Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Care is no longer personal. Care is political.

Eva Kittay, PhD
Policy
September 17, 2020
Share
Tweet
Share

Care.

I do not believe we have ever heard more about care at a presidential nominating convention than in this year’s Democrat convention. “Patriotism,” “justice,” “bravery,” “strength”?  For sure.  But “care”? Scarcely a word. Yet we now hear that the role of the president is to “care about and for the people” he governs.

Socrates spoke of the task of a ruler to care for his subjects as the shepherd who cares for his flock. But in contemporary America, such words would seem more religious than civic. In our democracy, care is for the home and hospital, the nursing home and the nursery — not the political arena.

In politics, we call on workers and warriors, not caregivers. I’ve spent a lifetime studying the philosophical grounding of the notion of care, of why care falls to women, and why we so rarely hear it spoken of publicly. I’ve never seen the subject of my work laid out so clear for so many.

What has changed?

The answer, of course, is that the pandemic has shone a stark, public light on the essential need for care in the life of a nation.  Now more than 200,000 Americans are projected to die by the end of September, not as war casualties, but as casualties of the failure of care in all its permutations: caring for, caring about, giving care, receiving care, taking care, taking care of and health care.

Caregivers, whether they be health professionals or direct-care workers, are now heroes. Caregivers are the new warriors.

Take care! That’s how we say good-bye these days.  But without good information and unless others take care, we can’t even take care of ourselves. Now people in the millions are sickened. When the sick suffer and die alone, when we have to stay away from people we love not because we don’t care but because we do, conceiving of our society as a mere collection of independent individuals sounds so hollow.

Human infants have a very long period when they need to be cared for — when they are totally dependent. We experience periods of outright dependency throughout our lives: when we are very ill, when we reach our last years, when we are injured through accidents or experience a disability that requires steady and constant assistance. For a few, such as my daughter, Sesha, who has PURA Syndrome — a lifelong condition that includes intellectual disability, epilepsy, and physical disabilities — that dependence is life-long. Without exceptional care, she could not have the rich and wonderful life she has.

For the rest of us, the move away from dependence is not truly independence either. Instead, we become inter-dependent. We are dependent on the farmers, the truckers, the grocers, and so on for the food on our plate — and they likewise are dependent on us.  Yet the webs of dependence and interdependence that keep us alive fade into the background of our consciousness, permitting us the illusion of independence. They are as imperceptible as the musical scores that sustain the narrative of a film.

But these webs are built and maintained by invisible workers.  Like the infrastructure of the bridges, transit systems, and highways, the infrastructure of care makes our lives go well or badly depending on its strength, not ours own alone.

The pandemic has taught us how tenuous those systems of care are that sustain us all, no matter how lucky we otherwise may be.  When our own lives are not in crisis, we fail to see how our neglect, self-absorption, distain for others weakens the structure as a whole.

Traditionally, women have done the majority of the caring, spinning threads of connection from their own selves, uncompensated by the marketplace. As women engage as well in the labor market, they are still largely responsible for the care of their families. But none of us can raise a child on our own.  And mothers have never been the sole carers: fathers, grandparents, and social institutions that educate, entertain, and foster the growth and development for children have been indispensable partners in care.

To care for dependents, the carer must be cared for, both for the sake of her charge and for her own sake. Without such basic infrastructure, we have anxiety, confusion, and chaos.

Contagion knows no independent individuals.  Its boundaries are not the boundaries of our skin. It relies on the inevitable sociality of human beings. But our vulnerability is also our defense: bonds of care minimize, and can even defeat, the power and reach of COVID-19.

Care must move out of the private domain, out of the recesses of hospital rooms and nurseries, nursing homes, and day-care centers. We seem to recognize now that a leader of a nation is entrusted with its care.

Care is no longer personal. It never was. Care is political.

Eva Kittay is a philosopher and author of Love’s Labor: Essays on Women, Equality, and Dependency (Routledge) and Learning from My Daughter.

