Community care policies and gender justice.

The current approach in the United States to the provision of community care to the elderly interacts with the feminized structure of family care-giving to foster inequities for women, who provide the bulk of informal, unpaid care. The central concern of present policies with limiting eligibility and rationing benefits results in policies that reduce the choices of these carers, many of whom are already substantially disadvantaged by their economic position in society. What is necessary for gender justice is development of policies that address the needs and rights of carers and elders by providing necessary supports to families, including, when appropriate, adequate compensation to carers. We argue for an approach that takes into account the relationship of the adequacy of government support and the capacity of individuals to freely choose the caregiving role.