At the Progressive Alternative, our initiative to broaden the vision and restore the integrity of the Democratic Party, we mention “humanizing the caring economy” as one of our planks:
We need to return to our heritage of participatory direct care. We should support projects that humanize the support for our sick, imprisoned, young, old, mentally ill, and destitute. The third-party bureaucracies that we currently pay to unburden us from responsibility towards one another should be supplemented with a culture of widespread participation in direct care for each other.
Inspired by a recent episode of the podcast Invisibilia about how one town in Belgium uses participatory care to treat those with mental illnesses, I just published an essay explaining what we mean by this idea:
Those on the margins of our conception of “normal life” — the physically and mentally ill, the imprisoned, the very young, the very old, the destitute, the displaced — used to be wholly and directly cared for by their families and neighbors. In recent centuries, three trends changed this: (1) old models of family (e.g. multi-generational households) and community (e.g. caring about your neighbors) began to change; (2) we developed public standards of care that cast light on the failures of local, organic systems to adequately care for those in need; and (3) we developed modern state and commercial bureaucracies capable of funding, engineering and providing care.
However, in transitioning away from a model of participatory and community care and towards an institutionalized and bureaucratized model of care — one managed by a mix of professional experts and mistreated, low-wage workers — we lost many of the benefits of the old model. If we can develop systems that supplement the current model of care with more opportunities for community members to participate in their neighbors’ care, we could preserve the benefits of our current model while salvaging the benefits of the old. Not only would those being cared for be helped by more organic, neighborly relationships; those doing the caring would also be served by re-engaging in our most human practice: caring for each other. Even more, our anxieties stemming from the “abnormal” elements in our own personal and family lives would lessen as the normal abnormalities of life move out of the managed shadows. The solidarity and understanding of a shared, sacred project replaces the fear and isolation of a universal, shameful secret.
Read the full essay — Towards Participatory Care — here at the Progressive Alternative.