workforce will help lift up pay scales and provide for more training. To put BBB in context, we spoke with Sadé Dozan, Senior Director of Development at Caring Across Generations—a labor and community advocacy group for homecare workers and families that is also linked to the National Domestic Workers Alliance. 

In other news, we look at the IATSE vote on a new agreement, a crackdown on organized labor in Thailand with organizer David Welsh, France 24 on strike, and a new deal for Kaiser workers. With recommended reading on the trucking supply chain and nonprofit union hypocrisy.

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Tula Connell, Thai Public Employees Campaign to Save Jobs, Union Rights,Solidarity Center

Gene Maddaus, Autoworkers at John Deere will remain on strike after voting down another tentative dealCNN Business

Tyler Jett, IATSE Members Vote to Ratify Contract, Ending Strike Threat, Variety



Daniella Silva, Home care advocates, those needing services say Build Back Better funding ‘critically important’ for industry, NBC 

Build Back Better Reconciliation Framework Represents Historic Progress for Home Care Workers, Women of Color, Aging Adults, and People With Disabilities, National Domestic Workers Alliance

Michelle: Why We Need to Take Care of the Workers Behind Home Health CareThe Nation 

Michelle: With Medicaid and Health Care Under Attack, Home Care for the Aging Faces CrisisTruthout 

Michelle: Crying Before Work, but Still Showing Up, Dissent 


Argh, I wish I’d written that!

Hamilton Nolan, The ACLU of Illinois Seeks a Playbook for Acceptable Progressive Union Busting, In These Times 

E. Tammy Kim, All Eyes Are on the Nation’s Ports. Can Truck Drivers Make the Most of It? New York Times