‘The Cost of Living Is Astronomical’: Care Workers Describe How Housing and Commutes Strain Health

A qualitative study in Critical Public Health shows how soaring housing costs and fragmented transit push care workers to the edge, with consequences for well-being and the quality of care.

3
520

In a new qualitative study in Critical Public Health, Iffath Unissa Syed of Pennsylvania State University and Rachel da Silveira Gorman of York University, a core member of York’s Mad Studies Hub, trace how rising costs and the housing crisis are impacting care workers.

Drawing on in-depth interviews with care workers, they show how housing costs and transportation barriers drain time and money, narrow margins for rest, and push workers to make hard choices about how to spend each hour with service users.

In this way, political decisions lead directly to rushed mornings and double shifts, creating a constant trade-off between meeting basic tasks and offering relational attention and care.

“Our data reveal that the levels of stress reported from inadequate housing, deficits in income, and problems related to affordability manifest in everyday experiences and lived realities,” they write.

The research by Syed and Gorman allows for an analysis of the quality of care provided as a structural outcome. If we want safer, kinder, more dependable care, they suggest, we have to fund the conditions that make that care possible in the first place.

You've landed on a MIA journalism article that is funded by MIA supporters. To read the full article, sign up as a MIA Supporter. All active donors get full access to all MIA content, and free passes to all Mad in America events.

Current MIA supporters can log in below.(If you can't afford to support MIA in this way, email us at [email protected] and we will provide you with access to all donor-supported content.)

Donate

Previous articleWithdrawal Kit
Next articleHow Chatbots Deepen the Mental Health Crisis
Justin Karter
Justin M. Karter, PhD, leads research news coverage and editorial strategy at Mad in America. He is the Acting Program Director of the PsyD in Clinical Psychology & Psychological Humanities at Boston College and part-time faculty with the Center for Psychological Humanities & Ethics. His scholarship examines historical and cultural formations of mind, subjectivity, and personhood; the roles of activist movements and lived-experience communities, including the consumer/survivor/ex-patient (C/S/X) tradition; and how mental health discourses shape institutions, practices, and identities. He works across mad studies, critical psychology, philosophy of psychology, and rights-based global mental health. Methodologically, he specializes in critical qualitative inquiry and psychotherapy process research grounded in intersubjective and phenomenological approaches. He is the President of APA Division 24 (2025-26) and serves on the Executive Board of Division 32. Previously, he was a Research Officer to the United Nations Special Rapporteur on the Right to Health. He earned his PhD in Counseling Psychology at the University of Massachusetts Boston, where his dissertation examined psychosocial disability advocacy in the global mental health movement. He also holds graduate degrees in Journalism and Community Psychology from Point Park University.

3 COMMENTS

  1. This is literally a nationwide problem, but I guess it only matters that “care workers” are impacted? No mention of how EVERYONE’S health is impacted by chronic stress and creates a higher total “care” burden? I hope “care” in this way doesn’t mean fucking “therapists”.

    Once again we see industry “professionals” displaying their extreme bias toward considering anyone with a degree or institutional authority more important and worth listening to or caring about than any of the millions of people every year they torture and kill.

    Literally, there’s NO other reason “care workers” deserve more focus in a NATIONWIDE (if not near global) problem. Everyone is affected by this, everyone’s health is affected by this, but only the “care workers” matter. Do you not see the harm being done this way when you only frame the problem as “professionals” being too stressed to do their jobs, when the larger problem is that the entire care burden is massively inflated because EVERYONE IS SUFFERING? But the problem is only framed as CERTAIN people suffering.

    TAKE THE FUCKING SOCIAL JUSTICE OFF YOUR TAGLINE

    Report comment

LEAVE A REPLY