Climate Resilience Starts With Care

Climate shocks can disrupt services that millions of vulnerable people rely on, yet care is largely absent from adaptation plans and national funding estimates. Investing in climate-resilient care can prevent cascading health and economic crises while creating jobs and easing pressure on public budgets. Listen to this commentaryPlease log in to listen to this commentary 0:00 / 0:00Audio unavailable WASHINGTON, DC—It is getting harder by the day to justify the slow pace of adaptation to climate change. Last year was one of the hottest on record, with economies and communities around the world disrupted by extreme heat, heavy rainfall, and tropical cyclones. As November’s United Nations Climate Change Conference (COP31) in Turkey approaches, governments must move beyond climate commitments and focus on implementation. Financing for adaptation activities remains nowhere near what is needed. The UN Environment Programme estimates that developing countries will need $310–365 billion per year through 2035, putting the current funding gap at $280 billion. Getting the money to where it can do the most good may be an even bigger challenge, as institutions struggle to identify adaptation investments that are ready to implement and whose risks can be properly assessed and priced. In a new working paper, we argue that estimates of funding needs and proposed investment pipelines overlook a critical piece of infrastructure: an ecosystem of climate-adapted care services that helps families prepare for, cope with, and recover from climate-induced hazards. Properly designed, these services can bolster household and community resilience. The same principle underpins investments in early-warning systems and adaptive social protections designed to help countries respond to climate shocks. Provisional estimates suggest that at least 35,000 excess deaths occurred across Europe during this summer’s severe back-to-back heat waves. Despite their well-developed welfare systems, the absence of climate-adapted physical infrastructure and coordinated services contributed to this excess mortality. Yet national climate-adaptation plans rarely account for what happens when care breaks down. Floods and wildfires displace families and separate caregivers from the people who depend on them. When household-based care is no longer possible, formal care can become a lifeline for older people and people with disabilities who cannot evacuate or manage on their own. Without reliable care services, health issues can lead to otherwise preventable hospital admissions, putting even more pressure on already strained services. As matters stand, family caregivers are left to shoulder the burden, facing injury and burnout during prolonged emergencies. Some, most of them women, are forced to leave paid work just when their families can least afford to lose income. When care systems fail, a climate shock can quickly become both a health and economic crisis. Strong care systems can prevent these cascading failures, making care a crucial part of climate resilience. Secure your copy of PS Quarterly: Slopocalypse Now AI-generated content already accounts for half the articles published online, and not even digital forensics experts can tell what’s real anymore. Can those still offering a humanistic vision of online life make themselves heard over the din? SUBSCRIBE & SAVE $50 Leaving care out of national adaptation plans thus means underestimating what climate resilience actually requires. Admittedly, anticipating those needs is difficult, as there is no standard definition of what qualifies as adaptation, and national estimates are often based on individual projects, most of them in conventional sectors. That sector-by-sector approach allows care to fall through the cracks. Agriculture, forestry, fishing, water supply, and sanitation account for nearly 40% of global adaptation finance, while health receives an estimated 4–6% and education around 2%. Long-term care and early-childhood care and education are essentially absent, particularly in low- and middle-income countries, where most care is provided informally. Despite being too low, the $310–365 billion figure is already baked into national plans and multilateral-development-bank targets. But as climate shocks intensify, people will need more care, not less. And when formal services fall short, unpaid caregivers—overwhelmingly women and girls—will end up filling the gap. Our paper proposes a way to begin correcting that omission. For example, we estimate that building climate-resilient care infrastructure in Bangladesh would require an investment equivalent to roughly 3–5% of GDP, similar to what is needed for health and education. This is a substantial investment, but only a fraction of the estimated value of unpaid care work. Building that care infrastructure would require millions of workers. We estimate that early-childhood care and education and long-term care could directly employ 3.6–7 million people in Bangladesh. More jobs would come from providing food and other supplies, as well as from building or retrofitting childcare facilities and homes for people receiving long-term care. Care services also give financiers a concrete way to put adaptation money to work. For starters, such investments come with an established evidence base—data on unit costs, staffing models, utilization, and outcomes—facilitating risk assessment. Some of these investments partially pay for themselves through tax revenue from higher employment and lower future spending on health and social protection. And demand is demographically guaranteed, since the need for care can only grow as populations