this post was submitted on 24 May 2024
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The hardest part of Culix Wibonele’s first job in long-term care was not getting injured.

Originally from Kenya, Wibonele worked as a certified nursing assistant in Atlanta in 2014. She went to the homes of mostly older clients, helping them with everything from bathing to cooking. Wibonele worked alone and sometimes had to lift clients much bigger than her.

It was demanding work and paid only $9 per hour with no benefits. If not for Wibonele’s second job as a babysitter and her husband’s income, they would not have made ends meet while supporting their four children.

“My paycheck, you know, was literally just nothing,” Wibonele said. “I was kind of shocked, like, the amount of work we (were) expected to do and the pay you get at the end.”

Wibonele’s experience reflects broader trends in the long-term care workforce. Those who tend to older adults in settings like private homes and assisted living facilities across the U.S. face low wages and risk of injury while the industry struggles with staff shortages, CNHI News and The Associated Press found as part of an examination of the state of America’s long-term care.

Meanwhile, demand for these workers is rising as the population ages. By 2030, roughly 20% of the U.S. population will be 65 or older, and that share will continue to grow, according to the U.S. Census Bureau.

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[–] [email protected] 43 points 5 months ago (2 children)

The nursing homes near me an absolute minimum of $7000 a month. The food is shite, you have to share a small room, and they're severely understaffed. All the profit goes to the owners and shareholders - and they make that profit by understaffing, under-caring, and under-providing. For-profit healthcare needs to die.

[–] [email protected] 7 points 5 months ago

That's because they expect medicare to foot most of the bill. They price gouge the fuck out of the government. Hooray lack of regulation.

[–] [email protected] 3 points 5 months ago

They also hire staff workers at min wage.

And they expect to also get medical professionals to work for $15-20/hr, where their usual rate is 3-5x that.

[–] [email protected] 35 points 5 months ago (1 children)

What kills me about this is that my mom has been having home care for years now. At the beginning the workers were making $20/hr. Now they're making close to minimum.

I know FULL WELL how much this care costs. The fact that their pay has gone DOWN is the problem, and it's just more enshittification.

[–] [email protected] 8 points 5 months ago (1 children)

Can you hire someone privately rather than through a company?

[–] [email protected] 13 points 5 months ago

Yes, but if your caregiver gets sick, either they have to find coverage while they are sick, or you do on short notice.

With a company, they can reassign someone to fill in with little disruption (theoretically). The reality is, they are struggling with hiring and keeping people for all of the reasons listed in this thread, so even if you hire a company, maybe you will get someone to cover for your regular, or maybe you won't.

[–] [email protected] 28 points 5 months ago

Yeah all these jobs pay minimum wage. It’s no surprise they have a shortage.

[–] [email protected] 27 points 5 months ago (1 children)

Yeah that checks out. I'm not even american but I've got to say every single American healthcare worker I've ever met on Discord is CONSTANTLY and incurably miserable because they work inhumane hours for so little money that they actually can't afford rent anyways. I know someone that spent an entire month doing 10-hour shifts 6 days a week which made him unbelievably sick and exhausted, and by the end of it then his paycheck didn't cover replacing his car's spare tyre. I know someone else who was ordered to come in every single day in the two weeks after her mother died and on the day of the funeral or she would be fired immediately and without recourse, while her boss took his fifth vacation of the year. I know someone who spent seven years studying to be a nurse and their debts are so bad that I've had to talk them out of suicide twice because the job doesn't pay SHIT.

TLDR: Frankly I'm amazed America still has ANY healthcare workers based on the ones I've met. The situation isn't great in a lot of places because medicine can be expensive, but good lord is it truly bad in America.

[–] [email protected] 11 points 5 months ago

Same reason there are still schools in the US. Even public schools have people in charge who make 4x the salary of teachers, while most teachers can't afford to live in the area they teach. The system relies entirely on enough people wanting to make the world a better place and undercutting those people.

[–] [email protected] 24 points 5 months ago (1 children)

Ooh something I can explain. Here where I am at to be a home care health helper I needed to install an app that tracks every move I make on my phone and pings it to the company. They do not provide a device unless you work full time. This requires multiple clients and driving. Plus, expect to be cleaning up every bodily fluid. All this for $14/hr.

I like the job, my client and her family are awesome and that's the only perk to the job. I picked this up to help make ends meet after a job loss; and I have friends for life. I don't really work for them anymore, but I do visit and say hello when I can.

[–] [email protected] 2 points 5 months ago

Plus, expect to be cleaning up every bodily fluid. All this for $14/hr.

This was me and being a teacher.

I can do a fulfilling job that helps the world by teaching, or I can be a code monkey with a fraction of the work and stress for 5x more the salary.

[–] [email protected] 21 points 5 months ago (1 children)

Anecdotally, last time I was looking for a job, these kind of positions were offering about 50% less than the income you need to be considered poor enough to qualify for government assistance - you could work 80 hours a week and still need food stamps.

Nobody wants to hire anymore.

[–] [email protected] 4 points 5 months ago

Nobody wants to hire anymore.

Bingo. You pay for what you get. Cheap bastards.

[–] [email protected] 21 points 5 months ago* (last edited 5 months ago)

Lifting human bodies is hard, especially when they're obese (which many, many older US citizens are morbidly obese).

The people who do these jobs are underpaid and often expected to do the work of lifting large, obese bodies (300+lbs.) without the proper heavy lifting equipment.

The number of people who do these jobs who end up with long-term serious bodily harm like their backs being absolutely fucked up and needing surgery is too damn high.

[–] [email protected] 18 points 5 months ago

They pay for those jobs is absolute garbage.

It's not a labor issue, it's a greed issue.

[–] [email protected] 15 points 5 months ago

“Nobody wants to work anymore!” cry employers only willing to pay slave wages.

[–] [email protected] 11 points 5 months ago* (last edited 5 months ago)

we spend all our money on human killing devices, or their management under the guise of 'defense'. we let billionaires skate by paying no progressive taxes.

of course we cant pay for healthcare workers. healthcare is not a priority for the united states of wage slaves.

[–] [email protected] 3 points 5 months ago* (last edited 5 months ago)

Large corporations pay 0 taxes, something is seriously wrong here. The government has been captured by the rich for years, it must end or society will collapse and we will all suffer. Gated communities will not save you when the shit hits the fan. We need regulations in healthcare and every other industry. The recent Chinese tariffs prove free market capitalism is a bunch of shit.