Local disability organizations hosted a rally in Boston Wednesday to call for better wages and working conditions for personal care attendants, or PCAs, who support people with disabilities and help them live independently. Advocates say the state program faces a “crisis” of staffing shortages.
More than 100 PCAs and the people who rely on them made their way from the 32BJ SEIU union hall to The Embrace statue on the Boston Common, and then
marched into the State House
The
MassHealth PCA program
PCAs currently make $17.80 an hour, which will go up to $18 on April 1. Advocates say further increasing pay will attract more people to the job by competing with rising wages in other industries.
Because of the staffing shortage, some people can’t find personal care attendants and are forced to rely on family and friends. Ellie Vargas said that without PCAs, her mother has had to fill in to care for her, even though she isn’t a trained healthcare worker.
“My mother is 65 years old. She can't do this anymore, you know? So it's not only having issues with housing, but I'm having PCA issues for the last three-plus years,” she said.
“It's just been horror story after horror story,” she said. Vargas added that her physical health has suffered because she is often left without help. “These people [PCAs] work way too hard to get a little measly check, that they can't invest in their own insurance.”

Quincy resident Dan Harris said that he wouldn’t be able to live on his own without personal care attendants.
“I’m a person with a disability who relies on personal care attendants to be able to live the most independent life that I can,” he said outside Healey’s office. “And I feel like I’m fighting for my life, because personal care attendants are my lifeline to the community.”
State Sen. Lydia Edwards was also at the rally, which was sponsored by healthcare union 1199SEIU, the Boston Center for Independent Living and numerous other elderly support and disability organizations.
Edwards’ mother was a personal care attendant, and she says that she saw firsthand how vital their work is, yet they are often struggling themselves with low wages.
“Independently living, with dignity and respect, supported by jobs that pay a living wage, is the only future I’m going to accept,” Edwards said in front of The Embrace statue.
"Independently living, with dignity and respect, supported by jobs that pay a living wage, is the only future I'm going to accept" - State Sen. @LydiaMEdwards earlier at today's rally for PCAs @GBHNews pic.twitter.com/XBbMmS1arW
— Meghan H. Smith (@meghansmith55) March 1, 2023
Deborah Stephens, a PCA who lives in Chicopee, says she regularly works 50 hours a week, the maximum she is allowed, to help cover other PCAs when they’re unable to work.
Better benefits, like more sick time, would help, she said.
“If I get sick, they [the consumers] don't have anyone to take care of them. I don't have sick wages. I only have PTO,” she said while marching through the Common. “I'm 61 years old. I'm approaching retirement age myself, but I want to be able to have something to retire with.”
Isaias Ruiz, a PCA who says he finds his work rewarding, said that the state should pay healthcare workers more, and also help them pay for expensive certifications.
“We shouldn’t have to work three or four jobs to make ends meet,” he said at the labor union hall. “And we should be able to save and invest for retirement.”
Before taking office, Healey
pledged to support the PCA program
“This will affect all of us because sooner or later — I will get old. You'll get old. What happens then? We’re just going to fail the elderly,” Vargas said.
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