Exploitation at Home: New York's Caregivers Face Hunger Strike Over Unjust Wages
Immigrant women of color, the backbone of New York's booming home care industry, are driven to desperation by systemic wage theft and inhumane 24-hour shifts.

New York's home care workers, the unsung heroes caring for the city's most vulnerable residents, are once again facing a desperate choice: to starve themselves into action. After a previous hunger strike yielded only a broken promise from the City Council, these predominantly immigrant women of color are preparing to put their bodies on the line again to demand an end to the exploitative practice of mandatory 24-hour shifts compensated at a mere 13 hours. The fight for fair wages and humane working conditions in the home care sector is not just a labor dispute; it's a battle for racial and economic justice.
The current system, where agencies can legally classify 11 hours of a 24-hour shift as 'sleep and meal time' even when workers are providing round-the-clock care, is a blatant form of wage theft. This practice disproportionately impacts immigrant women of color, who make up the vast majority of the home care workforce and rely on these jobs for survival and health coverage. These workers are often left with no choice but to accept these grueling conditions, fearing retaliation from agencies if they refuse. The No More 24 Act, introduced in 2022, offers a pathway to rectify this injustice by mandating split shifts and capping weekly hours, but its progress has been stalled by political maneuvering and corporate lobbying.
The home care industry's rapid growth, fueled by an aging population and a strained healthcare system, has created a $13 billion economy in New York alone. However, this economic boom is built on the backs of a marginalized workforce that is systematically undervalued and exploited. The industry's reliance on immigrant labor and the intersectional discrimination faced by women of color contribute to the perpetuation of these unfair labor practices. Zishun Ning, an organizer with the Chinese Staff and Workers Association, highlights the growing momentum of the movement, emphasizing that the pressure on the City Council must intensify to ensure the passage of the No More 24 Act.
The stories of these workers are heartbreaking. Lai Yee Chan, a 71-year-old former garment worker, was forced into 24-hour shifts after the decline of her previous industry. She recounts the impossible demands of caring for patients with advanced dementia and severe disabilities, leaving her with no time to sleep or rest. These conditions not only jeopardize the health and well-being of the workers themselves but also compromise the quality of care they can provide to their patients. Christopher Marte, the city council member championing the No More 24 Act, rightly points out the absurdity of an industry that allows such blatant exploitation.
