Rethinking Care: The Unseen Burden on Women in Family Health Decisions

Robert Shaw, Health Correspondent
5 Min Read
⏱️ 4 min read

The dynamics of caregiving within families, particularly in the context of health appointments for elderly relatives, reveal a troubling trend: women overwhelmingly shoulder the majority of this responsibility. Ranjana Srivastava, an oncologist, shares her insights on how this burden impacts not just the health of the elderly but also the physical, emotional, and financial well-being of women who act as primary caregivers.

The Weight of Caregiving

As families navigate the complexities of healthcare, the role of the caregiver becomes increasingly significant. Srivastava highlights a common scenario in her geriatric oncology clinic: while a wide range of family members accompany patients to appointments, it is predominantly women—daughters, daughters-in-law, and even friends—who take on this role. This trend extends beyond mere attendance; it involves navigating intricate details such as medication changes and care plans, often placing undue stress on these women.

Despite the presence of sons in these situations, their involvement is infrequent compared to their female counterparts. This disparity raises questions about the societal norms and expectations surrounding caregiving roles. The emotional labour associated with caring for ageing parents or relatives often falls on women, resulting in a cycle of stress and burnout.

A Generation of Caregivers

Women aged 55 and older represent the peak demographic for informal caregiving. This coincides with a time when many face their own life changes, including menopause, and the added pressures of adult children remaining at home. The burden is not just personal; it translates into significant economic implications, with women contributing an estimated £77.9 billion in unpaid care annually. The societal expectation for women to take on these roles necessitates a re-evaluation of gender norms and responsibilities within families.

A Generation of Caregivers

Srivastava reflects on her own experiences, noting the emotional toll that caregiving can inflict. As her daughter reaches adulthood, she is acutely aware of the importance of sharing caregiving responsibilities among siblings. The need for equitable distribution of care is essential not only for the well-being of elderly relatives but also for the mental health of those providing care.

The challenges of caregiving often come to a head during medical appointments, where the need for clear communication and information sharing becomes paramount. Srivastava observes that when multiple daughters attend appointments, they often divide responsibilities—one taking notes, another asking questions, and a third providing emotional support. This collaborative approach leads to better outcomes for the patient, highlighting the effectiveness of shared caregiving.

Conversely, when sons are present, it is not uncommon for them to defer to their sisters for information and decision-making. This pattern can lead to frustration, particularly when daughters are forced to juggle their own professional responsibilities alongside caregiving duties. Such dynamics not only perpetuate gender stereotypes but also reinforce the idea that caregiving is primarily a woman’s responsibility.

A Call for Change

The ongoing conversation about caregiving roles must extend into broader societal discussions. As women continue to take on the majority of caregiving responsibilities, there is a pressing need for structural support and recognition of their contributions. Srivastava advocates for a cultural shift that encourages shared responsibility among siblings, fostering a sense of partnership rather than obligation.

A Call for Change

As her daughter prepares to embark on her own journey towards independence, Srivastava expresses her desire for her children to cultivate a balanced approach to caregiving—one that acknowledges the importance of family support while also prioritising personal well-being. This balance is crucial in cultivating a healthier future for all family members.

Why it Matters

The disproportionate burden of caregiving on women is not merely a personal issue—it is a public health concern that affects families and society at large. As we consider the implications of caregiving, it is essential to recognise the need for shared responsibilities, equitable support structures, and a collective commitment to dismantling outdated gender roles. By advocating for a more balanced approach to care, we can promote healthier families and communities, ensuring that the act of caring is a shared endeavour rather than a solitary burden.

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Robert Shaw covers health with a focus on frontline NHS services, patient care, and health inequalities. A former healthcare administrator who retrained as a journalist at Cardiff University, he combines insider knowledge with investigative skills. His reporting on hospital waiting times and staff shortages has informed national health debates.
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