Books for changing the world
The Highest Stage of Capitalism

An eye-opening reckoning with the care economy, from its roots in racial capitalism to its exponential growth as a new site of profit and extraction.

Since the earliest days of the pandemic, care work has been thrust into the national spotlight. The notion of care seems simple enough. Care is about nurturing, feeding, nursing, assisting, and loving human beings. It is “the work that makes all other work possible.” But as historian Premilla Nadasen argues, we have only begun to understand the massive role it plays in our lives and our economy. 

Nadasen traces the rise of the care economy, from its roots in slavery, where there was no clear division between production and social reproduction, to the present care crisis, experienced acutely by more and more Americans. Today’s care economy, Nadasen shows, is an institutionalized, hierarchical system in which some people’s pain translates into other people’s profit.

Yet this is also a story of resistance. Low-wage workers, immigrants, and women of color in movements from Wages for Housework and Welfare Rights to the Movement for Black Lives have continued to fight for and practice collective care. These groups help us envision how, given the challenges before us, we can create a caring world as part of a radical future.

  • “With this book, Premilla Nadasen has made an invaluable contribution to the ongoing debates around care and capitalism. In clear and concise prose, she takes apart the care-industrial complex that has emerged, like the military- and prison-industrial complexes before it, to wring the last drops of profit from the lives and deaths of working people. An absolutely necessary intervention in the most important political debate of our times.”
    —Sarah Jaffe, author of Work Won’t Love You Back

    “Premilla Nadasen is a pathbreaking scholar of Black women’s labor and welfare organizing, as well as a radical feminist activist in her own right. She has a passion and a powerful talent for telling the complicated truths that define working class women of color’s lives. In Care: The Highest Stage of Capitalism, Nadasen offers a brilliant interrogation of the exploitative and profit-driven care system in the United States. To fully understand racial capitalism in the 21st century, you have to read this book."
    —Barbara Ransby, professor and director of the Social Justice Initiative, University of Illinois at Chicago, and author of the award-winning Ella Baker and The Black Freedom Movement

  • “If you think the ‘care economy’ sounds like a socialist nirvana, think again. Premilla Nadasen reveals how the exploitation and commodification of reproductive labor has enriched corporations, compensated for a shrinking welfare state, and pauperized the very workers responsible for the sustenance, health, and well-being of others. The consequences of a gendered racial capitalist ‘care economy’ are deepening inequality, more broken people, and a culture of sacrifice that only serves to mask misery and low wages. Once you read this highly original, incisive, and unsettling book, you will no longer honor nurses by banging pots together but by joining a picket line instead.”
    —Robin D. G. Kelley, author of Freedom Dreams: The Black Radical Imagination

  • “Premilla Nadasen’s Care is a clear, useful tool for thinking about both the brutal exploitation of capitalist care relations and the transformative power of grassroots collective care projects. Nadasen deftly weaves insights from labor resistance, Black feminism, anti-colonial struggles, disability justice, and other radical traditions into a cohesive analysis of reproductive labor that will be a readable primer for classroom and community use as much as it is a visionary inquiry into what new social relations we need to be building right now. This book is a generous contribution to the most urgent conversations happening in social movements and embattled communities right now.”
    —Dean Spade, author of Mutual Aid: Building Solidarity During This Crisis (and the Next)

  • “Nadasen takes a deep and discouraging dive into current practices of care as they have been shaped by historical precedents and capitalist greed. Her research illuminates generations of resistance by recipients, and uncovers creative approaches to collective care that promise effective solutions to poverty, housing, and the well-being of the ill, the unhoused, children, and the elderly. I hope everyone who wants to understand what is perhaps our greatest contemporary concern will read this book.”
    —Alice Kessler-Harris, author of In Pursuit of Equity: Women, Men, and the Quest for Economic Citizenship in Twentieth Century America

  • "Incisive.... Crisply argued, rigorously contextualized, and approachably written, this is essential reading for those interested in social justice and working-class politics."
    —Publishers Weekly