Effects of Care Leave and Family Social Policy: Spotlight on the United States

Date01 September 2019
DOIhttp://doi.org/10.1111/ajes.12293
AuthorTracey Freiberg
Published date01 September 2019
Effects of Care Leave and Family Social
Policy: Spotlight on the United States
By Tracey Freiberg*
absTracT. Consistent with Pope Francis’s efforts to eradicate social
exclusion, most countries in the world have already adopted care leave
policies in an effort to reduce the conflict between being an employee
and being a caregiver. Care leave policies allow workers time off for
family or for self-care. Historically, care leave policies such as maternity
leave are viewed as an employee benefit akin to short-term disability
leave, providing job-protected time off for new mothers. This study
reviews the literature of the short- and long-run economic and societal
effects of care leave policies globally, with a specific focus on care leave
policies in the United States. Care leave produces positive labor market
and health outcomes, including increases in leave taking, improvement
in replacement wages, improvements to profitability and employee
morale, increases in female workforce participation and continuity,
increases in birth weight, and decreases in infant mortality. Despite
positive effects, labor market inequalities such as decreases in female
labor market participation rates, gender wage gaps, and occupational
segregation are often promoted by care leave policies. The conflicted
findings in care leave research muddle the anticipated effects of paid
care leave but allow room for alternative policy recommendations.
Introduction
Work is defined as paid work and welfare policies that permit, encourage,
or discourage the decommodification of labor. (Lewis 1992)
The increased participation rates of women in the 20th and 21st cen-
turies have definitively shifted household income structures and insti-
gated a cultural change, thus establishing a more diverse workforce.
American Journal of Economics and Sociology, Vol. 78, No. 4 (September 2019).
DOI: 10.1111/ajes.12293
© 2019 American Journal of Economics and Sociology, Inc.
*PhD Candidate in the Milano School of Policy, Management, and Environment at The
New School. Ms. Freiberg is an Assistant Adjunct Professor of Economics at the Peter J.
Tobin School of Business at St. John’s University. Professionally, she has over 10years
of experience in insurance, financial services, consulting, research, and academia.
1010 The American Journal of Economics and Sociology
In 2018, 48.4 percent, or approximately 1.35 billion, women over the
age of 15 were employed globally (International Labour Organization
2018). As the workforce became larger and more diverse, the needs
of workers expanded.
In 2019, modern firms employ a variety of compensation and bene-
fit plans to promote profitable and efficient businesses. Governments,
by contrast, enact policies and regulations that are intended to equal-
ize workers and ensure their right to work. Employee benefits and
policy interventions are a start in that direction. When governments
combat what Pope Francis calls an “economy of exclusion,” that does
not just mean eliminating barriers to participating in the economy. It
often means building pathways to facilitate and support participation.
For workers who also have significant roles as caretakers, this means
supporting their dual responsibilities. One pathway is care leave, a
social policy solution to help address a changing modern workforce
that is not incentivized by wages alone.1
Moving from an “economy of exclusion” to an inclusive economy,
as envisioned by Catholic social thought, means more than just elim-
inating the laws and structures that prevent full participation in the
economy. It often means providing support for participation. For ex-
ample, it is not enough to remove laws that prevent one group from
acquiring an education; an infrastructure must be built to provide a
high-quality education to those previously excluded. The dramatic
increase in women’s participation in the labor market started with re-
moving many barriers to women working, but new measures are still
required to provide for the caregiving roles that are a normal part of
living in a modern family.
For caretakers, care leave policies encompass the group of pol-
icies that offer time off to provide care for a family member or for
self-care.2
Such policies seek to act as an increase in compensa-
tion—incentivizing workers to raise productivity and, ultimately, to
increase profitability for the employer and the firm. As Gariety and
Shaffer (2001) explain, allowing time off to care for family members
increases employee productivity at work. Workers are incentivized by
more than just wages; other factors such as location of the job, hours
offered, and benefits are also important to job decisions (Manning
2003). Therefore, care leave, paid or unpaid, is expected to increase

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