Why exactly are nursing aids paid so poorly?

Comments

• Skyrmir@lemmy.world ⁨4⁩ ⁨days⁩ ago

  Daycare is a crazy one. Insanely expensive, yet the workers are damn near indentured servants.

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  • Dettweiler42@lemmy.dbzer0.com ⁨4⁩ ⁨days⁩ ago

    It’s honestly a major contributor to the labor shortage. For anyone with a decent job, it’s significantly cheaper for the spouse to just stay home until the kids are old enough to take care of themselves.

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    • nutcase2690@lemmy.dbzer0.com ⁨4⁩ ⁨days⁩ ago

      Don’t let the media force you to twist your words-- it is not a labor shortage, but a wage crisis.

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    • _spiffy@piefed.ca ⁨4⁩ ⁨days⁩ ago

      We started by doing dual income as an optional lifestyle and the rich saw that they could make more money that way, and then it became mandatory.

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  • SwingingTheLamp@piefed.zip ⁨4⁩ ⁨days⁩ ago

    I read an interview, probably from NPR, but I can’t find it at the moment. The upshot was that caring for infants is insanely expensive, since they need one-on-one care pretty much continuously.

    But parents can’t afford that cost, so, essentially, the price they charge for infant care is a loss-leader, and parents of older children (who need less supervision and thus more favorable staffing ratios) subsidize the cost of caring for infants. Daycare operators are barely keeping afloat.

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    • Eheran@lemmy.world ⁨4⁩ ⁨days⁩ ago

      This is the only answer that is not just a hand waiving “investors bad”.

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    • Quokka@quokk.au ⁨4⁩ ⁨days⁩ ago

      They may require 1-on-1 interaction, but generally the ratio for 0-2’s is 1:4.

      And many childcare companies are owned by huge multi-billion dollar investment firms because they are cash generators.

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    • alsimoneau@lemmy.ca ⁨3⁩ ⁨days⁩ ago

      Feels liké this would be solved with longer parental leave, but what do I know?

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    • Town@lemmy.zip ⁨4⁩ ⁨days⁩ ago

      Are they required to provide for the more costly babies?

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  • slaacaa@lemmy.world ⁨4⁩ ⁨days⁩ ago

    It’s almost like somebody pays the workers much less than the revenues and pockets the difference

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    • Skyrmir@lemmy.world ⁨4⁩ ⁨days⁩ ago

      You would think, but for the most part daycare is a very low profit industry. The problem I think is that all the costs tend to scale with size. So having a lot more clients just means a lot higher costs.

      There are exceptions of course, but all of those that I’ve seen also have some other luxury additions to basic care.

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    • Pyr_Pressure@lemmy.ca ⁨4⁩ ⁨days⁩ ago

      I can’t see it as being a high expenditure business. Majority of spending should be towards rent/mortgage and repair and maintenance. It’s not like there is a lot of consumables or anything. All that money has to go somewhere.

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  • 4am@lemmy.zip ⁨4⁩ ⁨days⁩ ago

    My wife and I had to pay $1600 a month for daycare as things opened up after the pandemic. The teachers there would have made more working at the Burger King across the street.

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    • Tollana1234567@lemmy.today ⁨4⁩ ⁨days⁩ ago

      im not surprised. thats why people dont want to join the services, why bother when you can make more at walmart, target,etc. and they have a higher min wage.

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  • sexy_peach@feddit.org ⁨4⁩ ⁨days⁩ ago

    Run by private equity?

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    • Telodzrum@lemmy.world ⁨4⁩ ⁨days⁩ ago

      No, not really at all. Some of the more expensive ones are, but that’s only because there is a profit margin on the wealthiest kids and aged. The floor for cost of care is ridiculously high for both groups, so there’s no margin to be made at anything below the crème de la crème facilities.

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    • PhatalFlaw@lemmy.world ⁨4⁩ ⁨days⁩ ago

      Most are, the investors need to make their money too! /s

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    • Tollana1234567@lemmy.today ⁨4⁩ ⁨days⁩ ago

      mostly but its a cost-cutting moeasure to avoid paying MD, and RN prices.

