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US Care Policy Scorecard: Assessing federal unpaid and underpaid care policies in the US

The US Care Policy Scorecard seeks to assess the US care policy environment at the federal level by adapting and implementing the Care Policy Scorecard Framework and Tool in the US context. The US Scorecard looks at 30 federal policy indicators related to both unpaid care and underpaid care work (UUCW). Each policy indicator is measured by an average of 18 assessment criteria with the aim to determine the existence of the policy as well as to evaluate the performance and progress of the policy in relation to its design, implementation, and impact.

The US Care Policy Scorecard demonstrates that federal UUCW policies are severely lacking, and the needs of caregivers and care workers are not being met by federal policies. It is women of color and immigrant women who are most harmed by the US’s failure to fully support working families, caregivers, and care workers. This is a result of a history of policymaking rooted in sexism and racism that makes care work invisible and undervalued. The US receives an aggregate score of 43%, meeting less than half of all possible criteria when all care policy indicators in the US Care Policy Scorecard are examined and aggregated.

In addition to showcasing how each policy indicator and policy area measured scored, the report includes examples of states that have passed care policies in light of absent or weak federal policies, as well as policy recommendations to strengthen the care policy environment in the US.

The US Care Policy Scorecard was developed by graduate students at the Integration Lab in the Keough School of Global Affairs (KSGA) at the University of Notre Dame (ND-i-Lab), Oxfam America, the National Women’s Law Center (NWLC), and the National Partnership for Women & Families (NPWF)


Nourhan Fahmy, Alina Holmstrom, Prithvi Iyer, Rebecca Rewald, María del Rosario Castro Bernardini, Nicolas Chehade



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