“Nancy Folbre and her colleagues have crafted an integrated, far-ranging, and incisive analysis of the contours, meaning, and possible solutions to the mounting care work crisis. A group of stellar contributors offers a treasure trove of information and ideas about how to define, measure, and value care work in all its myriad and often hidden forms. It is an understatement to say that For Love and Money is essential for anyone who cares about care work. Even more, any serious effort to address the care vacuum facing market societies should begin with this book.”
—Kathleen Gerson, New York University

“For Love and Money is a rich and innovative examination of the broad care landscape, including both paid and unpaid care, in the United States. The authors look at care work in depth and in breadth—from child care to care of people with disabilities and frail older adults. They draw a picture of care work as an activity in which all participate and all benefit. This inclusive perspective should inform public policy in the future.”
—Carol Levine, United Hospital Fund

“Based on a successful interdisciplinary effort, For Love and Money synthesizes and then moves well beyond—both theoretically and empirically—earlier analyses of care work. Rejecting the conventional frame that separates love and money, the authors insist on and convey the connections and similarities between paid and unpaid care. Making giant steps towards delineating a new paradigm, the book intelligently considers issues of definition, measurement, motive, amount, form, and value of care work as well as clearly lays out the inadequacies of current policies that address it. The authors show the ways care work is shaped by gender inequality and make a convincing case that gender equality depends on improved care provision. Wide-ranging yet careful, For Love and Money should become a key resource for scholars, activists, and policymakers concerned with helping Americans of all ages get the care we need.”
—Naomi Gerstel, University of Massachusetts Amherst

As women moved into the formal labor force in large numbers over the last forty years, care work – traditionally provided primarily by women – has increasingly shifted from the family arena to the market. Child care, elder care, care for the disabled, and home care now account for a growing segment of low-wage work in the United States, and demand for such work will only increase as the baby boom generation ages. But the expanding market provision of care has created new economic anxieties and raised pointed questions: Why do women continue to do most care work, both paid and unpaid? Why does care work remain low paid when the quality of care is so highly valued? How effective and equitable are public policies toward dependents in the United States? In For Love and Money, an interdisciplinary team of experts explores the theoretical dilemmas of care provision and provides an unprecedented empirical overview of the looming problems for the care sector in the United States.

Drawing on diverse disciplines and areas of expertise, For Love and Money develops an innovative framework to analyze existing care policies and suggest potential directions for care policy and future research. Contributors Paula England, Nancy Folbre, and Carrie Leana explore the range of motivations for caregiving, such as familial responsibility or limited job prospects, and why both love and money can be efficient motivators. They also examine why women tend to specialize in the provision of care, citing factors like job discrimination, social pressure, or the personal motivation to provide care reported by many women. Suzanne Bianchi, Nancy Folbre, and Douglas Wolf estimate how much unpaid care is being provided in the United States and show that low-income families rely more on unpaid family members for their child and for elder care than do affluent families. With low wages and little savings, these families often find it difficult to provide care and earn enough money to stay afloat. Candace Howes, Carrie Leana and Kristin Smith investigate the dynamics within the paid care sector and find problematic wages and working conditions, including high turnover, inadequate training and a “pay penalty” for workers who enter care jobs. These conditions have consequences: poor job quality in child care and adult care also leads to poor care quality. In their chapters, Janet Gornick, Candace Howes and Laura Braslow provide a systematic inventory of public policies that directly shape the provision of care for children or for adults who need personal assistance, such as family leave, child care tax credits and Medicaid-funded long-term care. They conclude that income and variations in states’ policies are the greatest factors determining how well, and for whom, the current system works. Despite the demand for care work, very little public policy attention has been devoted to it. Only three states, for example, have enacted paid family leave programs.

Paid or unpaid, care costs those who provide it. At the heart of For Love and Money is the understanding that the quality of care work in the United States matters not only for those who receive care but also for society at large, which benefits from the nurturance and maintenance of human capabilities. As care work gravitates from the family to the formal economy, this volume clarifies the pressing need for America to fundamentally rethink its care policies and increase public investment in this increasingly crucial sector.

NANCY FOLBRE is professor of economics at the University of Massachusetts, Amherst.

