Read Nickel and Dimed: Undercover in Low-Wage USA Online
Authors: Barbara Ehrenreich
On my fourth full day in Portland, I get up at 4:45 to be sure to get to the Woodcrest Residential Facility (not its real name) for the start of my shift at 7:00. I am a dietary aide, which sounds important and technical, and at first the work seems agreeable enough. I get to wear my own clothes, meaning T-shirt and khakis or jeans, augmented only by the mandatory hairnet and an apron at my own discretion. I don't even have to bring lunch, since we get to eat anything left over after the residents, as we respectfully call them, have eaten their share. Linda, my supervisor—a kindly-looking woman of about thirty-even takes time to brief me about my rights: I don't have to put up with any sexual harassment, particularly from Robert, even though he's the owner's son. Any problems and I'm to come straight to her, and I get the feeling she'd appreciate getting a Robert-related complaint now and then. On the other hand, there is severe discipline for screwups that could endanger lives, like when some of the teenage boys who work on weekends put butter pats in a light fixture and the melted butter leaked onto the floor, creating a hazardously slippery region—not that she expects that kind of thing from me. Today we will be working the locked Alzheimer's ward, bringing breakfast from the main kitchen downstairs to the smaller kitchen on the ward, serving the residents, cleaning up afterward, and then readying ourselves for their lunch.
For a former waitress such as myself, this is pretty much a breeze. The residents start drifting in forty minutes before breakfast is ready, by walker and wheelchair or just marching stiffly on their own power, and scuffle briefly over who sits where. I rush around pouring coffee—decaf only, Linda warns, otherwise things can get pretty wild—and taking “orders,” trying to think of it as a restaurant, although in a normal restaurant, I cannot help thinking, very few customers smell like they're carrying a fresh dump in their undies. If someone rejects the French toast we're offering, Linda and I make toast or a peanut butter sandwich, because the idea, especially at breakfast, is to get them eating fast before they collapse into their plates from low blood sugar or escape back out into the corridor. There's a certain amount of running but no big worry about forgetting things—our “customers” aren't strong in the memory department themselves. I make an effort to learn names: Marguerite, who arrives in the dining room clutching a teddy bear and wearing nothing but a diaper below the waist; Grace, who tracks me with an accusing stare and demands that her cup be refilled even when it hasn't been touched; Letty, a diabetic who has to be watched because she sneaks doughnuts from other people's plates. Ruthie, who softens her French toast by pouring orange juice over it and much of the table, is one of the more with-it gals. She asks my name, and when I tell her, she hoots “Barbara Bush!” Despite my vigorous protestations, the joke is repeated twice during the breakfast service.
The ugly part is cleaning up. I hadn't realized that a dietary aide is, in large measure, a dishwasher, and there are about forty people—counting the nurses and CNAs (Certified Nursing Assistants) who have scrounged breakfasts with the residents—to clean up after. You scrape uneaten food off the dishes and into the disposal by hand, rinse the dishes, presoak them, stack them in a rack, and load the rack into the dishwashing machine, which involves bending down almost to floor level with the full rack, which I would guess at about fifteen to twenty pounds, held out in front of you. After the machine has run its course, you let the dishes cool enough to handle, unload the rack, and reload the dishwasher—all the while continuing to clear tables and fetch meals for stragglers. The trick is to always have a new rack ready to go into the machine the minute the last load is done. I've been washing dishes since I was six years old, when my mother assigned me that task so she could enjoy her postprandial cigarette in a timely fashion, and I kind of like working with water, but it's all I can do to keep up with the pace of the dishwashing machine on the one hand and the flow of dirty plates on the other. With the dishes under control, Linda has me vacuum the carpet in the dining room, which really doesn't do anything for the sticky patches, so there's a lot of climbing under tables and scratching mushed muffins off the floor with my fingernails.
