Abstract

The conceptual and policy challenges of caring are complex in the multiple and shifting contexts of increased corporatism, cracks that have become canyons in health care and social services, shifting attitudes towards entitlements and obligations in society and in families, and shifts in Canada's policy stances on caring as its post-war welfare state apparatus is rapidly dismantled. Concerns about care, who provides it and under what models, are central to the reconstruction project in which Canada is presently engaged as the central tenets on which collective and individual care and caring were built, are transformed. The task of this paper is to examine the challenges, specifically in home care for the frail elderly, along three interwoven dimensions: 1) Canada's approaches and presumptions as seen through comparisons with select other similar countries; 2) various models of home-based care in relation to social interactions, exchanges and identity construction in gender contexts; and 3) unanswered questions about caring for frail elders that frame a new typology for home care analyses. The proposed typology looks at rights and obligations of caregivers and care-receivers in both public and private realms, dependency and risks, commodification and familization of care, and changes in demographic and generational contexts.

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