Silenced complaints, suppressed expectations: the cumulative effects of home care rationing.

摘要: In many Western welfare jurisdictions, publicly provided home care is being eroded and its provision increasingly individualized. These shifts are of a particular significance for older women, group whom supportive has been an important buttress against the social physical jeopardies old age. A longitudinal, qualitative study such women in Ontario, Canada, spanned implementation managed competition period rapid privatization service rationing. Study participants experienced cuts and, stemming from precarious employment conditions workforce, inconsistent providers. changes generated distress, insecurity, isolation participants' lives. This article explores how their complaints about insufficient were silenced: by fear, hopelessness, cultural injunction to put stoic selfless face on limitations Their accounts reveal large material discursive state restructuring come penetrate identity, feeling, speech. examination silencing complaint at care's front lines reveals cumulative effects rationing; it also illuminates how, if heard, users' voices can inform collective struggles resist degradation reposition people relation state.