“Parents’ socioeconomic status affects later child outcomes in all of the advanced nations studied in this fascinating book, but nowhere is this relationship stronger than in the United States. How can we make children’s life chances more equal without interfering with the rights of parents and the efficiency of the economy? This book does not provide all of the answers but it contains a wealth of data and analysis with important implications for both research and policy. From Parents to Children is a tour de force.”
—Isabel Sawhill, senior fellow, The Brookings Institution

“Intergenerational transmission of resources and rewards has gained more interest with the increase in income inequality during the last thirty years. In this book a number of first-rate scholars review how outcomes depend on various conditions in childhood. The role of parental socioeconomic and educational resources as well as that of societal institutions, like child care and schools, is studied for several countries in America and Europe. This broad perspective gives every reader, regardless of prior knowledge, an increased understanding of the mechanisms through which parental advantage is transferred to children.”
—Robert Erikson, Stockholm University

Does economic inequality in one generation lead to inequality of opportunity in the next? In From Parents to Children, an esteemed international group of scholars investigates this question using data from ten countries with differing levels of inequality. The book compares whether and how parents' resources transmit advantage to their children at different stages of development and sheds light on the structural differences among countries that may influence intergenerational mobility.

How and why is economic mobility higher in some countries than in others? The contributors find that inequality in mobility-relevant skills emerges early in childhood in all of the countries studied. Bruce Bradbury and his coauthors focus on learning readiness among young children and show that as early as age five, large disparities in cognitive and other mobility-relevant skills develop between low- and high-income kids, particularly in the United States and the United Kingdom. Such disparities may be mitigated by investments in early childhood education, as Christelle Dumas and Arnaud Lefranc demonstrate. They find that universal pre-school education in France lessens the negative effect of low parental SES and gives low-income children a greater shot at social mobility. Katherine Magnuson, Jane Waldfogel, and Elizabeth Washbrook find that income-based gaps in cognitive achievement in the United States and the United Kingdom widen as children reach adolescence. Robert Haveman and his coauthors show that the effect of parental income on test scores increases as children age; and in both the United States and Canada, having parents with a higher income betters the chances that a child will enroll in college.

As economic inequality in the United States continues to rise, the national policy conversation will not only need to address the devastating effects of rising inequality in this generation but also the potential consequences of the decline in mobility from one generation to the next. Drawing on unparalleled international datasets, From Parents to Children provides an important first step.

JOHN ERMISCH is professor of family demography at Oxford University.

MARKUS JäNTTI is professor of economics at the Swedish Institute for Social Research, Stockholm University.

TIMOTHY M. SMEEDING is director of the Institute for Research on Poverty, University of Wisconsin-Madison.

CONTRIBUTORS: Silke Anger, Lars Bergman, Erik Bihagen, Paul Bingley, Anders Bjorklund, Jo Blanden, Bruce Bradbury, Massimiliano Bratti, Lorenzo Cappellari, Miles Corak, Emilia Del Bono, Kathryn Duckworth, Christelle Dumas, Greg J. Duncan, Olaf Groh-Samberg, Robert Haveman, John Jerrim, Jan O. Jonsson, Ilan Katz, Katja Kokko, Arnaud Lefranc, Henning Lohmann, Anna-Liisa Lyyra, Katherine Magnuson, Molly Metzger, John Micklewright, Carina Mood, Martin Nybom, Frauke H. Peter, Patrizio Piraino, Lea Pulkkinen, Gerry Redmond, John Roemer, Sharon Simonton, C. Katharina Spiess, Jane Waldfogel, Eizabeth Washbrook, Niels Westergard-Nielsen, James A. Wilson, Kathryn Wilson.

"In the last decade, the growing body of research by sociologists and economists showing that advantages in one generation are inherited by the next has clearly filtered through to policymakers who now consider economic mobility to be an important policy objective. Persistence, Privilege, and Parenting breaks new ground by probing deeper into the various factors over the life course that contribute to differences in intergenerational mobility across countries. The work in this volume advances our knowledge and will contribute to policy discussions going forward."
-BHASH MAZUMDER, senior economist, Federal Reserve Bank of Chicago

"This eye-opening collection of papers on cross-national research on social mobility is an invaluable contribution to the literature. It is no exaggeration to say that it is a must-read volume for students of stratification and the family."
-FRANK F. FURSTENBERG, Zellerbach Family Professor of Sociology, University of Pennsylvania

