United States (Federal): Care Policy Evaluation 2022

The United States of America (US) is a federal republic with a population of 329.5 million. The political economy of the US is heavily market-oriented and provides a relatively limited set of welfare protections. The female labor force participation rate in the US is estimated to be 55.4% in 2020, much higher than the world average of 45.9%. Although not one of the leading gender-equal countries in the world, the US scores relatively well on the Gender Inequality Index from the United Nations Development Program, with a score of 0.204, where 0 represents complete gender equality.

Meanwhile, the demographics of the country’s paid domestic work sector reflect the entrenched inequalities that continue to exist in gender, race, and class in America. Around 91.5% of domestic workers are female and over half are from minority groups, including African Americans, Asian Americans and Hispanics. 35.1% of domestic workers in the country are foreign-born and over half of these foreign-born workers are not US citizens.

In evaluating caregiver protections in the United States, this country report focuses on evaluating only the federal laws of the United States. State-level regulations were not taken into consideration when scoring the country’s protection for paid and unpaid care providers. At the federal level, the United States scored a 3.41 out of 10 for the GCPI, placing it in the middle of the Emerging band of the index. Its poor performance in both Sub-Index A and Sub-Index B makes it something of an outlier when compared with other high-income countries that tend to have stronger protections for both paid and unpaid care providers. You can access the United States’ country report and technical report here.

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