England, P. Folbre, N. (1999) The Cost of Caring
England, P. Folbre, N. (1999) The Cost of Caring
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ANNALS, AAPSS, 561, January 1999
39
40 THE ANNALS OF THE AMERICANACADEMY
ary disamenities of jobs, and they Some industries have been found
will be able to pay less than they oth- to offer higher wages than others.6
erwise would in jobs with nonpecuni- Various theories, from dual economy
ary amenities. Most of the relevant theory to efficiencywage theory,have
studies have focused on physical haz- been offered to explain these differ-
ards or physically onerous working entials across industries. (For re-
conditions, probably because re- views, see Farkas and England
searchers find a certain face validity 1994.) Thus studies assessing
in assuming that most workers whether caring work has a penalty
would prefer to avoid such conditions have generally controlled for which
if they have an option of an otherwise industries the caring occupations are
equivalent job with the same wage.5 in (where the public sector is treated
Studies looking for wage premiums as one industry). Another necessary
in such jobs are conflicting. Smith's controlis how extensive unionization
review (1979) of many studies noted is in the occupationor industry, since
that less than half show the pre- unionized jobs generally pay more
dicted positive effects on wages for than comparable nonunionized jobs
characteristics such as physical re- (Freeman and Medoff 1984).
petitiveness, lack of freedom, and job Whether men or women typically
insecurity. Among later studies, two do the work has been found to affect
found wage premiums for hazardous wages. That is, jobs filled largely by
work for male but not female workers females pay less than is commensu-
(Barry 1985; Filer 1985), one found rate with their skills, onerous work-
premiums for both sexes (Duncan ing conditions, union status, and the
and Holmlund 1983), and two found industries in which they occur.7
no premium for either sex (Kilbourne Studies investigating whether
et al. 1994; England 1992). England there is a penalty for doing caring
(1992) found evidence of premiums work should control for as many of
for nonphysical disamenities: repeti- the factors discussed previously as
tiveness of the job, and having to en- possible. The studies reviewed next
gage in tasks against one's con- have generally controlled for other
science. Jacobs and Steinberg (1990) skill demands of the occupation,
examined the pay for New YorkState educational requirements, the per-
government jobs, finding only 1 of 14 centage of workers who are female,
onerous job characteristics to have a unionization, industry, and some
significant positive effect on pay measures of amenities and disameni-
(working with sick patients). Several ties. While most of the investigators
had negative effects (cleaning others' did not use the term "caring work,"
dirt, loud noise, strenuous physical most of their operationalizations
activity, repetition, and being told capture something close to face-to-
what to do). Thus the evidence is face service work.
mixed but generally nonsupportive England (1992, chap. 3) created a
of the propositionthat characteristics dummy variable for caring work (us-
we would expect most workers to find ing the term "nurturant work"), by
undesirable have wage premiums. making a judgment from each de-
THE COSTOF CARING 43
jobs to which this applies are filled by(England and Folbre 1997), so that by
women. selecting people with the skills for a
When we talk about the devalua- job, employers unwittingly select
tion of jobs because they involve a more of those who would take the job
function or skill associated with for lower pay than others. But every
women, what more specific mecha- job disproportionately attracts peo-
nisms do we envision? One mecha- ple who find the job requirements an
nism may be cognitive error:decision amenity. For example, intellectually
makers are more apt to recognize the demanding work attracts those who
contribution of jobs done by men or enjoy using their mind, yet cognitive
involving skills culturally coded as requirements have a positive, not
male. They simply do not perceive negative, return.
the true importance of skills cultur- Compensating differentials could
ally coded as female. Another mecha- explain the low wage of caring labor
nism may be social norms that dic- only if there were, in a sense, an over-
tate that male skills deserve greater supply of individuals who wanted to
compensation. Once such biases af- enter a caring occupation, so that
fect wage setting, institutional iner- the last worker hired would be
tia may keep the differences in force willing to do the job for less than
over time. otherwise equivalent jobs. This is a
possibility, but we cannot directly
Intrinsic rewards observe the tastes of the last (or
marginal) worker hired. The
Low wages in caring work could claim that intrinsic rewards may
result from the intrinsic rewards of help explain the care penalty is theo-
care for others. The neoclassical retically plausible but empirically
economic theory of compensating unsubstantiated.10
differentials implies that jobs with Another problemconcerns the cul-
nonwage characteristics that the tural construction of intrinsic re-
marginal worker finds onerous must wards. If women consider caring
offer higher wages. The same theo- work an amenity only because they
retical logic implies that jobs entail- have been socialized to believe that
ing intrinsically satisfying work can, such work is more appropriate or
all else being equal, offer a lower more feminine, this amenity may be
wage. considerably attenuated by changes
Does the amenity of doing caring in social norms. Also, a worker who
work help explain why it pays less?9 initially derives some nonpecuniary
The argument is consistent with but benefits from her job may find that
not necessarily implied by our claim these decline over time but that the
that caring work disproportionately costs of changing occupations are
attracts people with caring motives. prohibitively high. In this instance,
The process of learning a skill often the amenity obviously does not con-
goes hand in hand with developing a tinue to provide compensation for
preference for exercising that skill low pay.