"That growing up poor does not mean one's children will be poor is a source of pride in America, 'the land of opportunity.' But how does intergenerational mobility in education and income in the United States stack up against mobility in other advanced industrialized countries? What are the sources of differences across countries in rates of intergenerational mobility? What roles do public policies and social institutions play in leveling the playing field in particular countries? Making use of rich recent data from a variety of countries, Persistence, Privilege, and Parenting addresses these questions and provides striking and compelling evidence with important implications for debates about public tax and expenditures policies."
-RICHARD J. MURNANE, Thompson Professor of Education and Society, Harvard Graduate School of Education

Americans like to believe that theirs is the land of opportunity, but the hard facts are that children born into poor families in the United States tend to stay poor and children born into wealthy families generally stay rich. Other countries have shown more success at lessening the effects of inequality on mobility—possibly by making public investments in education, health, and family well-being that offset the private advantages of the wealthy. What can the United States learn from these other countries about how to provide children from disadvantaged backgrounds an equal chance in life? Making comparisons across ten countries, Persistence, Privilege, and Parenting brings together a team of eminent international scholars to examine why advantage and disadvantage persist across generations. The book sheds light on how the social and economic mobility of children differs within and across countries and the impact private family resources, public policies, and social institutions may have on mobility.

In what ways do parents pass advantage or disadvantage on to their children? Persistence, Privilege, and Parenting is an expansive exploration of the relationship between parental socioeconomic status and background and the outcomes of their grown children. The authors also address the impact of education and parental financial assistance on mobility. Contributors Miles Corak, Lori Curtis, and Shelley Phipps look at how family economic background influences the outcomes of adult children in the United States and Canada. They find that, despite many cultural similarities between the two countries, Canada has three times the rate of intergenerational mobility as the United States—possibly because Canada makes more public investments in its labor market, health care, and family programs. Jo Blanden and her colleagues explore a number of factors affecting how advantage is transmitted between parents and children in the United States and the United Kingdom, including education, occupation, marriage, and health. They find that despite the two nations having similar rates of intergenerational mobility and social inequality, lack of educational opportunity plays a greater role in limiting U.S. mobility, while the United Kingdom’s deeply rooted social class structure makes it difficult for the disadvantaged to transcend their circumstances. Jane Waldfogel and Elizabeth Washbrook examine cognitive and behavioral school readiness across income groups and find that pre-school age children in both the United States and Britain show substantial income-related gaps in school readiness—driven in part by poorly developed parenting skills among overburdened, low-income families. The authors suggest that the most encouraging policies focus on both school and home interventions, including such measures as increases in federal funding for Head Start programs in the United States, raising pre-school staff qualifications in Britain, and parenting programs in both countries.

A significant step forward in the study of intergenerational mobility, Persistence, Privilege, and Parenting demonstrates that the transmission of advantage or disadvantage from one generation to the next varies widely from country to country. This striking finding is a particular cause for concern in the United States, where the persistence of disadvantage remains stubbornly high. But, it provides a reason to hope that by better understanding mobility across the generations abroad, we can find ways to do better at home.

TIMOTHY M. SMEEDING is director of the Institute for Research on Poverty and Distinguished Professor of Public Affairs at the University of Wisconsin–Madison.

ROBERT ERIKSON is professor of sociology at the Swedish Institute for Social Research, Stockholm University.

MARKUS JANTTI is professor of economics at the Swedish Institute for Social Research, Stockholm University.

CONTRIBUTORS: Jo Blanden, Miles Corak, Lori J. Curtis, Matthew Di Carlo, Greg J. Duncan, Robert Erikson, John Ermisch, Gøsta Epsing-Andersen, David B. Grusky, Robert Haveman, Markus Jäntti, John Jerrim, Jan O. Jonsson, Ariel Kalil, Bertrand Maître, John Micklewright, Carina Mood, Brian Nolan, Fabian T. Pfeffer, Shelley Phipps, Reinhard Pollak, Chiara Pronzato, Timothy M. Smeeding, James P. Smith, Kjetil Telle, Sander Wagner, Jane Waldfogel, Elizabeth Washbrook, Christopher T. Whelan, Kathryn Wilson, Kathleen M. Ziol-Guest, Julie M. Zissimopoulos

“Shattering Culture is a fine book, organized around a tightly constructed theme but taking advantage of the authors’ widely varying perspectives and professions. It carefully examines the mantra of ‘cultural competence.’ While valuing different cultural frameworks and emphasizing the need to understand patients from their own perspective, the authors show how some elements of respect for diversity must be rethought in the face of hard realities of running a health care system. The message is sensitive, sensible, and energizingly bold.”
—JENNIFER L. HOCHSCHILD, Harvard University

