A group people gathering on the street, holding slogans for patients' rights

Emancipating Intimate Labor in the Care Economy

By Austin McCoy

On December 15, 2011, the Obama administration announced “administration action” to protect the nation’s 1.7 million home care workers. President Obama called for the establishment of minimum wage and overtime standards that all workers recognized in the Fair Labor Standards Act (FLSA) received. These new reforms would virtually eliminate the “elder companion exemption” in the FLSA that Congress established in 1974 which allowed home care employers to continue their exploitation of home care workers.

President Obama delivered this announcement four years after the Supreme Court decided unanimously that the case’s plaintiff Evelyn Coke, and other home care workers, were not entitled to minimum wage protections and overtime pay. Like most home care workers, Evelyn Coke worked long hours for little pay. Coke performed what scholars Jennifer Klein and Elieen Boris call “intimate labor”—she cooked, cleaned, and bathed her clients.[1] Coke worked 24 hour shifts often and she worked decades without receiving benefits. When Coke decided to sue for back pay, the Supreme Court ruled against her, reinforcing the historical stigmatization of intimate labor. Two years later, the home care workers’ movement lost Evelyn Coke. Home care workers are still waiting for Obama’s “administration action” four years after the ruling.

“Born This Way” Or Not: No Justification Required

black and white photo of a group of women doing laundries in a factory

Institutions, Mental Health and Morality

I grew up on Hayling, a small Island off the coast of Hampshire, between the mainland cities of Portsmouth and Chichester. We moved there in 1968. It was a very rural island with several dairy and fruit farms as well as holiday camp physical and mental disabilities– differently abled children.

Night Nurse Nursing

By Sandra Trudgen Dawson

My first job as a State Registered Nurse in mid-1980s Britain was night shift on an Acute Geriatric ward in Portsmouth. The shifts were long—eleven and a half hours—and it was hard, physical work. All sorts of strange things happen at night. At times it felt as though the ward was bewitched—sometime around midnight. Hospital patients who were perfectly sane during daylight hours became confused, frenzied and belligerent after darkness fell. Nakedness, for some reason and for some patients, became an urgent necessity as did climbing over bed rails or side tables. Zimmer frames (walking frames) and walking aids so benign on dayshift, transformed into fencing weapons at night as patients who had bottled up a lifetime of frustration finally let go. Keeping sparing patients apart can occupy nurses for hours at night. Hiding potential weapons does not always help as water jugs and cups can become flying missiles at night. Patients in Britain, unlike the United States, cannot be physically restrained in any way and so “sitting” with an agitated patient is the only action to prevent falls or the accidental maiming of another patient.

What Does Responsibility Have to Do with Reproduction?

By Adam Turner

Genetic counseling, as the previous two posts in this series suggest, has a lot to offer for navigating the tricky decisions things like prenatal testing and preimplantation genetic diagnosis raise. Well, in this post I’d like to make things a little more complicated. Enter the sheer messiness of history. I still believe genetic counseling is the best approach we have right now for helping prospective parents with hard choices, but it has a complicated — and not so distant — past that continues to shape counselors’ ways of interacting with clients.

The Blame Game in Autism

The interwebz have been abuzz this week, debating Moises Velasquez-Manoff’s editorial in the New York Times on autism and immune function. Although Velasquez-Manoff is a little late on the autism/immune function thesis (which has been posited in research projects since at least 2005), it’s his use of autism stereotypes and ableist language that put this article on my radar. It’s the assumption that autism is a sign of a broken or damaged child that has made me question both his interpretation of that thesis and the implications for the families of children with autism – and the autists themselves.

Now It’s Everybody’s Fault

By Adam Turner

Welcome to the second in a series of posts discussing genetics, prenatal testing, and genetic counseling. In this post we’ll be thinking about blame and birth atypicality. Earlier this month the New York Times and other news media reported on the findings of a recent study published in the journal Nature. In some cases, the study suggested, the increased genetic mutations found in older men’s sperm could make it more likely their offspring might develop autism or schizophrenia.

The Baby in the Double Helix

black and white picture, two mothers are learning how to bath their babies in a mother school

Better Babies, Fitter Families, and Toddlers and Tiaras: Eugenics in American History

Once upon a time (about two months ago) a group of academics/activists got together to start Nursing Clio, a collaborative blog project that aimed to engage with historical scholarship as a means to contextualize present-day political, social, and cultural issues surrounding gender and medicine. To be honest with you, dear readers (all 5 of you), in the planning stages I sometimes doubted whether we would have enough present-day material to continue the blog past the first month. What if we ran out of material? What if we said everything we needed to say? I made sure to make a list of emergency blog post ideas just in case we got desperate.

As it turns out, we have never once had to break into the emergency blog post survival kit. Between the North Carolina preacher who invoked the Holocaust in an anti-gay sermon, to the continuing War on Women, to the new movie Hysteria – our gender, medicine, and history cup runneth over, my friends.