The U.S. needs more direct care workers to provide personal assistance to frail older adults and younger people with disabilities.
when Austria made it easier for immigrants to get jobs as care workers. She and her coauthors found that adult children of parents who had suffered strokes were much less likely to give up their jobs to serve as family caregivers than before the law changed. Not only were more aides available but the increase in workers also lowered their caregiving costs.that helps pay for long-term care. The US only supports long-term care for the very poor through Medicaid.
The decline in labor costs driven by immigration raises other important issues: It may keep costs manageable for families that struggle to pay for care. But what would it mean for the wages for already-low-paid aides? It is a real issue. But in an environment like the one in the US today, with massive shortages of both home care and facility-based workers, wage effects might be muted.
What could be done about all this? One possible solution: The US could create a special visa for health and long-term care workers. I understand that immigration is a hot button issue. And that many in the US will reflexively oppose opening doors to those from other countries . But the reality is stark: Without an influx of foreign-born workers, there simply will not be enough people to care for our parents. And we all will suffer.
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