Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • 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

We need improved policies, not platitudes, for racialized and gendered frontline workers

Chidi Oguamanam, PhD
Policy
February 28, 2022
Share
Tweet
Share

Since the spring of 2020, COVID-19 has disrupted our social and economic order. One of the unraveling consequences of the historic changes wrought by the pandemic is the grossly uneven gendered and racialized nature of those shouldering the burden. Across all labor and occupational sectors, frontline workers and essential service providers have become sacrificial beasts of burden. They range from retail store employees, waiters, transit providers, farmworkers, meat packers, delivery personnel, to all cadres of service providers at the middle and bottom of the hierarchical pyramid of health care – registered nurses (RNs), practical nurses, personal support workers (PSWs), living-in caregivers and janitors.

Despite the diversity of these occupational and labor categories, they are dominated mainly by Black and other racialized, mainly new immigrant, populations. In the context of the health care sector, the so-called frontline workers are mainly women.

These categories of workers who have proven to be the backbone of our survival through the pandemic are often singled out by politicians and a range of policymakers as “heroes.” There has been no dearth of platitudes directed at them. Citizens also convey their appreciation in platitudes — though, on occasion, some vent their frustrations on these racialized frontline workers too.

There are many moving tales of citizens awed in gratitude, some banging pots (in the early days) and others promoting celebratory acts of communal solidarity over the resilience of our’ front-liners.’ And, of course, these are all for good reason. A decent society owes a lot to those who go to work in a time of crisis and to the risk of their personal safety while the majority is asked to work from home.

Two years into the pandemic, and through its various waves, these platitudes have proven to be convenient and fleeting political jingles. While the essential nature of the work is not contested, the racialized and gendered nature of those who do the essential work has meant the government and society can get away without treating them with the fairness or the justice commensurate with the work they do.

Various pandemic pay premiums directed at the frontline workers quickly fizzled out since the summer of 2020, despite the work remaining difficult and often dangerous with the emergent variants of SARS-CoV-2.

In the case of PSWs in long-term care institutions, the working conditions have continued to deteriorate. Even up to the present Omicron wave of the pandemic, staff shortages remain unaddressed. The working environment is increasingly toxic. Polls show staff motivation to be at an all-time low. PSWs and similar care providers are caught in the middle of making impossible decisions that compromise the quality of client care while exposing caregivers – and their families — to health hazards through no fault of their own.

Guaranteed paid sick leave remains a mirage for many. Reporting sick results in loss of pay – a risky proposition for those who live paycheck-to-paycheck – or they can conceal their sick status and put others at risk; hardly a “real choice.”

After two years, there is no reprieve or shift from the status quo for the racialized and gendered segments of our frontline workers save for fleeting platitudes. For them, discrimination and all forms of intimidation and coercion remain the permanent dish on their workplace menu.

In this second Black History Month of the ongoing pandemic, Canadian governments and the Canadian people need to forgo the opportunist rain of platitudes for our frontline workers. There is urgency for permanent policy changes to protect them. Real recognition of heroism includes legislating for sick pay, pandemic pay, workplace safety measures, and a rate of pay that reflects the intensity and necessity of the work done.

Chidi Oguamanam is a professor of law in Canada.

Image credit: Shutterstock.com

Prev

Acknowledging and mitigating unconscious bias in health care

February 28, 2022 Kevin 2
…
Next

Diabetes impacts the whole body, but the foot can’t be forgotten [PODCAST]

February 28, 2022 Kevin 0
…

ADVERTISEMENT

Tagged as: Public Health & Policy

Post navigation

< Previous Post
Acknowledging and mitigating unconscious bias in health care
Next Post >
Diabetes impacts the whole body, but the foot can’t be forgotten [PODCAST]

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Related Posts

  • An apology to frontline health care workers

    Michele Luckenbaugh
  • Health care workers should not be targets

    Lori E. Johnson
  • What makes health care workers superhuman

    Eric Tian
  • Major medical groups back mandatory COVID vaccine for health care workers

    Molly Walker
  • The epidemic of violence against health care workers

    Marlene Harris-Taylor
  • Physicians are at the frontline of depression

    Michele Luckenbaugh

More in Policy

  • The lab behind the lens: Equity begins with diagnosis

    Michael Misialek, MD
  • Conflicts of interest are eroding trust in U.S. health agencies

    Martha Rosenberg
  • When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding

    Koketso Masenya
  • A surgeon’s late-night crisis reveals the cost confusion in health care

    Christine Ward, MD
  • The school cafeteria could save American medicine

    Scarlett Saitta
  • Native communities deserve better: the truth about Pine Ridge health care

    Kaitlin E. Kelly
  • Most Popular

  • Past Week

    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Surviving kidney disease and reforming patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Antimicrobial resistance: a public health crisis that needs your voice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a fourth year will not fix emergency medicine’s real problems

      Anna Heffron, MD, PhD & Polly Wiltz, DO | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | 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

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Surviving kidney disease and reforming patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Antimicrobial resistance: a public health crisis that needs your voice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a fourth year will not fix emergency medicine’s real problems

      Anna Heffron, MD, PhD & Polly Wiltz, DO | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • 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...