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Overthink

Care with Premilla Nadasen

Overthink

Ellie Anderson, Ph.D. and David Peña-Guzmán, Ph.D.

Philosophy, Society & Culture, Education

4.7549 Ratings

🗓️ 21 April 2026

⏱️ 52 minutes

🧾️ Download transcript

Summary

The discourse around today's crisis of care responds to the shredding of America's social safety net, but leaves out the most vulnerable almost entirely. In episode 170 of Overthink, Ellie and David discuss how this works with Premilla Nadasen, author of Care: The Highest Stage of Capitalism. They discuss how gender fits into the care industry, the harms of associating care work with emotion, and how the practice of care has been commodified. How is it that we deny the most basic care from those who need it most? What are the harms of framing care workers as family members? And how has racial capitalism produced the explosion of the care economy that we're seeing today? In the Substack bonus segment, your hosts think about the distinction between the practice of care and care itself and how labor workers can learn from care workers in their modes of organizing.


Works Discussed:

Arlie Hochschild, The Managed Heart

Premilla Nadasen, Care: The Highest Stage of Capitalism


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Transcript

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0:00.0

Hello and welcome to Overthink.

0:19.9

The podcast where two professors bring philosophy into dialogue with everyday life.

0:24.7

I'm Dr. David Pena-Gusman.

0:26.6

And I'm Dr. Ellie Anderson.

0:29.3

David, the past couple of years of my life have been dominated by care obligations.

0:35.9

While I've been trying to balance my job and my hobbies and my

0:41.8

relationships, I've also been finding myself spending so many hours and a lot of emotional

0:51.8

and mental energy on elder care. My parents are a bit old relative to my age,

0:58.7

and both of them have really needed a lot in the past couple of years. Without getting into

1:03.2

too much detail, I ended up moving back into my childhood home to help out and also having to

1:08.7

ensure that my dad, who has Alzheimer's disease, has gotten the care

1:12.2

that he needed. First, by trying to find in-home care. And second, by ensuring that he moved

1:18.1

into a home that would give him the care that, frankly, like, we couldn't give him in the house.

1:23.1

And top of mind throughout all of this has been money. It has been such a stressful experience here in the U.S.

1:31.6

I mean, it's not going to be a surprise to any of our listeners to know just how bad the financial situation around care is.

1:38.8

And just the costs are absolutely astronomical. And I say this as somebody who comes from a position of relative economic privilege with a nice childhood home that my parents own, with them having retirement funds.

1:52.3

Like it has been almost completely unmanageable for our family and it continues to be a source of stress.

1:59.5

Yeah. Well, and I know from conversations that

2:01.5

you and I have had also as friends outside of this podcast, just how emotionally difficult that

2:07.3

has been for you and your siblings to have to negotiate this, to have to make decisions, to

2:12.9

have to then bring some of those decisions to your parents, sometimes to make them together,

2:18.6

sometimes to make them for them.

...

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