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    • Mac@mander.xyz ⁨4⁩ ⁨days⁩ ago

      The responses:

      most are

      no not at all

      🤔

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  • jubilationtcornpone@sh.itjust.works ⁨4⁩ ⁨days⁩ ago

    I’ve served on the board of non-profit daycares and I [vaguely] know at least one person who actually owns a for profit daycare.

    Only a complete idiot would think they were going to make any money on a daycare. The overhead is nuts – even when paying really shitty compensation – and the competition is relentless.

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    • porous_grey_matter@lemmy.ml ⁨4⁩ ⁨days⁩ ago

      What kind of things does the overhead go to?

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  • Telodzrum@lemmy.world ⁨4⁩ ⁨days⁩ ago

    And, here’s the kicker, they’re not even very profitable. This is the case for both for the same reason caring for the elderly and the young is insanely expensive.

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  • Bustedknuckles@lemmy.world ⁨4⁩ ⁨days⁩ ago

    It’s a weird one because it’s a huge expense but it’s also completely concentrated to a subset of the population for a subset of their life. I think it should have a public option. 2 toddlers, not infants, could cost us 50k/year

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• MonkeMischief@lemmy.today ⁨4⁩ ⁨days⁩ ago

  What’s funny in a sad-not-haha way, is that labor for caretaking of small human beings is the enormous untenable driving cost here.

  Parents can’t afford the rates, daycares can’t afford living wages doe the caretakers. This is an endeavor, like many, that the Hand of the Market™ is OBVIOUSLY unsuitable for solving.

  The “funny” part: Parents would gladly do this job for free as they have for centuries and millennia. This problem was already solved, and wouldn’t be an issue if every member of the household wasn’t forced into full-time 40+ hour work plus hunting for side-hustles, and being taken away from their loved ones for most of their waking friggin lives, just to survive.

  How many generations deep are we now? Where so many kids spend so long in daycare from infancy that they never even get to form a decent bond with their own parents? How healthy is that, for anybody, much less larger society?

  “Parenting as a Service” is peak capitalistic hellscape…

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  • gandalf_der_12te@feddit.org ⁨4⁩ ⁨days⁩ ago

    well we have that situation in germany right now where supposedly daycare is good because it allows women to work more hours (full time instead of half time)

    it’s … let me tell you, it’s a shitshow. i have come to understand that the internet is largely a propaganda apparatus. they install the thought in you that a certain way of seeing things is “normal”, because everybody sees it that way. in other words, the other bots or paid influencers (idk which one) that the algorithm then pushes sothat everybody sees it.

    you got 1 crazy person saying things like “actually, we should all work more, i like it, it’s fun” and you know what, they can say that. anyways, that’s 1 person in 1000. then the algorithm pushes it on everybody’s front page sothat now everybody thinks “ah, that’s a normal thing to think”. and since most people follow group-think, that’s now society’s opinion.

    internet exists to cause a shift in public opinion by astroturfing. the illusion that the thought comes from within society organically.

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    • optimisticturtle@lemmy.world ⁨4⁩ ⁨days⁩ ago

      the illusion that the thought comes from within society organically.

      Hmm so I both agree and disagree with you here. Hustle culture arises from societal things here such as hyperindividualism, Puritan work ethic and toxic masculinity that grifters package and push (where I agree with you). But it’s metastasizing from us to you all so it seems alien.

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    • Waterpumpee@lemmus.org ⁨4⁩ ⁨days⁩ ago

      WHO guidelines say children should stay with mother until 3 to bond and go to childcare from 3 to get social skills. But germany only pays up for like 1 yr and even that only limited. Grandparents have to work until they are barely fit enough to help too.

      Makes you wonder, with all those technical advances we have, why we work more and more having worse living conditions down the drain.

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  • JoeBigelow@lemmy.ca ⁨4⁩ ⁨days⁩ ago

    My wife is starting her own home daycare Monday for many of the reasons you listed. Almost a decade at a YMCA run Montessori, ~18/hr.

    And the poor kids! The caregivers are all burnt out by terrible management and shit pay, have no motivation to provide anything beyond the necessities, and God bless them, at least a few spend their own money on supplies to at least try and enrich the time the kids spend there.

