Troubling Gifts of Care: Vulnerable Persons and Threatening Exchanges in Chicago's Home Care Industry.

By tracing the transformations of troubling exchanges in paid home care, this article examines how differently positioned individuals strive to build caring relations within potentially restrictive regimes of care. In paid home care in Chicago, older adults and their workers regularly participate in...

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Publicado en:Medical Anthropology Quarterly Vol. 28; no. 4; pp. 599 - 616
Autor principal: Buch, Elana D.
Formato: Artículo
Publicado: Wiley-Blackwell Dec2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        au: Buch, Elana D.
        affil: Department of Anthropology, University of Iowa
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        United States
        Exchange
        Abuse of older people
        Ethics
        Home care services
        Corruption
        Home care services laws
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          Exchange
          Abuse of older people
          Ethics
          Home care services
          Corruption
          United States
          Services for the Elderly and Persons with Disabilities
          Offices of all other health practitioners
          Offices of All Other Miscellaneous Health Practitioners
          Home Health Care Services
          Home care services laws
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      ab: By tracing the transformations of troubling exchanges in paid home care, this article examines how differently positioned individuals strive to build caring relations within potentially restrictive regimes of care. In paid home care in Chicago, older adults and their workers regularly participate in exchanges of money, time, and material goods. These gifts play a crucial role in building good care relationships that sustain participants' moral personhood. Amid widespread concern about vulnerable elders, home care agencies compete in a crowded marketplace by prohibiting these exchanges, even as they depend on them to strengthen relationships. Supervisors thus exercise discretion, sometimes reclassifying gift exchanges as punishable thefts. In this context, the commodification of care did not lead to the actual elimination of gift relations, but rather transformed gift relations into a suspicious and troublesome source of value.
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    language: English
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