“Shattering Culture humanizes the struggle to provide culturally-grounded health care to a patient population that refuses to fit neatly into our tidy conceptual boxes. Drawing from their own insider and outsider perspectives, the editors and authors deliver an unusually empathic yet critical analysis of the various players and practices that interact to shape patient care—for better and for worse. Beautifully written, and brimming with rich, ethnographic details, this volume explodes static formulations of cultural competence, and shows us just how much more work we have to do. A remarkable achievement.”
—DORIS F. CHANG, New School for Social Research

“This volume shines a fresh and brilliant light on contemporary culture and American healthcare. Shattering Culture is essential reading for the social and medical sciences and particularly for the fields of global health, medical anthropology/sociology, internal medicine, psychiatry, psychology, and public health. The immediacy of the problems tackled here (precisely how does culture ‘count’?) is demonstrated with compelling qualitative materials that empirically display intimate clinician-patient encounters under the press of ‘checkbox medicine/psychiatry.’ This book takes an utterly fearless look into the chasm of cultural complexity and provides the foundation for innovation in the provision of healthcare.”
—JANIS H. JENKINS, University of California, San Diego

"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women’s health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today’s culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive.

Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual “recognition”—patients who can express their concerns and clinicians who validate them. In the book’s final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients.

Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.

MARY-JO DELVECCHIO GOODis professor of social medicine at Harvard Medical School and teaches in the Department of Sociology at Harvard University, in addition to being a faculty affiliate of the Asia Center, the Center for Middle Eastern Studies, and the Weatherhead Center for International Affairs.

SARAH S. WILLEN is assistant professor of anthropology at the University of Connecticut.

SETH DONAL HANNAH is lecturer on sociology at Harvard University.

KEN VICKERY is director of external fellowships at the University of Illinois, Urbana-Champaign.

LAWRENCE TAESENG PARK assistant professor of psychiatry at Massachusetts General Hospital.

CONTRIBUTORS: Antonio Bullon, Joseph D. Calabrese,  Elizabeth Carpenter-Song,  Sadeq Rahimi, Lisa Stevenson, Marina Yaroshenko.  

"One does not often apply the term 'landmark' to an edited volume, but this volume is a major exception to the rule. Whither Opportunity? is one of the most important compendia we have, for it examines in detail and from all conceivable angles the power of class to determine the developmental fate of America's children. From this volume, we learn that children in communities experiencing unemployment do worse in school even if their own families are safe from its reach; that test score gaps by income are larger and growing faster than the gaps between black and white; that expenditures by high-income families on enrichment of all kinds are vastly larger than what low-income families can afford. All of this adds up to a new and troubling examination of the ways in which income inequality is pressing the nation's children, youth, neighborhoods, schools, and families. I don't often use the overworked phrase, 'must read,' but it most definitely applies to this book."
-KATHERINE S. NEWMAN, James B. Knapp Dean of Arts and Sciences and professor of sociology, Johns Hopkins University

"Almost all Americans state that they are in favor of equal opportunity for the next generation. But the lip service stops there. Whither Opportunity? systematically and forcefully follows low- and high-income children through the life course from birth through their labor-market outcomes. The authors suggest that at every stage in the life course low-income children have worse outcomes than do higher-income children, leading to a highly polarized future society. The myriad of studies summarized here offer compelling evidence that if we as a nation really believe in equality of opportunity, we must intervene early and often in low- income children's lives and in the schools they attend, while also addressing the rising inequality that is ultimately giving well-to-do children every advantage possible and harming low-income children. This book will be a reference source on child development, inequality, and schools for years to come. I urge you to read it and then become active in social change to better the situation of low-income children in America."
-TIMOTHY M. SMEEDING, director, Institute for Research on Poverty, and Distinguished Professor of Public Affairs and Economics, University of Wisconsin, Madison

As the incomes of affluent and poor families have diverged over the past three decades, so too has the educational performance of their children. But how exactly do the forces of rising inequality affect the educational attainment and life chances of low-income children? In Whither Opportunity? a distinguished team of economists, sociologists, and experts in social and education policy examines the corrosive effects of unequal family resources, disadvantaged neighborhoods, insecure labor markets, and worsening school conditions on K-12 education. This groundbreaking book illuminates the ways rising inequality is undermining one of the most important goals of public education—the ability of schools to provide children with an equal chance at academic and economic success.