    I’m really proud of her, taking a huge step into somewhat unknown water. I know the kids she cares for are going to get so much more value from her, here in her space, on her terms, than they ever would have at the center.

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    • HeyThisIsntTheYMCA@lemmy.world ⁨4⁩ ⁨days⁩ ago

      My wife is starting her own home daycare Monday for many of the reasons you listed. Almost a decade at a YMCA run Montessori, ~18/hr.

      good luck. the regulatory hurdles are not fun, but regulations are written in blood. they don’t go to the trouble of setting regs unless someone had been seriously harmed.

      If you want to keep her employees (if she has any) happy, don’t push the limits of the caregiver:child ratios. I’m not sure what [the amount of money you want to have saved up so your business doesn’t fail] in early childhood education is, but a good rule of thumb is start with 2 years worth of expenses saved as most businesses take at least that long to break even. Restaurants, 5 years.

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    • MonkeMischief@lemmy.today ⁨3⁩ ⁨days⁩ ago

      That sounds daunting but also incredibly noble of her. Prayers and well wishes to both you and your wife, especially in the early days of this endeavor!

      I love hearing about when someone sees a need they can fill in their community and they’re passionate about solving it. That’s so awesome. :)

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  • ZMoney@lemmy.world ⁨4⁩ ⁨days⁩ ago

    The irony is that this causes birth rates to plummet, which eliminates the future workforce for the very companies forcing childcare to be untenable. One of the major contradictions of capitalism is that it does not reproduce its own labor force. I guess the resolution is to replace human workers with AI.

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    • Waterpumpee@lemmus.org ⁨3⁩ ⁨days⁩ ago

      On global level population is still growing. With globalization, companies couldnt care less if a worker is from US or Africa. ChatGPT’s training was supervised by kenia workers for laughable wages.

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    • HeyThisIsntTheYMCA@lemmy.world ⁨4⁩ ⁨days⁩ ago

      no we just need to import workers from outside the environment.

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    • EndlessNightmare@reddthat.com ⁨3⁩ ⁨days⁩ ago

      Society’s hyper-competitiveness to “get an edge” is ultimately self-cannibalizing.

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  • NottaLottaOcelot@lemmy.ca ⁨3⁩ ⁨days⁩ ago

    I agree with you - if you need to pay someone a full time wage to go out and earn a full time wage, the sum will be nearly zero. The same issue applies for long term care facilities where a team of multiple specialized providers is needed to care for someone around the clock. The assumption that care should be cheap implies that care work is less valuable than whatever the worker themself does.

    Much like mail delivery, daycare and elder care would be better as publicly funded services. They can’t necessarily turn a profit, but still need to exist for the betterment of society

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  • grepe@lemmy.world ⁨4⁩ ⁨days⁩ ago

    “Parenting as a Service” is peak capitalistic hellscape…

    bullshit

    these are some strong opinions right there without much substance

    i called my childcare guardians “comrade teacher” and i gladly pay half of my salary for a childcare in the “capitalist dream” now. neither has anything to do with the real reasons why we have childcare nor why it is expensive somewhere or free somewhere else.

    childcare enables parents to do more with their life than just have kids and as such is good both for parents and for the society in general. it also enables children to access early childhood education and community that their parents wouldn’t be able to provide otherwise so - if done right - is also great for the kids.

    but of course, as with everything with life, things can be messed up by the people. parents or teachers can screw up in many different ways or even the whole childcare might be organised for an entirely wrong reason… that doesn’t mean childcare is a bad idea in general.

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    • MonkeMischief@lemmy.today ⁨3⁩ ⁨days⁩ ago

      Woah there, friend. Aren’t we being a little bit aggro here? I’m happy to hear your perspective.

      I never meant to come off that childcare is bad as a concept! That was never the point.

      What I am decrying is the requirement of families being coerced to put their children into a very expensive facility, because if everyone else in the house isn’t working a 5x40+ fulltime job, they can’t afford a reasonable quality of living. THAT is where it’s broken.

      Childcare as an option is fantastic for all the reasons you mentioned. Childcare as “the market raises your children with underpaid and exhausted, overhelmed wageslaves unless you’re insanely privileged” is not cool.

