The ongoing crisis at our southern border is exacerbating another, less visible, one—the crisis in elder and childcare in the United States. With baby boomers aging and more parents of young children working outside the home, our country’s need for non-familial caregivers is skyrocketing. Carework is growing five times faster than any other sector in our economy; in fact, it is set to become the largest paid occupation in the U.S. by next year. While US citizens are not keen to take these jobs, migrants, especially women, are. But the current bottleneck—not just at the border but throughout our immigration system—is slowing down the flow of these vital workers.

“We were all working mothers,” writes American journalist Megan Stack in her recent New Yorker piece about raising two children in India. The women who helped shape her thinking and cleared the way for her writing were migrants who left their own children behind to lovingly care for hers. “We spun webs of compromise and sacrifice and cash, and it all revolved around me—my work, my money, my imagined utopias of one-on-one fair trade that were never quite achieved,” she writes. 

With rapidly aging populations and rising levels of female employment, the United States and other wealthy nations are facing unprecedented demands for non-familial care. These nations vary in their ability to address such demands. Those with more robust welfare states, including publicly supported, high-quality child care and elder care services and facilities, are generally able to meet growing needs for care, while those with weaker welfare states experience severe “care deficits,” leaving families with few alternatives. Increasingly, in the United States and elsewhere in the developed world, families are turning to migrants—usually women—to solve their care dilemmas.

“Caregiving for the young, elderly, sick, and disabled is a necessary part of human existence, but is often undervalued and excluded from policy agendas.” –The Juggling Act of Caregiving: Balancing Career, Health, and Gender Roles

In The Juggling Act of Caregiving: Balancing Career, Health, and Gender Roles, Sarah B. Barnes, Project Director of the Maternal Health Initiative, describes the role of, the trends surrounding, and the challenges associated with caregiving in the United States.

From the parents on whom you depended in the first days after you were born, to the nurses who’ll likely become an ever more frequent fixture of your final years, care — and caregivers — are integral to all of our lives.

Whether it’s thanks to shouldering the majority of unpaid care work, or facing poor conditions in their roles as paid carers, women laboring in the care economy face serious threats to their health.

At long last, my husband and I are empty-nesters. We have always worked in high-pressure jobs, and while the children were young, I put in plenty of non-work hours to care for them and for the household. My husband was unfailingly helpful, but now that our children are grown, I’m ready to renegotiate our “to do” list.

The care economy raises a huge range of problems and opportunities for governments, but one issue that is more or less constant across the world is the uneven distribution of unpaid care work: this tends to fall far more on women.