At my midmorning break I join Pete, one of the two cooks on duty in the main kitchen, for a cigarette date. I had chatted with him when I first arrived at seven, before Linda showed up, and he had three questions for me: Where was I from? Where was I living now? Was I married? I give him the short answer to the last question, leaving out the boyfriend for the moment, partly because it doesn't make sense to talk about “the man I live with” when I'm not living with him just now and partly, I admit, because of a craven desire to recruit Pete as an ally, on whatever terms should present themselves. A dietary aide, as I understand the job, is as dependent on a cook as a waitress is. He or she can either make life relatively easy for a server or, if so disposed, set her up for a serious fall. So I go out to the parking lot with him and sit in his car smoking his Marlboros, which feels awkwardly like a real date except that the car doors are wide open to let out the smoke. How do I like the place? Just fine, I tell him, and since my dad ended his days in an Alzheimer's facility I feel almost at home—which is, creepily enough, the truth. Well, watch out for Molly, he warns me. She's good to work with but she'll stab you in the back. Linda's OK but she came down hard on Pete last week for letting a dessert slip onto a diabetic's tray (residents who can't make it to the dining room have trays made up for them in the kitchen), and what does she think this is, a goddamn hospital? Look, nobody gets out of here alive. Watch out for Leon too, who has a habit of following his female coworkers into service closets.
In fact, watch out for everyone, because the place feeds on gossip and whatever you say will be public knowledge in a matter of hours. And what do I do for excitement? “Oh, read,” I tell him. No drinking or carousing? I shake my head primly, feeling like a real goody-goody or at least a barren subject for the gossips, present company included.
I should make it clear that we're not talking about boyfriend material here. Pete is probably ten years my junior (though he doesn't seem to realize that and I see no reason to point it out) and, despite a striking resemblance to a currently popular comic actor, has no evident sense of humor. If his story is to be believed, he's as much an impostor as I am (though of course he doesn't know that either). See, he makes only $7 an hour himself, he tells me, though he's made a hell of a lot more in restaurants, but it doesn't bother him, on account of some big gambling wins a few years ago and clever investments since. If he's so rich, I can't help wondering, then why is he driving this rusty old wreck and how come his front teeth are so scraggly and sparse? And what is a self-respecting restaurant cook doing in this flavor-free environment anyway, where a third to a half of the meals get pureed as soon as they're prepared? But of course the question I ask is different: So why work at all if you have so much money? Oh, he tried staying home, but you get stir-crazy, you know, you start feeling like an outcast. And this touches me, somehow, even more than the presumptive lie about his assets: that this place he has described as so morbidly dysfunctional could amount to a real and compelling human community. Would I maybe like to go for a walk on the beach someday after work? Yeah, OK—and I bound back to brace myself for lunch.
Surprisingly, a number of the more sentient residents seem to recognize me at the lunch service. One of them grips my arm when I bring her ham steak, whispering, “You're a good person, you know that?” and repeats the accolade with each item I deliver. Another resident tells me I'm looking “gorgeous,” and one of the RNs actually remembers my name. This could work, I am thinking, I will become a luminous beacon in the gathering darkness of dementia, compensating, in some cosmic system of justice, for the impersonal care my father received in a far less loving facility. I happily fill special requests for ice cream and grilled cheese sandwiches; I laugh at the Barbara Bush joke when it comes up again, and again. The saintly mood lasts until I refill the milk glass of a tiny, scabrous old lady with wild white hair who looks like she's been folded into her wheelchair and squished. “I want to throw you,” she seems to be saying, and when I bend down to confirm this improbable aspiration, the old fiend throws the entire glass at me, soaking my khakis from groin to ankle. “Ha ha,” my erstwhile admirers cackle, “she wet her pants!” But at least I am no longer an outcast, as Pete would say, in this strange white state. I have been inducted into a world rich with gossip and intrigue, and now baptized in the whitest of fluids.
Saturday, my last night at the 6, and I refuse to spend it crushed in my room. But what is a person of limited means and no taste for “carousing” to do? Several times during the week, I have driven past the “Deliverance” church downtown, and the name alone exerts a scary attraction. Could there really be a whole congregation of people who have never heard of the James Dickey novel and subsequent movie? Or, worse yet, is this band of Christians thoroughly familiar with that story of homosexual rape in the woods? The marquee in front of the church is advertising a Saturday night “tent revival,” which sounds like the perfect entertainment for an atheist out on her own. I drive through a menacing area filled with deserted warehouses—Dickey, be gone!--until the tent comes looming up out of the dusk. Unfortunately, from an entertainment point of view, only about sixty of the approximately three hundred folding chairs are populated. I count three or four people of color—African and, I would guess, Mexican Americans; everyone else is a tragic-looking hillbilly type, my very own people, genetically speaking (Ehrenreich is a name acquired through marriage; my maiden name, Alexander, derives directly from Kentucky).