THE COST OF CARING 45
empirical research. This definition means that levels of service and pay
misses something, however. Among for caregivers may depend upon col-
those jobs involving face-to-faceserv- lective action. It would be useful to
ice work, there is considerable varia- study the roles that unions, worker
tion in how important it is to the initiatives, and state regulation play
well-being of the recipient that the in defending standards of care and
caregiver really care about him or higher pay for those doing caring
her. Customers may be happier if a work.
sales clerk, flight attendant, or wait- As Arlie Hochschild (1983) has
ress treats them with genuine kind- emphasized, workers themselves
ness and concern,but they are not de- may feel burdened by the require-
pendent upon such forms of care. ments of emotional labor. How do
The situation is quite different these feelings compare across jobs in
when the recipient of a service is very different places on the care quality
young, ill, or infirm. It matters a continuum? Do workers talk about
great deal whether a child care the need to display affections they do
worker or nurse or home health not genuinely feel? Do they experi-
worker cares about his or her client, ence the opportunity to provide care
because a worker'smotives affect the as a positive or a negative feature of
likelihood of abuse and the overall their job? Are they frustrated when
quality of care. Dependents often do their job environment minimizes
not have the resources or power to their opportunities to develop per-
fire a caregiver they do not like and sonal relationships with their clients
hire another. Third parties who do or patients? Do workers in occupa-
have this power (for example, par- tions higher on this continuum expe-
ents of a child, adult children of an rience more or less burnout?
elder, or the state) cannot continually Thoughtful qualitative research
monitor the caregiver'sperformance. could shed light on these issues.
It would be useful to rank caring There is also a pressing need for
occupations along a continuum de- quantitative research on determi-
fined by the impact that caring mo- nants of the size of the care penalty.
tives may have on the quality of serv- Does caring work pay more when
ices provided. Comparative ethnog- provided to a relatively affluent cli-
raphies of occupations at different entele? Does it pay more when pro-
points on this continuum couldtell us vided to a clientele more able to
a great deal. How exactly do workers' measure its benefits? Statistical
feelings and attitudes affect the cli- analyses that go beyond an analysis
ent's well-being? Are workers with of occupational characteristics to
caring motives successfully matched look at industrial structure and the
with jobs in which these motives composition of consumer demand
matter? What kinds of institutional couldshed some light on these factors.
features and work organization fos- It is also important to go beyond
ter the cultivation of genuinely car- an analysis of the causes of the care
ing motives among workers? The penalty to consider its consequences.
public-good aspect of caring labor Apart from the obvious negative fi-
48 THE ANNALS OF THE AMERICANACADEMY
nancial impact on many women and Weisskopf 1998), which Susan Himmel-
weit (this volume) also emphasizes. Since mo-
workers, there is a risk that the well- tives are not observable,however,we are rely-
being of children, the sick, and the ing on a simpler criterion of service provision
elderly is compromisedby high levels with personal contact here.
of worker turnover and stress result- 4. Our conceptof caring work differs from
ing from low pay for caring labor.The Hochschild'snotion (1983) of emotional labor.
norms and more explicit forms of dis- Forher,emotionalwork involves changing the
emotions of the person who is served and re-
crimination that once restricted quires the workerto display emotions that are
women to caring occupations are often not genuine. We agree that both of these
weakening. In a culture that encour- may occur in caring work, but we do not in-
ages self-interested calculation, the clude them as part of our definition. As a mat-
number of women who choose to en- ter of emphasis, we are more inclined to see
authentic caringmotives where Hochschildfo-
ter caring occupations will probably cuses on the alienation of having to "fake"emo-
decline. Continued commodification tions for pay. Nonetheless, the face-to-face
may both raise the price and lower service occupations that meet our behavioral
the quality of important care serv- definition of caring work are largely the same
ices. occupations Hochschild lists in her appendix
as involving emotional work.