The most ambitious study of educational inequality to date, Whither Opportunity? analyzes how social and economic conditions surrounding schools affect school performance and children’s educational achievement. The book shows that from earliest childhood, parental investments in children’s learning affect reading, math, and other attainments later in life. Contributor Meredith Phillip finds that between birth and age six, wealthier children will have spent as many as 1,300 more hours than poor children on child enrichment activities such as music lessons, travel, and summer camp. Greg Duncan, George Farkas, and Katherine Magnuson demonstrate that a child from a poor family is two to four times as likely as a child from an affluent family to have classmates with low skills and behavior problems – attributes which have a negative effect on the learning of their fellow students. As a result of such disparities, contributor Sean Reardon finds that the gap between rich and poor children’s math and reading achievement scores is now much larger than it was fifty years ago. And such income-based gaps persist across the school years, as Martha Bailey and Sue Dynarski document in their chapter on the growing income-based gap in college completion.

Whither Opportunity? also reveals the profound impact of environmental factors on children’s educational progress and schools’ functioning. Elizabeth Ananat, Anna Gassman-Pines, and Christina Gibson-Davis show that local job losses such as those caused by plant closings can lower the test scores of students with low socioeconomic status, even students whose parents have not lost their jobs. They find that community-wide stress is most likely the culprit. Analyzing the math achievement of elementary school children, Stephen Raudenbush, Marshall Jean, and Emily Art find that students learn less if they attend schools with high student turnover during the school year – a common occurrence in poor schools. And David Kirk and Robert Sampson show that teacher commitment, parental involvement, and student achievement in schools in high-crime neighborhoods all tend to be low.

For generations of Americans, public education provided the springboard to upward mobility. This pioneering volume casts a stark light on the ways rising inequality may now be compromising schools’ functioning, and with it the promise of equal opportunity in America.

GREG J. DUNCAN is distinguished professor in the Department of Education at the University of California, Irvine.

RICHARD J. MURNANE is Thompson Professor of Education and Society at the Harvard Graduate School of Education.

CONTRIBUTORS:  Joseph G. Altonji, Elizabeth O. Ananat,  Emily Art,  Martha J. Bailey,  Don Boyd,  Harry Brighouse,  Julia Burdick-Will,  Vilsa E. Curto,  Susan M. Dynarski,  George Farkas,  Roland G. Fryer Jr.,  Frank F. Furstenberg,  Anna Gassman-Pines,  Lisa Gannetian,  Christina M. Gibson-Davis,  David Harding, Michael Hout,  Meghan L. Howerd,  Brian A. Jacob,  Alexander Janus,  Marshall Jean,  Neeraj Kaushal,  David S. Kirk, Jeffrey Kling,  Hamp Lankford,  Phillip B. Levine, Tamara Wilder Linkow,  Susanna Loeb,  Jens Ludwig,  Katherine Magnuson,  Richard K. Mansfield,  Charles A. Nelson III, Meredith Phillips, Stephen W. Raudenbush,  Sean F. Reardon,  Matthew Ronfeldt,  Brian Rowan,  Robert J. Sampson, Amy Ellen Schwartz,  Patrick Sharkey,  Margaret A. Sheridan,  Leanna Stiefel,  Megan M. Sweeney,  Jacob L. Vigdor,  Jane Waldfogel,  Christopher Winship,  Jim Wyckoff. 

To purchase this title on Amazon, please click here.

A Volume in the American Sociological Association’s Rose Series in Sociology

In 1996, President Bill Clinton hailed the “end of welfare as we know it” when he signed the Personal Responsibility and Work Opportunity Act. The law effectively transformed the nation’s welfare system from an entitlement to a work-based one, instituting new time limits on welfare payments and restrictions on public assistance for legal immigrants. In They Say Cutback, We Say Fight Back, Ellen Reese offers a timely review of welfare reform and its controversial design, now sorely tested in the aftermath of the Great Recession. The book also chronicles the largely untold story of a new grassroots coalition that opposed the law and continues to challenge and reshape its legacy.

