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Policy Proposals

Expanding access to earned sick leave to support caregiving

By: Nicole Maestas
October 19, 2017
Health Care, Social Insurance
Full Paper
Caregiver smiles with her senior family member

 

The Problem

Nearly one in five Americans will be age 65 or older by 2030. The rapid growth of the older population in the United States will dramatically increase the need for elder care, most of which will be provided at home by family members. Supporting an older person sometimes comes at the cost of leaving the labor force, particularly for caregivers in jobs with an inflexible work schedule.

The Proposal

Maestas proposes a federal earned sick leave mandate guaranteeing one hour of flexible, multi-purpose sick leave for every 30 hours worked, allowing individual states to decide how they will comply with minimum standards. By helping workers periodically adjust their work schedules to accommodate intermittent and urgent caregiving activities, paid sick leave would increase both home caregiving and employment, as fewer workers would be forced to choose between these activities.

Abstract

The rapid growth of the older population in the United States will dramatically increase the need for elder care, most of which will be provided at home by family members. Supporting an older person sometimes comes at the cost of leaving the labor force, particularly for caregivers in jobs with an inflexible work schedule. This paper proposes a federal earned sick leave mandate guaranteeing one hour of flexible, multi-purpose sick leave for every 30 hours worked. By helping workers periodically adjust their work schedules to accommodate intermittent and urgent caregiving activities, paid sick leave would increase both home caregiving and employment, as fewer workers would be forced to choose between these activities.

Full Paperpdf

Contact

Media Inquiries

Marie Wilken
Phone: (202) 540-7738
[email protected]

Author

Nicole Maestas

Associate Professor of Health Care Policy, Harvard Medical School

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