      I’m happy you’ve had a good experience though, and hope we can reach a solution where it’s done right for more folks.

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    • HeyThisIsntTheYMCA@lemmy.world ⁨4⁩ ⁨days⁩ ago

      childcare enables parents to do more with their life than just have kids and as such is good both for parents and for the society in general. it also enables children to access early childhood education and community that their parents wouldn’t be able to provide otherwise so - if done right - is also great for the kids.

      WAIT HOLD ON I GOTTA SHOW THIS TO MY WIFE she’s gonna love you

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  • EndlessNightmare@reddthat.com ⁨3⁩ ⁨days⁩ ago

    “Parenting as a Service” is peak capitalistic hellscape…

    JFC, I could see someone unironically marketing this.

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• Star@lemmy.blahaj.zone ⁨4⁩ ⁨days⁩ ago

  As a nursing aide, it’s because not enough of us are unionized.

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  • JoeBigelow@lemmy.ca ⁨4⁩ ⁨days⁩ ago

    Why would you want to be ionized? Wouldn’t that lead to radiation sickness!?

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    • gandalf_der_12te@feddit.org ⁨4⁩ ⁨days⁩ ago

      nah ionization is an important part of organic chemistry sothat molecules can form new bonds. it’s the basis of metabolism.

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    • HeyThisIsntTheYMCA@lemmy.world ⁨4⁩ ⁨days⁩ ago

      it’s pronunced onionized, not uneyeohnized.

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• Sylvartas@lemmy.dbzer0.com ⁨3⁩ ⁨days⁩ ago

  Sounds like some surplus value generated from labour is being extracted by the people owning the means of production

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• bitofarambler@crazypeople.online ⁨4⁩ ⁨days⁩ ago

  the US lost so many battles against corporate monopolies that now 4 companies own the majority of the US healthcare system qz.com/unitedhealth-cvs-health-insurance-market-s…

  i suggest medical care abroad if you’d like similar or better healthcare at a much lower price.

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  • schipelblorp@sh.itjust.works ⁨4⁩ ⁨days⁩ ago

    Thinking of going abroad for dental implants. An oral surgeon said it used to be an issue with poor-quality knock off parts, but that the manufacturing has gotten really good.

    Countries keep cost low by subsidizing doctors’ education, by the way, which is even more expensive for them when those doctors cash out to come to the US where doctors graduate with a debt of $250,000 from schools where graduation class size hasn’t changed in decades.

    By the by, intensive and indiscrimnate care by specialists–where doctors want to end up instead of low-paid primary care–is definitely more expensive without necessarily leading to better outcomes.

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    • bitofarambler@crazypeople.online ⁨4⁩ ⁨days⁩ ago

      Dental work is my most common healthcare experience abroad. I cannot recommend Thailand enough, especially for dental work, nothing but 5 out of 5 dentistry for me so far.

      3rd-party analyses and patient surveys rating Thailand higher than the US in health care these days are included in the health care abroad link I provided above.

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    • ItCantBeThatEasy@lemmy.world ⁨4⁩ ⁨days⁩ ago

      It needs to be more than education. For instance, I know a county that subsidizes nursing school. But the nurses are paid a terrible salary and many leave to work in higher paying countries.

      If they would just pay their nurses more, they wouldn’t need to subsidize the education and maybe skilled people would stay.

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    • NauticalNoodle@lemmy.ml ⁨4⁩ ⁨days⁩ ago

      Consider Los Algodones Mexico directly across the border from Yuma, Arizona. It’s been known as the ‘Dental Capital of the World’ due to the number of Dentists practices catering to American snowbirds.

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    • MonkeMischief@lemmy.today ⁨4⁩ ⁨days⁩ ago

      Thinking of going abroad for dental implants.

      Just don’t go to Turkey to hit up an Instagram dentist. That stuff is terrifying. <_<

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    • Tollana1234567@lemmy.today ⁨4⁩ ⁨days⁩ ago

      you just have to know which countries, and cities. maybe INDIA, some places in mexico, or thailand. i knew people who went to thailand for dental care.