age. As adaptation financing tightens, every dollar has to work harder. That makes it all the more important to invest in care systems that help communities withstand climate shocks while easing pressure on public budgets. WASHINGTON, DC—It is getting harder by the day to justify the slow pace of adaptation to climate change. Last year was one of the hottest on record, with economies and communities around the world disrupted by extreme heat, heavy rainfall, and tropical cyclones. As November’s United Nations Climate Change Conference (COP31) in Turkey approaches, governments must move beyond climate commitments and focus on implementation. Financing for adaptation activities remains nowhere near what is needed. The UN Environment Programme estimates that developing countries will need $310–365 billion per year through 2035, putting the current funding gap at $280 billion. Getting the money to where it can do the most good may be an even bigger challenge, as institutions struggle to identify adaptation investments that are ready to implement and whose risks can be properly assessed and priced. In a new working paper, we argue that estimates of funding needs and proposed investment pipelines overlook a critical piece of infrastructure: an ecosystem of climate-adapted care services that helps families prepare for, cope with, and recover from climate-induced hazards. Properly designed, these services can bolster household and community resilience. The same principle underpins investments in early-warning systems and adaptive social protections designed to help countries respond to climate shocks. Provisional estimates suggest that at least 35,000 excess deaths occurred across Europe during this summer’s severe back-to-back heat waves. Despite their well-developed welfare systems, the absence of climate-adapted physical infrastructure and coordinated services contributed to this excess mortality. Yet national climate-adaptation plans rarely account for what happens when care breaks down. Floods and wildfires displace families and separate caregivers from the people who depend on them. When household-based care is no longer possible, formal care can become a lifeline for older people and people with disabilities who cannot evacuate or manage on their own. Without reliable care services, health issues can lead to otherwise preventable hospital admissions, putting even more pressure on already strained services. As matters stand, family caregivers are left to shoulder the burden, facing injury and burnout during prolonged emergencies. Some, most of them women, are forced to leave paid work just when their families can least afford to lose income. When care systems fail, a climate shock can quickly become both a health and economic crisis. Strong care systems can prevent these cascading failures, making care a crucial part of climate resilience. Secure your copy of PS Quarterly: Slopocalypse Now AI-generated content already accounts for half the articles published online, and not even digital forensics experts can tell what’s real anymore. Can those still offering a humanistic vision of online life make themselves heard over the din? SUBSCRIBE & SAVE $50 Leaving care out of national adaptation plans thus means underestimating what climate resilience actually requires. Admittedly, anticipating those needs is difficult, as there is no standard definition of what qualifies as adaptation, and national estimates are often based on individual projects, most of them in conventional sectors. That sector-by-sector approach allows care to fall through the cracks. Agriculture, forestry, fishing, water supply, and sanitation account for nearly 40% of global adaptation finance, while health receives an estimated 4–6% and education around 2%. Long-term care and early-childhood care and education are essentially absent, particularly in low- and middle-income countries, where most care is provided informally. Despite being too low, the $310–365 billion figure is already baked into national plans and multilateral-development-bank targets. But as climate shocks intensify, people will need more care, not less. And when formal services fall short, unpaid caregivers—overwhelmingly women and girls—will end up filling the gap. Our paper proposes a way to begin correcting that omission. For example, we estimate that building climate-resilient care infrastructure in Bangladesh would require an investment equivalent to roughly 3–5% of GDP, similar to what is needed for health and education. This is a substantial investment, but only a fraction of the estimated value of unpaid care work. Building that care infrastructure would require millions of workers. We estimate that early-childhood care and education and long-term care could directly employ 3.6–7 million people in Bangladesh. More jobs would come from providing food and other supplies, as well as from building or retrofitting childcare facilities and homes for people receiving long-term care. Care services also give financiers a concrete way to put adaptation money to work. For starters, such investments come with an established evidence base—data on unit costs, staffing models, utilization, and outcomes—facilitating risk assessment. Some of these investments partially pay for themselves through tax revenue from higher employment and lower future spending on health and social protection. And demand is demographically guaranteed, since the need for care can only grow as populations age. As adaptation financing tightens, every dollar has to work harder. That makes it all the more important to invest in care systems that help communities withstand climate shocks while easing pressure on public budgets.