As social services are cut back, more and more work is relocated to households, according to Silvia Federici. Especially women are often overworked, as they have to do both: wage labour and care work. The life expectancy of women with low incomes has declined by five years over the past decade. Also children are heavily affected. According to statistics, one out of four children in the US is suffering from a mental disorder. But "hyperactivity", "attention deficit" and "depression" are medical masks for a social issue, says Federici: Children, being deprived of their childhood and lacking attention, are being sedated by drugs. At the same time the care for the elderly is often sourced out - even to foreign countries - to save time and money.