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  • ZMoney@lemmy.world ⁨4⁩ ⁨days⁩ ago

    I live in Prague. It’s full of Americans who come to do IVF becauee they would rather pay $3,000 than $30,000 for it. They get a nice European vacation too.

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    • bitofarambler@crazypeople.online ⁨4⁩ ⁨days⁩ ago

      that’s great!

      thank you, I’m always interred in hearing firsthand accounts to pass on to all the Americans and travelers who ask me about healthcare in different countries.

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• wpb@lemmy.world ⁨4⁩ ⁨days⁩ ago

  What’s not to understand? The owning class owns the facilities and sets both the prices and the wages, and they will do this in the way that maximally benefits themselves, i.e., maximizes profits. It’s a really, really basic feature of capitalism (yes, also whatever super duper special unicorn flavor of capitalism you think works better than “crony” capitalism)…

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  • luciferofastora@feddit.org ⁨4⁩ ⁨days⁩ ago

    It’s a rhetorical device I forgot the name of. If I say “I don’t understand X”, that will have one of two effects on most people: either they also don’t know, realise that and hopefully get curious, or they do and know the point I’m aiming for. If they offer that explanation, it creates a Socratic approach to making an argument: Framing it as an explanation of a question the rest of the audience is hopefully also curious about.

    You explanation is the second part of the argument.

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• Alwaysnownevernotme@lemmy.world ⁨3⁩ ⁨days⁩ ago

  Nursing homes are often owned by investment trusts who have to pay out to their investors based on profits, so the managers of the trust take it upon themselves to outsource the maintenance, management, and labor to other entities they control. At a healthy upcharge, the menials who perform the tasks associated are not even an afterthought. They work for a faceless corporation that is puppeteered by the same people who own the nursing home, who rents it’s facility from a real estate trust they also own, allowing them to extract as much value as possible from each level of the operation while limiting liability.

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  • TwoBeeSan@lemmy.world ⁨3⁩ ⁨days⁩ ago

    Worked in them for about 7 years.

    You are correct.

    We had one where could never get ANY supplies 1 year in despite a 25k lump sum buy in by residents. even before paying month to month rent.

    My expeince is management will play the “heroes work here” type behavior and take advantage of people’s passion for elderly to then underpay then and mistreat them to the degree they do.

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• buddascrayon@lemmy.world ⁨4⁩ ⁨days⁩ ago

  Why are Walmart employees using food stamps and medicaid when the family that owns Walmart are multibillionaires? It doesn’t make any sense. :\

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  • optimisticturtle@lemmy.world ⁨4⁩ ⁨days⁩ ago

    Gotta keep that overhead low to return value to shareholders. They also use prison labor.

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  • gandalf_der_12te@feddit.org ⁨4⁩ ⁨days⁩ ago

    you’re wrongly assuming that the family that owns walmart has any empathy besides what is required to keep the business running

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• Leviathan@lemmy.world ⁨4⁩ ⁨days⁩ ago

  I feel like half these problems would be fixed if everyone woke up and unionized. Corpos would have no leverage left.

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  • SippyCup@lemmy.world ⁨3⁩ ⁨days⁩ ago

    The Pinkerton agency has entered the chat.

    If you’re curious, yes they’re still around, yes they’re still doing it, and they’re owned by Securitas now.

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• tburkhol@slrpnk.net ⁨4⁩ ⁨days⁩ ago

  Workers feel responsibility for the people under their care. Bosses exploit their guilt over untended people to reduce wages.

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  • henfredemars@infosec.pub ⁨4⁩ ⁨days⁩ ago

    For the same reason, nurses are not fairly compensated for their work.

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• slaacaa@lemmy.world ⁨4⁩ ⁨days⁩ ago

  The answer is capitalism

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  • Rivalarrival@lemmy.today ⁨4⁩ ⁨days⁩ ago

    Chronic Luigi Insufficiency.

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  • FlyingCircus@lemmy.world ⁨4⁩ ⁨days⁩ ago

    And the cure is socialism.

