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digitaltreesyesterday at 4:32 PM4 repliesview on HN

I own a Medicaid home care agency in 13 states. We serve low income families and our caregivers, who earn $12-18hr which is higher than minimum wage, absolutely struggle. We have created food banks and housing assistance because even working people are a few sick days or one car repair away from homelessness.

I would encourage you to go work with average Americans in average towns. The facts on the ground are stark and eroding.


Replies

HEmanZyesterday at 5:14 PM

Median income in the US is much higher than $12-18/hr, it is about $30/hr. 25th percentile make $20/hr. 10th percentile make $15.58. https://www.bls.gov/news.release/wkyeng.htm

So, the people you are mentioning making 12-18/hr, are literally below 1 in 4, to less than 1 in 10. These are not “average middle class Americans” except maybe in that higher end. These are low wage earners and are far below “average”.

I mean absolutely nothing normative by this statement, nothing about whether this is good or bad or what we should do policy, socially, whatever. But saying someone making below the 10th percentile is average is like saying someone making $75/hr is average.

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taericyesterday at 5:40 PM

I would fully get behind us paying service providers far more than we do. To wit, it baffles me when people are upset about how much we allocate to pay for services that go to older people, but then we don't do any effort to make sure the services are provided by younger people. Indeed, we seem to go out of our way to make sure the people providing these services are, themselves, low income. It is baffling.

But even this feels like it is overstating things. You say folks are one car repair away from being homeless. And there is a lot of polling that shows people would struggle to pay for repairs. But full on homelessness? I can only assume that you are describing towns/cities that offer no transport assistance at all, that lands people into being so dependent on a car. I believe it, but I struggle to think this is literally half the nation.

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PaulHouleyesterday at 5:00 PM

Someone could interpret that as a lack of capitalism rather than the opposite.

That is, Henry Ford changed the world because he deployed capital to make workers so productive that they could afford to buy the cars they make.

A person paid to do child care in an organization with overhead, who has to pay taxes, etc. is not productive enough to put their own children in child care. So child care fails to revolutionize the world the way the car did.

See https://en.wikipedia.org/wiki/Baumol_effect

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logicchainsyesterday at 4:38 PM

>I own a Medicaid home care agency in 13 states. We serve low income families and our caregivers

There's an extreme selection bias there. If you run an agency that works with low income families you're not going to see a representative sample of the overall population.

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