On the other hand, simple resis- 5. Of course, individuals will differ in
tance to commodificationis no solu- what job characteristicsthey considerpositive
tion, and we should be suspicious of and negative and how much the wage needs to
any argument that decent pay de- be increased or could be decreased to keep
means a noble calling. The notion them in the job. Accordingto neoclassical the-
ory, it is the "marginal"worker whose tastes
that women should provide care out determine the penalty or premium that will
of the goodness of their hearts has just "compensate"forthe nonpecuniaryamen-
traditionally reinforced low pay for ity or disamenity (England 1992, 69-72).
caring occupations. We should re- 6. An industry is defined by the productor
ward care work fairly in both the service that the organizationsells or provides,
and an occupation is defined by the function
market and the home. Doing so may the workerperforms.Thus one can be a secre-
require significant changes in the tary, janitor, or manager-three occupa-
way we remunerate all types of work. tions-in the automobile, mining, grocery,or
hospital industries.
7. Sorensen 1994, tab. 2.1, reviews many
Notes studies. See also Steinberg et al. 1986; Eng-
land et al. 1988; Baron and Newman 1989;
1. Some services provided through writ- Parcel 1989;Kilbourneet al. 1994; England et
ten or telephone communicationmight be per- al. 1994; Macphersonand Hirsch 1995; Eng-
sonal enough to qualify as caring work, even land, Reid, and Kilbourne1996. All find nega-
though they are not face-to-face. tive effects of percentage female; two studies
2. The service is something that someone finding no effects of percentage female are
has decided the recipient should have. But Filer 1989 and Tam 1997.
sometimes others may view the worker as en- 8. One differencebetween the two defini-
gaged in social controlrather than care of the tions is that England'sdummyvariable (1992)
client. In principle,we would not want to call requiredthat the recipient of the service be a
the formercaringwork,but it is hard to opera- client or customerof the organization.Jobs re-
tionalize the distinction. quiring service to another employee of the or-
3. Elsewhere, one of us has stressed the ganization (forexample,secretaries to manag-
role of motives in defining caring work (Folbre ers, paralegals to lawyers) were not coded as
THE COSTOF CARING 49
caring work. If this restriction had not been Coleman, James S. 1990. Foundations of
made, coding would have required deciding Social Theory. Cambridge, MA: Har-
whether managers providedservices to those vard University Press.
they supervised. Under some styles of man- Duncan, Greg J. and Bertil Holmlund.
agement, this may have occurred, but Eng- 1983. Was Adam Smith Right After
land's preference(1992) was to keep a cleaner
distinction between authority and caring All? Another Test of the Theory of
work. Using a separate measure of whether Compensating Wage Differentials.
jobs entailed supervisory authority showed Journal ofLabor Economics 1:366-79.
authority to have a positive return. England, Paula. 1992. Comparable
9. The thesis that caring work pays less Worth: Theories and Evidence. New
because it is more satisfying (at least to the York:Aldine.
marginal worker) contrasts sharply with England, Paula, Marilyn Chassie, and
Hochschild'sclaim (1983) that emotional labor Linda McCormick. 1982. Skill De-
is more onerous for virtually all workers than
mands and Earnings in Female and
physical or mental labor because it involves Male Occupations. Sociology and So-
acting, suppressing feelings, and a virtual de-
nial of the self. (She has little to say about the cial Research 66:147-68.
relative pay of emotional labor,however.) England, Paula, Karen Christopher,and
10. Most research on compensating differ- Lori L. Reid. Forthcoming.How Do In-
entials, such as that reviewed previously,re- tersections of Race/Ethnicity and
lies on circularreasoning.It assumes we know Gender Affect Pay Among Young Co-
whether the marginal workerlikes or dislikes horts of AfricanAmericans, European
a characteristic (say, danger of loss of life, be- Americans, and Latino/as? In Race,
cause virtually everyone views this nega-
Gender, and Economic Inequality: Af-
tively), then uses this informationto test the rican American and Latina Women in
theory.Alternatively,it assumes that compen- the Labor Market, ed. Irene Browne.
sating differentials are the only source of oth-
erwise unexplained differences and uses em- New York: Russell Sage Foundation.
pirical findings on what job characteristics England, Paula, George Farkas, Barbara
carry penalties or premiums to discern what Kilbourne,and Thomas Dou. 1988. Ex-
the marginal worker considers an amenity or plaining Occupational Sex Segrega-
disamenity. tion and Wages: Findings from a
Model with Fixed Effects. American
Sociological Review 53(4):544-58.
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50 THEANNALSOFTHEAMERICAN
ACADEMY