Contenidos : Introduction: When workers disappear
Down in the hole : steelmaking Pittsburgh in the 1950s
Dirty laundry : labor and love in the working-class home
"You are only poor if you have no one to turn to" : race, geography, and cooperation
Doctor New Deal : social rights and the making of the health care market
Enduring disaster : the recycling of the working class
"The task of survival" : the commodification of care and the transformation of labor
Epilogue

Pittsburgh was once synonymous with steel, but today most of its mills are gone. Like so many places across the United States, a city that was a center of blue-collar manufacturing is now dominated by health care, which employs more Americans than any other industry. Gabriel Winant takes us inside the Rust Belt to show how America's cities have weathered new economic realities.As steelworkers and their families grew older, they required more health care. Even as the industrial economy contracted sharply, the care economy thrived. But unlike their blue-collar predecessors, home health aides and hospital staff work unpredictable hours for low pay. Today health care workers--mostly women and people of color--are on the front lines of our most pressing crises, yet we have been slow to appreciate that they are the face of our twenty-first-century workforce. The Next Shift offers unique insights into how we got here and what could happen next.