Class In America

Siderea:

The US has at least two different systems of what gets termed “socioeconomic class”. They are everywhere conflated, and this is bad.

Two of them I will term economic class and social class.

Economic class refers to money. It refers to the wealth or poverty of a person, and to the privileges they do or do not have because of their economic might or lack thereof.

Social class is what is being referred to by such terms as “middle class”, “working class”, “white collar”, “professional”, “blue collar”, and the pejoratives “white trash” and “townie”.

It is a common confusion – or intellectual dodge – to conflate social class with economic class. But what what differentiates, say, the middle class from the working class is not mere wealth or earning power; as we all know, a plumber (presumed working class) may make much more money than a professor (presumed professional).

To use myself as an illustration: I make very little money, so I am heir to the misfortunes that disproportionately impact the impecunious – the almost-certain forthcoming hike in T fares looms large in my anxieties right now – but I am a professional with an advanced degree and possession of the shibboleths of the professional class. I didn’t stop being in the social class I had been in when I dropped to a much lower economic class. The privileges I lost were only those attendant to economic might; I retained the privileges of social position.

So, for instance, if I don’t like the medical care I get from the doctors my state-subsidized health plan (thanks, Mitt!) gives me access to, I can’t just whip out my checkbook and buy myself care from a better reputed specialist. Being poor might yet shorten my lifespan, as it curtails my access to care. But on the other hand, if I present with a serious booboo to just about any doctor, I will have narcotic pain relief offered me with no questions asked, because someone of my social class is not suspected of being one of those naughty “med-seeking” addicts. The decision of whether or not to trust me with a prescription for percoset is not made on the basis of the MassHealth card in my pocket marking me one of the precariat, but my hair style, my sense of fashion, my (lack of) make-up, my accent, my vocabulary, my body language, my (apparent) girth, my profession (which, note, doctors often ask as part of intake), and all the other things which locate me in a social class to observers that know the code. Contrariwise, a patient of mine – who is a white woman of almost my age – who is covered with tattoos, speaks with an Eastie accent, is over 200lbs, and wears spandex and bling and heavy make-up, gets screamed at by an ER nurse for med-seeking when she hadn’t asked for medication at all, and just wanted an x-ray for an old bone-break she was frighted she had reinjured in a fall.