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• Dozzi92@lemmy.world ⁨4⁩ ⁨days⁩ ago

  My friend was the director of a daycare, and she’s leaving because she works 60 hour weeks, has no help from above, and her pay is literally canceled out by sending her kids to camp over the summer. And obviously they won’t pay her more. And she’s the head of the daycare. It’s insane.

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  • Mountainaire@lemmy.world ⁨4⁩ ⁨days⁩ ago

    It’s because private equity capitalists took over daycares, nursing homes, funeral services, and veterinary clinics. They’re leeches on even the most indispensable aspects of society.

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• slaacaa@lemmy.world ⁨4⁩ ⁨days⁩ ago

  Image

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• Glitch@lemmy.dbzer0.com ⁨4⁩ ⁨days⁩ ago

  Private Equity. Capital is the root of all evil

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• sp3ctr4l@lemmy.dbzer0.com ⁨4⁩ ⁨days⁩ ago

  Boomers built an economy based around raping the wealth and futures of their children, to fund their retirement.

  They consistently voted for politicians and policies that would benefit themselves at the expense of everyone else, in basically every economic sector.

  Of course they don’t pay their orderlies well either.

  That would mean their 401ks wouldn’t go up by as much.

  Only now that the most grotesque frontman conceivable is helming the logical conclusion of their mindset turned into policy, are they starting to regret it all.

  The pathological narccisist gerontacry society.

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• minorkeys@sh.itjust.works ⁨3⁩ ⁨days⁩ ago

  How have you been alive long enough to write this post but not see why? People exploit each other for power and wealth and so not care that they hurt people or the suffering they cause. Those best at that are the CEOs and senators and leaders of nations, the most powerful positions there are, are held by psychopaths, sadists and narcissists. They convince us all that fighting back is futile, immoral or illegal. We could topple it all and every day we choose to get a latte and spend another 9 hours grinding away our time on this earth just to stay alive.

  It’s all a fucking scam by rich ppl who are the most capable of the worst kinds of human beings.

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• favoredponcho@lemmy.zip ⁨4⁩ ⁨days⁩ ago

  The parasite class

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• HrabiaVulpes@europe.pub ⁨4⁩ ⁨days⁩ ago

  If you can afford it, it will be exactly that expensive.

  When government of my country passed a bill that gives monthly payouts of X per child to parents who both work and have at least one child, all daycare centers in the country raised their prices by X next month citing inflation.

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  • kunaltyagi@programming.dev ⁨4⁩ ⁨days⁩ ago

    Funny thing: countries where govt cap what can be billed and a min bar on the quality of service and salaries (tied to inflation) fare better than countries where a sum of money is paid out or a sliding scale based on family income is used

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  • Hueristic_Autistic@lemmy.world ⁨4⁩ ⁨days⁩ ago

    It’s still super scummy for them to raise the prices after a bill passed to help struggling families went into effect

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• merc@sh.itjust.works ⁨3⁩ ⁨days⁩ ago

  Vocational Awe

  There are certain jobs that people really want to do. No matter how little the job pays, there will be people willing to do that job. Often these are the most important jobs.

  That’s not a good match for a purely capitalist system where someone can’t survive on their salary. Unions are one way to fight this. Traditionally nurses had strong unions, but these days no union seems to be particularly strong. The other way is for the government to get involved and say that certain jobs are important enough that they get special exemptions from the purely capitalist system. That could mean different minimum wages, special tax exemptions, or all kinds of other things.

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• nerv@fedinsfw.app ⁨4⁩ ⁨days⁩ ago

  And that is why child and elderly care should never leave the public domain.

  These are essential services nowadays; the wide family support that once existed is crumbling.

  Private companies do not care. The company exists to make money and generate profit, at any cost.

  If the accounting of one single entity was made public, it would be horrendous to read. The profit margins are huge, the salary gap between floor personel and executives gargantuan.

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  • aNemesis@lemmy.zip ⁨4⁩ ⁨days⁩ ago

    This is such a low effort response. I worked on the board of Directors for my daughter’s daycare in the US for 8 years. Literally none of this is true. We are a non-profit and our audits are public. Feel free actually look for the accounting for a child or elder care facility and you’ll find plenty of them. You’ll find them anything other than horrendous. They’re boring and exactly what you’d expect them to look like.

