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As the U.S. Elections Approach, We Should All Focus on Care

By Ben Freeman (he/him) | October 25, 2024

The U.S. elections are now less than two weeks away. It’s a time for looking to the future—and placing trust in candidates that we think will best represent our needs going forward.

As our nation decides on a new federal administration and a new Congress, we will rely on our newly elected officials to implement concrete solutions to our growing collective need for care.

The U.S. population of older adults is projected to increase to 88.8 million by 2060—creating ever increasing demand for direct care workers. Meeting demand will require stronger leadership than ever. The stakes have never been higher.

Let’s call on our candidates and elected officials to:

Invest in Quality Jobs

According to a recent PHI analysis, the median hourly wage for all direct care workers is less than $17.00. Combined with high rates of part-time work and unstable schedules, low wages result in median annual earnings of just $25,015 for this workforce—predominantly women, predominantly women of color. Direct care workers must be fairly compensated for their essential contributions as a matter of social justice—and to address significant, growing pressures on workforce recruitment and retention.

Build Care Infrastructure

Demand for nearly 900,000 new direct care jobs will be added between 2022 and 2032. When also considering replacements as workers leave the field, our country will see 8.9 million total job openings in direct care in the same timeframe. We need leaders who are prepared to change the paradigm in order to fill these jobs and secure the care needed by millions of older adults and people with disabilities.

Support Families

Direct care workers provide families with support and respite, helping them maintain their own health, wellbeing, and labor force participation. At every level of government and across the private sector, the United States has committed to supporting family caregivers. Leaders must realize this commitment, in part, by strengthening the direct care workforce.

Strengthen the Economy

Comprising more than 5 million jobs today, the direct care workforce represents the largest U.S. occupation, with the most anticipated growth into the future. Yet nearly half (49 percent) of this workforce relies on some form of public assistance. Investing in direct care wages and job quality is vital to workforce development. It will reduce pressure on Medicaid and other public programs and enhance consumer spending, and thereby benefit our nation’s economy overall.

As countries around the world face aging demographics and a growing demand for care, the next administration will have an opportunity to demonstrate innovation and leadership… or fall further behind.

The bottom line

whether your priority focus as a voter is on care for older adults and people with disabilities, workforce development, the care economy, the economy in general, or equity issues, choose candidates who understand the vital importance of the direct care workforce. From any angle, investing in this workforce must be a priority. As we vote this Election Day,  our country will be best served going forward if we focus on care.

Caring for the Future

Our new policy report takes an extensive look at today's direct care workforce—in five installments.

Workforce Data Center

From wages to employment statistics, find the latest data on the direct care workforce.