The reliance on government spending to buy jobs also has implications to the quality of those jobs. Using the not seasonally adjusted series, Individual & Family Assistance comprised 58% of the 140,400 jobs increase shown for Healthcare & Social Assistance. These are predominantly minimum wage, part-time In-Home Supportive Services (IHSS) jobs provided as a Medi-Cal benefit and that have few if any training and upward mobility opportunities.
Drilling down on these jobs more using the IHSS data itself, the number of providers (jobs) increased by 73,561 between March 2024 and March 2025, or 52% of the total Healthcare & Social jobs increase shown above. Of these, all came from paying spouses, parents, and other relatives to provide the required care.
On average, the jobs provided the equivalent of 31 hours a week of pay. Using the current state minimum wage, this level translates into an average weekly wage of $505, or the equivalent of only $26,300 annually.
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