    Even without margin as a factor because we’re a non-profit we are still charging as much as my mortgage for an infant.

    This might sound obvious but operating a care facility is expensive. Labor is the driving cost, by far, and what makes it so is legally mandated caretaker ratios. 4 infants per. 6 Toddlers per. 10 children per. Imagine if you were splitting just an infant caretaker’s salary four ways, without benefits or other costs. Literally federal poverty wages would be $700/month for you. Without benefits. Without facilities. Without supplies. Just a person’s full time supervision. And that person would qualify for SNAP benefits.

    While there are definitely orgs focused on investor returns they’re not the root cause. Care is just expensive.

    Don’t get all righteous at the people who dedicate their lives to caring for people in need. Even those in charge of the facilities can be doing it for the right reasons. Look at the government. Why aren’t we supplementing these critical services? In my state Medicare and education are already the top tax expenditures by far. You might be able to shift some $ between priorities but the real answer appears to be that we’re just not funding the government sufficiently for it to do all things for all people. If we don’t take advantage of the scale of government then we’re going to be paying for this stuff out of pocket.

    It’s just expensive no matter how you solve the problem.

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• rexxit@lemmy.world ⁨4⁩ ⁨days⁩ ago

  All this boils down to is that there is nothing more expensive than first-world human labor. Without a doubt, nursing homes are increasingly run by sleazy profiteers, but the reason you can’t easily do better (i.e. find a high-quality nursing home) is because it’s simply expensive to employ enough people, who have sufficient skill and work ethic, to give the elderly care.

  Yes, PE in healthcare is destroying the country in every imaginable way. The answer in this case is more complicated than get the for profit companies out of nursing homes, which is necessary but not sufficient to solve the problem. The scariest thought is that there may be no good solution.

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• Th4tGuyII@fedia.io ⁨4⁩ ⁨days⁩ ago

  Its simple really. The management make all the money, while the workers and customers get shafted

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  • slaacaa@lemmy.world ⁨4⁩ ⁨days⁩ ago

    The owners make the money. Management might be better paid, but they are still workers

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• pelespirit@sh.itjust.works ⁨4⁩ ⁨days⁩ ago

  Because nursing homes are mostly ran by private assholes that only care about making money? Go on the rounds to interview them, the smoke and mirrors are real. It’s like all of healthcare.

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• speaksintv@lemmy.world ⁨4⁩ ⁨days⁩ ago

  For daycare at least, ours and most others in our city got bought out by one company. Even daycares no explicitly renamed after the company fall under its umbrella.

  They raise rates 8% per year and added two new annual fees. Yet they struggle with teacher retention because they don’t pay them hardly anything but charged us $3k/monthf or two kids full time.

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  • iocase@lemmy.zip ⁨4⁩ ⁨days⁩ ago

    Holy shit that’s too much. You could basically hire someone from a foreign country to live in your house full time and nanny your kids for that much.

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• BonesOfTheMoon@lemmy.world ⁨4⁩ ⁨days⁩ ago

  A job that requires wiping bums at any age should be very well paid.

  There was a nurse in my province who killed eight nursing home residents at her job. She just enjoyed doing it. What a tragedy, to have someone use their power over you to kill you when you are most vulnerable.

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• CompactFlax@discuss.tchncs.de ⁨4⁩ ⁨days⁩ ago

  Very simple; the shareholders get value.

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• EgoNo4@lemmy.world ⁨4⁩ ⁨days⁩ ago

  Capitalism

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• Sunflier@lemmy.world ⁨4⁩ ⁨days⁩ ago

  For the paycheck thing: the daycare takes the parent’s entire paycheck because daycare is so expensive because the working class hasn’t gotten a raise in almost 20 years. Providers need the second job because inflation is so high because people are getting what they voted for.

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• GirthBrooksPLO@lemmy.world ⁨3⁩ ⁨days⁩ ago

  Its nearly time for a general strike

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• brownsugga@lemmy.world ⁨4⁩ ⁨days⁩ ago

  “Can’t afford to pay a living wage” means “I can’t afford a yacht if I pay you”

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