Home care workers, clients deserve better from state

State budget cuts are driving poorly paid home care workers over the financial edge, while depriving their clients of needed services. It's time to look at the special-interest tax breaks that contribute to the difficulties.

Home care worker Glenda Faatoafe helps a client.

SEIU Healthcare 775NW

Home care worker Glenda Faatoafe helps a client.

For years, our state’s 43,000 poorly paid home care workers have lived right on the edge of insolvency. Now, harsh new rounds of state budget cuts threaten to push them over that edge entirely.

Home care workers care workers do an important — and difficult — job. They assist vulnerable low-income seniors and people with disabilities to stay in their homes by helping them dress, clean, bathe, eat, shop, and remember to take their medications. For this work they are paid an average of $10.37 per hour, with the terms set by a contract with the state. While they are publicly funded, unlike state employees they have no pension and can purchase health care only for themselves — not for their families.

That low wage level is more than $3 per hour less than a living wage, and leaves very little margin for these workers. Yet since 2009 home care hours have been arbitrarily slashed by an average of 15 percent (including a 10 percent cut that went into effect on Jan. 1) with some vulnerable seniors losing more than 25 percent of the help they require. If these cuts in home care stand, the consequences for highly vulnerable seniors in need of assistance — and for the workers who provide their care — will be nothing short of devastating.

A new report titled “Who Cares?” documents the results of extensive research into the plight of Washington’s home care workers. Based on surveys and focus groups of more than 1,500 workers, it finds that home care workers are little better off than the poor clients they serve. Some of the results are little short of shocking:

  • More than 30 percent of home care workers, nearly 13,000 people and their families, live below the federal poverty line. Their average family income for these workers is a mere $11,579 a year.
  • Others do a little better, but the average household income for care workers is well below $30,000 per year.
  • Unsurprisingly, many report that they cannot even meet their basic needs at the end of every month.
  • In fact, fully 19 percent — nearly one in five — are forced to rely on public assistance like food stamps or subsidized housing, a number that has doubled since 2005.

Imagine how much more difficult it is to care for a seriously ill senior or person with disabilities when you are not sure how you are going to be able to feed your own kids that night? Imagine how these workers feel when our state’s voters overwhelmingly passed an initiative requiring adequate training for home care workers, yet the legislature ignored the will of the voters and never provided the funding? Is it any wonder, given how little we seem to value the important contribution these workers provide in helping those in need, that the turnover rate for home care workers now ranges between 34 percent and 57 percent a year?

With our elderly population projected to double by 2030, the need for skilled care workers is going to rise rapidly. But with home care wages falling further and further behind inflation, and already limited benefits being sharply reduced — these workers receive no paid time off for sickness or other emergencies, and health care premiums for many have risen by 50 percent -- we are going to find it nearly impossible to recruit and train the thousands of dedicated individuals we need to take on this work.

As the economy has nosedived, a lot of people seem to be looking for scapegoats. Public-sector workers have come under relentless attack, even though the real blame for our current economic woes rest squarely at the feet of Wall Street titans. Home care workers are not state employees, but they are publicly funded workers, and they have demonstrated a willingness to do their part. In January, these workers agreed to a new contract that includes concessions reducing state costs by $35 million over the next two years, or 65 percent of the gains awarded in the contract awarded by an arbitrator in November, but the state continues to slash their hours.

The pain of our current budget problems needs to be distributed evenly. It’s simply not right that we demand low-wage workers and low-income seniors and others with disabilities tighten their belts, or give up the care they need, when we ask nothing of wealthy corporate interests.

We even continue to give out a $100 million a year special tax break to the same out-of-state banks that created the current economic mess, even as those banks report record profits. That alone would be enough to restore the cuts to home care, and protect a system that used to be recognized as a model for the nation. There are currently 567 special interest tax breaks on the books in Washington state, with more added every year.

That is nonsensical, and this tendency in Olympia to cater to wealthy interests at the expense of working people needs to change. Otherwise, balancing our state budget will not be an exercise in shared sacrifice. Rather, it will amount to little more than class warfare directed at those least able to absorb the blow.