While most accounts of welfare policy highlight themes of race, class and gender, They Say Cutback examines how welfare recipients and their allies contested welfare reform from the bottom-up. Using in-depth case studies of campaigns in Wisconsin and California, Reese argues that a crucial phase in policymaking unfolded after the bill’s passage. As counties and states set out to redesign their welfare programs, activists scored significant victories by lobbying officials at different levels of American government through media outreach, protests and organizing. Such efforts tended to enjoy more success when based on broad coalitions that cut across race and class, drawing together a shifting alliance of immigrants, public sector unions, feminists, and the poor. The book tracks the tensions and strategies of this unwieldy group brought together inadvertently by their opposition to four major aspects of welfare reform: immigrants’ benefits, welfare-to-work policies, privatization of welfare agencies, and child care services. Success in scoring reversals was uneven and subject to local demographic, political and institutional factors. In California, for example, workfare policies created a large and concentrated pool of new workers that public sector unions could organize in campaigns to change policies. In Wisconsin, by contrast, such workers were scattered and largely placed in private sector jobs, leaving unions at a disadvantage. Large Latino and Asian immigrant populations in California successfully lobbied to restore access to public assistance programs, while mobilization in Wisconsin remained more limited. On the other hand, the unionization of child care providers succeeded in Wisconsin – but failed in California – because of contrasting gubernatorial politics. With vivid descriptions of the new players and alliances in each of these campaigns, Reese paints a nuanced and complex portrait of the modern American welfare state.

At a time when more than 40 million Americans live in poverty, They Say Cutback offers a sobering assessment of the nation’s safety net. As policymakers confront budget deficits and a new era of austerity, this book provides an authoritative guide for both scholars and activists looking for lessons to direct future efforts to change welfare policy.

ELLEN REESE is associate professor of sociology at the University of California, Riverside.

An insightful chronicle of the changing public health demands in New York City.

The first permanent Board of Health in the United States was created in response to a cholera outbreak in New York City in 1866. By the mid-twentieth century, thanks to landmark achievements in vaccinations, medical data collection, and community health, the NYC Department of Health had become the nation’s gold standard for public health. However, as the city’s population grew in number and diversity, the department struggled to balance its efforts between the treatment of diseases—such as AIDS, tuberculosis, and West Nile Virus—and the prevention of illness-causing factors like lead paint, heroin addiction, homelessness, smoking, and unhealthy foods. In Epidemic City, historian of public health James Colgrove chronicles the challenges faced by the health department since New York City’s mid-twentieth-century “peak” in public health provision. This insightful volume draws on archival research and oral histories to examine how the provision of public health has adapted to the competing demands of diverse public needs, public perceptions, and political pressure.

Epidemic City analyzes the perspectives and efforts of the people responsible for the city’s public health from the 1960s to the present—a time that brought new challenges, such as budget and staffing shortages, and new threats like bioterrorism. Faced with controversies such as needle exchange programs and AIDS reporting, the health department struggled to maintain a delicate balance between its primary focus on illness prevention and the need to ensure public and political support for its activities. In the past decade, after the 9/11 attacks and bioterrorism scares partially diverted public health efforts from illness prevention to threat response, Mayor Michael Bloomberg and Health Commissioner Thomas Frieden were still able to pass New York’s Clean Indoor Air Act restricting smoking and significant regulations on trans-fats used by restaurants. This legislation—preventative in nature much like the department’s original sanitary code—reflects a return to the nineteenth century roots of public health, when public health measures were often overtly paternalistic. The assertive laws conceived by Frieden and executed by Bloomberg demonstrate how far the mandate of public health can extend when backed by committed government officials.

Epidemic City provides a compelling historical analysis of the individuals and groups tasked with negotiating the fine line between public health and political considerations. By examining the department’s successes and failures during the ambitious social programs of the 1960s, the fiscal crisis of the 1970s, the struggles with poverty and homelessness in the 1980s and 1990s, and in the post-9/11 era, Epidemic City shows how the NYC Department of Health has defined the role and scope of public health services for the entire nation.

JAMES COLGROVE is associate professor in the Center for the History and Ethics of Public Health at Columbia University’s Mailman School of Public Health.

Read an interview with James Colgrove here.

An in-depth look at the challenges undocumented immigrants face as they raise children in the U.S.