I chat with a woman sitting near me—“Nice night,” “You come from far?” and things like that—and she lends me her Bible since I seem to be the only one present without a personal copy. It's a relief when one of the ten or so men on the stage orders us to stand and start singing, because the folding chair is torturing my overworked back. I even join in the rhythmic clapping and swaying, which seems to define a minimal level of participation. There are a few genuine adepts present who throw themselves rapturously into the music, eyes shut, arms upraised, waiting, no doubt, for the onset of glossolalia.
But before anything interesting can happen, the preaching commences. A man in shirtsleeves tells us what a marvelous book the Bible is and bemoans the fact that people buy so many inferior books when you really need just the one. Someone on TV tells you to read some (secular) book and then “it goes up, you know—what's the word?” I think sales is the word he wants but no one can figure out how to help him. Anyway, “it” could be three hundred, and then it's a ratio of ten to one. Huh? Next a Mexican American fellow takes over the mike, shuts his eyes tight, and delivers a rapid-fire summary of our debt to the crucified Christ. Then it's an older white guy attacking “this wicked city” for its heretically inadequate contribution of souls to the revival—which costs money, you know, this tent didn't just put itself up. We're talking overhead, he goes on, not someone making money for themselves, and when you consider what Jesus gave so that we could enjoy eternal life with him in Heaven. . .
I can't help letting my mind wander to the implications of Alzheimer's disease for the theory of an immortal soul. Who wants an afterlife if the immediate pre-afterlife is spent clutching the arms of a wheelchair, head bent back at a forty-fivedegree angle, eyes and mouth wide open and equally mute, like so many of my charges at the Woodcrest? Is the “soul” that lives forever the one we possess at the moment of death, in which case heaven must look something like the Woodcrest, with plenty of CNAs and dietary aides to take care of those who died in a state of mental decomposition? Or is it our personally best soul—say, the one that indwells in us at the height of our cognitive powers and moral aspirations? In which case, it can't possibly matter whether demented diabetics eat cupcakes or not, because from a purely soteriological standpoint, they're already dead.
The preaching goes on, interrupted with dutiful “amens.” It would be nice if someone would read this sad-eyed crowd the Sermon on the Mount, accompanied by a rousing commentary on income inequality and the need for a hike in the minimum wage. But Jesus makes his appearance here only as a corpse; the living man, the wine-guzzling vagrant and precocious socialist, is never once mentioned, nor anything he ever had to say. Christ crucified rules, and it may be that the true business of modern Christianity is to crucify him again and again so that he can never get a word out of his mouth. I would like to stay around for the speaking in tongues, should it occur, but the mosquitoes, worked into a frenzy by all this talk of His blood, are launching a full-scale attack. I get up to leave, timing my exit for when the preacher's metronomic head movements have him looking the other way, and walk out to search for my car, half expecting to find Jesus out there in the dark, gagged and tethered to a tent pole.
Sunday I at last move into the blue haven, so pleased to be out of the 6 that the shortcomings of my new home seem minor, even, at first, endearing. It's smaller than I had recalled, for one thing, since a toolshed used by the motel owners takes up part of my cottage space, and this leads to a certain unfortunate blending of the biological functions. With the toilet less than four feet from the tiny kitchen table, I have to close the bathroom door or I feel like I'm eating in a latrine, and the fact that the head of the bed is about seven feet from the stove means that the flounder I fry up for my housewarming dinner lingers all night. Frying is pretty much all I can do, since the kitchen equipment is limited to a frying pan, a plate, a small bowl, a coffeemaker, and one large drinking glass—without even a proverbial pot to pee in. The idea is improvisation: the foil containers that come from salad bars can be reused as dishes; the lone plate becomes a cutting board. The concavity in the center of the bed is rectified by sleeping on a folded-up towel, and so forth. Not to worry—I have an address, two jobs, and a Rent-A-Wreck. The anxiety that gripped me those first few days at the 6 is finally beginning to ebb.