The temporary status that these workers face is the driver of their insecurity, in addition to the tied permits. That's a very important piece that goes with it.
The changes that were just introduced with the caps have really undone the nature of the bargain that had been at the core of the live-in caregiver program, which was that if workers completed two years of work as live-in caregivers, they would earn their right to permanent residency. That is no longer there. There is a possibility to apply for permanent residence, but there's no guarantee of that. That makes the women even more vulnerable. They don't know at the end of the day whether they are on a route to permanence or on this merry-go-round of continuing temporariness.
With regard to other changes that have been implemented, the division between the child care stream and the high medical needs stream also creates additional vulnerability. Women used to be able to accumulate work in both of those areas toward the 24 months that they needed. Now they are locked into one stream or the other. They can't move between those streams; they're not accumulative.
That's a real impediment, and the real uncertainty of whether there is a route to permanence at the end of the day. What the workers really need is a right to permanence from the beginning, the right to status on arrival. What's disturbing about some of the changes is that under the high medical needs stream, a series of female-dominated jobs where workers used to be able to apply directly for permanent status under the federal high-skilled program are being shifted into temporariness. Registered nurses, licensed psychiatric nurses, licensed practical nurses, who used to be able to apply directly, are now being looped into this temporariness, with a requirement to do work, and a possibility but not a guarantee of permanence at the end of it.
The more vulnerabilities and uncertainty that are created, the more a worker is compelled to put up with whatever treatment they receive on the job in the hope of potentially having some security at the end of the day. The further that promise gets from them, the more dangerous it is for them on the ground.