“Making It Work combines the precision of scientific experiments with the breadth of ethnographic methods to yield a penetrating picture of low-income mothers working at low-wage jobs while struggling to raise their children. Here we find the specific job-related factors, including work schedules and wage levels and changes that have impacts on both the mother’s and children’s well-being. The implications for public policy are enormous.”
—RON HASKINS, Brookings Institution

“Making It Work provides a much needed examination of the role that parents' employment plays in the developmental pathways of children in working poor households. It shows us that the working poor are a diverse group that experiences many different trajectories through the labor market, each of which imposes different pressures (and positive impacts) on kids. For parents who see upward mobility that is stable, the news is fundamentally good, particularly if child care is consistent and high quality. But parents who cannot provide a stable environment for their children see the opposite outcome: their kids are troubled in school and at home. No one dimension of work supports or family characteristics explains these outcomes. Instead, the authors show convincingly that ‘it takes a web’ of supports to pull children through in good shape, the kind of supports that the New Hope experiment provided in Milwaukee. This volume is an eye-opening examination of the nexus of work and child-rearing. The careful research design, the combination of survey data and ethnographic observation, and the judicious treatment of the research results combine to make it required reading for anyone who is serious about the long-term prospects for the children of the poor.”
—KATHERINE S. NEWMAN, Princeton University

“In the wake of welfare reform, many low-income mothers have gone to work. Making It Work provides numerous insights, based on both quantitative and qualitative evidence, into the circumstances under which work does or does not benefit low-income mothers and their children. It suggests that with the right supports—wage supplements, child care, and reliable transportation in particular—many of these mothers can be successful with positive benefits for their children as well. What is needed is a national commitment to provide the kind of supports that these mothers had as voluntary participants in a carefully evaluated demonstration program in Milwaukee during the 1990s.”
—ISABEL V. SAWHILL, Brookings Institution
 

There are now nearly four million children born in the United States who have undocumented immigrant parents. In the current debates around immigration reform, policymakers often view immigrants as an economic or labor market problem to be solved, but the issue has a very real human dimension. Immigrant parents without legal status are raising their citizen children under stressful work and financial conditions, with the constant threat of discovery and deportation that may narrow social contacts and limit participation in public programs that might benefit their children. Immigrants Raising Citizens offers a compelling description of the everyday experiences of these parents, their very young children, and the consequences these experiences have on their children’s development.

Immigrants Raising Citizens challenges conventional wisdom about undocumented immigrants, viewing them not as lawbreakers or victims, but as the parents of citizens whose adult productivity will be essential to the nation’s future. The book’s findings are based on data from a three-year study of 380 infants from Dominican, Mexican, Chinese, and African American families, which included in-depth interviews, in-home child assessments, and parent surveys. The book shows that undocumented parents share three sets of experiences that distinguish them from legal-status parents and may adversely influence their children’s development: avoidance of programs and authorities, isolated social networks, and poor work conditions. Fearing deportation, undocumented parents often avoid accessing valuable resources that could help their children’s development—such as access to public programs and agencies providing child care and food subsidies. At the same time, many of these parents are forced to interact with illegal entities such as smugglers or loan sharks out of financial necessity. Undocumented immigrants also tend to have fewer reliable social ties to assist with child care or share information on child-rearing. Compared to legal-status parents, undocumented parents experience significantly more exploitive work conditions, including long hours, inadequate pay and raises, few job benefits, and limited autonomy in job duties. These conditions can result in ongoing parental stress, economic hardship, and avoidance of center-based child care—which is directly correlated with early skill development in children. The result is poorly developed cognitive skills, recognizable in children as young as two years old, which can negatively impact their future school performance and, eventually, their job prospects.

Immigrants Raising Citizens has important implications for immigration policy, labor law enforcement, and the structure of community services for immigrant families. In addition to low income and educational levels, undocumented parents experience hardships due to their status that have potentially lifelong consequences for their children. With nothing less than the future contributions of these children at stake, the book presents a rigorous and sobering argument that the price for ignoring this reality may be too high to pay.

HIROKAZU YOSHIKAWA is professor of education in Harvard University’s Graduate School of Education.

Read an RSF interview with Yoshikawa here.

Offers two extended essays by two eminent social scientists on trusteeship and foundation management. The first essay, by Dr. Moore, reflects the author's long interest in the relations between the economy and the society. He examines trusteeship as a combination and interrelation of three main principles: custodial relations, lay control, and the law of trusts. Dr. Young's essay, the longer and more pragmatic of the two, applies these principles to the actual management of philanthropic foundations. Dr. Young draws upon his experience as a president of two social science foundations in his discussion of both the old and new "proprietary" foundations.

DONALD R. YOUNG is at Rockefeller University.

WILBERT E. MOORE is at the Russell Sage Foundation.