About the Author

David Rolf is president of SEIU Healthcare 775NW, which represents home care workers in Washington state.

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Comments:

Posted Wed, Feb 9, 6:43 a.m. Inappropriate

It sounds like Mr. Rolf needs to have his union decertified by the home care workers, they obviously are paying dues to an ineffective organization. What exactly is the benefit of the union to the workers? The article states they are making $3.00 an hour less than a living wage, that would mean they need to make around $15.00 an hour to make a living wage. If the workers were not paying union dues, they could enter the open market and get paid what the market will sustain. If we eliminate illegal aliens in the workforce, the wages will rise for these workers and there will be more money in the system to pay for their services.

Cameron

Posted Wed, Feb 9, 8:45 a.m. Inappropriate

I sometimes wonder how long it will take for the oppressed in the US to rally and revolt like they did in Egypt. How much more of a burden can the lower class (and the middle class) take before they break. Also, if karma is real, I can only hope that the special interest groups and the bank executives grow old with no one to take care of them. My apologies for sounding so negative but it is getting really tiresome hearing about things like this everyday.

GoMoJo

Posted Wed, Feb 9, 3:39 p.m. Inappropriate

Washington state's knowingly vicious reduction of home-health-care workers' paychecks is of a kind with yesterday's 55-45 vote in Tacoma and Pierce County to radically downsize an already inadequate local mass transit system.

Both are part of Moron Nation's carefully orchestrated, maliciously escalating war against lower-income people.

Not only is this war a calculated effort to shift the blame for economic collapse from its Wall Street perpetrators to its Main Street victims; its infinitely darker purpose is the elimination of people who are no longer exploitable for capitalist profit – all of us who are elderly, disabled or permanently unemployed.

In the Big Lie of "American democracy” – which in bitter truth is government by a monolithic, increasingly tyrannical oligarchy that until recently hid behind the deceptive facades of two seemingly rival parties – the death camps that characterized Nazi Germany are of course forbidden. But the same genocidal result – albeit more slowly (though without the public embarrassment of barbed wire or the irritating stench of crematoria) – is easily achieved by abandonment and neglect.

And since the ideology of Moron Nation and its creeds of theocratic Christianity all define poverty as entirely the fault of the poor, there's no effective outcry at the mounting death toll. These days – more often than not – there's actually applause, whether from the politicians or an electorate cunningly agitated ever closer to lynch-mob fury.

That's why we now witness the not-so-subtle re-branding of health care, transit and even public education as “welfare.” Whenever a governmental function is portrayed as a subsidy for the undeserving, it is easily ended forever – the result ever more lower income people savaged by ultimately fatal abandonment and neglect.

Such is the increasingly undeniable agenda behind the harsh new social-Dawrinist paradigm of governance in the United States: absolute power and unlimited wealth for the oligarchs, total subjugation and genocidal poverty for all the rest of us.

Posted Wed, Feb 9, 3:42 p.m. Inappropriate

CORRECTION: my last graf should read: Such is the increasingly undeniable agenda behind the new social-Darwinist paradigm of governance...

Posted Sun, Feb 13, 4 p.m. Inappropriate

The real problem is that SEIU has cut off it's own left hand. How can you represent the home care workers who are some of the lowest paid people in the health care system while SEIU 1199 members, who work for the government are the highest paid classifcation working in the social service system.

I think a decertification is likely the only way these people can get a fair wage. SEIU is not obligated nor does it follow any of the AFL_CIO rules. I question how the orgainization can be called a union? There is a book I was looking at a book review called "The devil Knocking at my door" about organizing campain run by SEIU it looks like interesting reading.

SEIU has had so many problems that the general public is now believing that all unions are bad. I only have hope and faith to rely on these days as I watch my house and other things slip away, and I have not lost my job. Everyday I try my hardest to do what is best for the public I serve and can only hope and pray when the wash comes out I can still take came of myself and my child.

windhrk

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