Is human care considered infrastructure? It’s a big debate in the US right now, after President Joe Biden $ 2.3 billion American employment plan, which aims to repair the country’s dilapidated roads and bridges and strengthen its supply chain, but also to improve the healthcare and childcare system – if you can call the small patchwork America’s baby is a “system”.
Under Biden’s plan, $ 400 billion will be spent on home health care, mainly for the elderly. Another 25 billion dollars will be used to support child care. Nearly all Republicans and some middle-class Democrats are concerned about this expanded infrastructure definition. Should “rebuilding the better” be related to the enhancement of such services? I argue yes, and then a number.
For starters, healthcare is the place to be in the job of the future. Over the next decade, home health and personal care are expected to grow faster than other work categories, according to labor department. That’s partly because the demographics are aging, but it could also be due to a lot of other jobs being automated.
Such a technology-led job disruption will be frustrating for some, but it’s not that bad. In the long run, based on historical experience, technology is the net job creator. But even in the short term, as the economists Charles Goodhart and Manoj Pradhan argue in their book. Huge demographic inversionRich countries “will need all the automation we can get in the rest of the economy to fully improve productivity. . .[and]to compensate for the portion lost when taking care of the aging population ”.
The care jobs will be what remains at the end of the socioeconomic spectrum. However, doing well, they can release more productivity at the top. The McKinsey Global Institute estimates that better health results could add $ 12 billion to global GDP by 2040 – much of it will come from improving the productivity of existing workers with health problems or in charge of care.
Women in particular have many benefits from investing more in the “care economy”. Like Jay Powell, Chairman of the US Federal Reserve, to speak recently, the US “used to lead the world in female labor force participation rates, a quarter of a century ago, and we don’t do that anymore. It could just be [our childcare] policies left us behind ”.
Women also take an additional hit while locking the phone. Overall, they’ve done a disproportionate part between child care and housework (don’t get me started on the mental health effects of that). They are also more likely to be fired. As well as the $ 25 billion in Biden’s infrastructure bill for childcare center upgrades, there is $ 39 billion much more for those interested in children in the Covid relief package. In an ideal world, this would expand and improve care tasks, while also allowing better educated women to take on more productive roles.
As with $ 100 billion going to schools, such investments will improve human resources. Increasingly, this is the only kind of capital that matters, as digital business simply doesn’t require as much physical capital as the old economic companies. The United States should also allow companies to eliminate investments in worker training and other investments in people, as they currently do in machines. This is something that nearly every business and labor leader I know will support.
Done properly, investing more in care infrastructure can drive innovation. In part, the White House is concerned about the supply chain manufacturing in general drives more innovation and productivity than other sectors. But as production continues to automate, it will never create as many jobs as it once did, no matter how the supply chain is organized or whether they will resume.
Can the concerned economy fill that job gap? Experts like Harvard economist Gordon Hanson, who studies the interactions between the labor market and their locations, say that in some places it’s possible. “Areas with better resilience tend to have good universities or healthcare complexes that can act as job engines,” Hanson said.
Does it seem unrealistic to imagine that a nursing home or childcare center could have been an innovation hub like a large factory or an R&D complex? However, some were.
Consider places like the Cleveland Clinic, a nonprofit medical center that integrates hospital and clinical care with research and education. Theme by Harvard Business School case studyIt has become the home of domestic and international job creation but is also at the center of cutting-edge innovation in areas such as drug and device development as well as medical procedures. This is in large part thanks to leveraging big data, digital platforms, and robots, but also through multidisciplinary activity inside and outside the clinic.
At the very least, more investment in health and education will drive the kind of social capital that is typical of successful communities. We need more than that right now, everywhere. Only 1.5% of them World Bank Concessional Grants for health care and only 1.9% for education.
In rich and poor countries, investment is still mainly focused on physical capital. It’s time to realize that, perhaps more than any other form, human capital is the infrastructure of the 21st century.