No Place Like Home?
Feminist Ethics and Home Health Care
Publication Year: 2003
Published by: Indiana University Press
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This book could not have been written without the input and support of certain key persons and institutions. I would like to thank Loyola University for funding my summer research in 1999; the paper I wrote that summer went a long way toward developing my thinking on ethics and home health care. I am also grateful to Jim and Hilde Lindemann Nelson...
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This book on home care has been a work in progress for almost eleven years. I became interested in writing on the theoretical ethical issues in home care only six years ago, but I had been a home care aide for five years during my graduate education. Indeed, it was as a home care worker,and not as a philosopher, that I learned most about the ethics of home care, for I experienced in the field the best and worst aspects of caretaking. The...
1. Why Home Care? The Genesis of Home or “Community-Based” Care
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The answer to the question “Why home health care?” involves a panoply of considerations. This chapter will treat the rising popularity of home care, that is, the circumstances that have led to its ascendancy through the 1980s and 1990s, and what I see as the largely exploitative bases for its practice. Throughout this chapter and the rest of the book, I will treat home...
2. Examining Philosophies of Home Care
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The preceding chapter detailed home health care as it is currently practiced. As I indicated, home care is premised on the notion that it is a cheaper alternative to institution-based care, that people prefer to be cared for in their homes rather than in institutions, and that home care services must follow the example of the broader U.S. managed care system....
3. Women’s Care Work as a Subsidy to the State
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In chapter 1, I argued that the home care system, in its current state, is morally lacking: It is founded on the broader system of managed care in the United States and is informed by the value of acute care that infuses health care practice at the macro level. Chapter 2 concerned the philosophy of home care and argued that there are competing and warring...
4. Caring about the Cared-For
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The previous three chapters have considered ethical issues in home health care with regard to caretakers. As I have argued, home health care is founded on the free and low-cost care labor provided by women. Ideologies that connect family with the private sphere, and that treat home care issues as private family matters, result in the depoliticization of its practice. Yet if...
5. The Personal Is Political: Negotiating Relationshipswithin the Home Care Setting
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As I argued in chapter 4, a feminist conception of relational autonomy best characterizes the home care relationships between clients, families, and paid caretakers. But such a conception of autonomy also impacts the moral judgments we make about home care. If human beings are, as feminists claim, interdependent beings, and if our very identities come out...
6. Looking Ahead: Can Home Care Be Reformed?
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This chapter is perhaps the most important in this book. It lays the grounds for what I take to be a minimally decent system of home health care. In light of the criticisms I have leveled against home care in its current condition, I will herein consider what needs to be done to make the home care enterprise an ethical one. The arguments I construct will come from...
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Page Count: 176
Illustrations: 1 bibliog., 1 index
Publication Year: 2003
Series Title: Medical Ethics