Image credit: Shutterstock.com

Prev

A COVID-19 vaccine is not the magic solution to ending this pandemic

September 17, 2020 Kevin 0
…
Next

Patients without traditional support systems, and the doctors who stereotype them [PODCAST]

September 17, 2020 Kevin 0
…

Tagged as: Public Health & Policy

< Previous Post
A COVID-19 vaccine is not the magic solution to ending this pandemic
Next Post >
Patients without traditional support systems, and the doctors who stereotype them [PODCAST]

ADVERTISEMENT

More by Eva Kittay, PhD

  • Legal challenge from Disability Rights Texas may have repercussions in schools across the country

    Eva Kittay, PhD
  • Persons with intellectual disabilities forgotten in the COVID-19 pandemic

    Eva Kittay, PhD

Related Posts

  • How social media can help or hurt your health care career

    Health eCareers
  • Why health care replaced physician care

    Michael Weiss, MD
  • Health care workers need policy changes, not just applause

    Yuemei (Amy) Zhang, MD
  • Health care is not a service commodity

    Peter Spence, MD, MBA
  • Why health care fails to deliver better value in patient care

    Kristan Langdon, DNP and Timothy Lee, MPH
  • Health care workers should not be targets

    Lori E. Johnson

More in Policy

  • How expiring ACA enhanced premium tax credits hurt business

    Kelly Berry
  • Bridging the gap in rural dementia care with technology

    Rachel Milke and Roshni Raj
  • Why physicians must lead the design of artificial intelligence in health care [PODCAST]

    The Podcast by KevinMD
  • Medicine and the United Nations Sustainable Development Goals

    Olumuyiwa Bamgbade, MD
  • Preventing diabetic lower limb amputation with AI and offloading

    Adwait Chafale
  • How Medicare’s MIPS impacts skilled nursing facilities and clinicians

    Steve Buslovich, MD
  • Most Popular

  • Past Week

    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • Confronting the reality of bullying in medicine today

      Muhamad Aly Rifai, MD | Physician
    • The clinical evidence and reality of peptide therapy

      Shiv K. Goel, MD | Meds
    • The physician-in-triage model and rapid evaluation in emergency medicine

      Marilyn McCullum, RN | Conditions
    • Living with numbness after mastectomy: the unseen impact on survivorship

      Emily Hansen | Conditions
    • Safety-net dentistry restores human dignity for patients recovering from severe addiction [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
  • Recent Posts

    • Safety-net dentistry restores human dignity for patients recovering from severe addiction [PODCAST]

      The Podcast by KevinMD | Podcast
    • How patient portal message volume drives physician burnout

      Candice Elam, DNP | Conditions
    • The second victim label ignores patient safety reality

      Timothy Lesaca, MD | Physician
    • How the hidden war in medicine affects young doctors

      Amr Ehab, MD | Physician
    • Is HPA axis dysregulation causing your chronic insomnia?

      Shiv K. Goel, MD | Conditions
    • The hidden risk of protein deficiency in bariatric surgery

      Kevin Huffman, DO | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • Confronting the reality of bullying in medicine today

      Muhamad Aly Rifai, MD | Physician
    • The clinical evidence and reality of peptide therapy

      Shiv K. Goel, MD | Meds
    • The physician-in-triage model and rapid evaluation in emergency medicine

      Marilyn McCullum, RN | Conditions
    • Living with numbness after mastectomy: the unseen impact on survivorship

      Emily Hansen | Conditions
    • Safety-net dentistry restores human dignity for patients recovering from severe addiction [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
  • Recent Posts

    • Safety-net dentistry restores human dignity for patients recovering from severe addiction [PODCAST]

      The Podcast by KevinMD | Podcast
    • How patient portal message volume drives physician burnout

      Candice Elam, DNP | Conditions
    • The second victim label ignores patient safety reality

      Timothy Lesaca, MD | Physician
    • How the hidden war in medicine affects young doctors

      Amr Ehab, MD | Physician
    • Is HPA axis dysregulation causing your chronic insomnia?

      Shiv K. Goel, MD | Conditions
    • The hidden risk of protein deficiency in bariatric surgery

      Kevin Huffman, DO | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...