Author: Inimai Chettiar

Inimai Chettiar is the president of A Better Balance, a national, nonprofit legal advocacy organization dedicated to work-family justice. A Better Balance uses the power of the law to ensure all workers can care for themselves and their loved ones, without sacrificing their economic security.

No Equality Without Paid Leave

The U.S. remains one of the only wealthy nations without a national paid leave program.

That failure has profound consequences for women’s economic security, caregiving responsibilities and ability to participate fully in public life: Every day, workers are forced to choose between caring for a new baby, recovering from illness or supporting a loved one and keeping a paycheck. Those impossible choices fall disproportionately on women, reinforcing gender inequities at work, at home and in civic life.

Paid leave is not simply a workplace benefit; it is a cornerstone of a more equitable democracy. When women are pushed out of the workforce, lose income or shoulder the overwhelming burden of unpaid care, they have less time, fewer resources and fewer opportunities to participate in their communities and shape public life.

Change is possible. States across the country have already demonstrated paid family and medical leave works, and overwhelming majorities of voters support it. If we are serious about creating a more inclusive future, guaranteeing paid leave for all workers must be part of the agenda. Women cannot be equal citizens without it.

(This is part of a new miniseries FEMINIST 250: Democracy’s Feminist Future, a special Ms. series examining the next chapter of American democracy through a feminist lens. As the nation approaches its 250th anniversary, the series explores how women and marginalized communities have shaped democratic progress, what lessons history offers for the challenges ahead, and how a more inclusive, representative and equitable democracy can be built for the next 250 years.)

When Mothers Speak, Medicine Must Listen

When my daughter was 2 weeks old, she stopped eating. She would go nearly 24 hours without food, crying constantly and losing weight while seeming to be in excruciating pain. Over five months, I took her to more than 50 doctors appointments searching for answers, only to be dismissed as hysterical, hormonal or “over-medicalizing” my baby.

By the time doctors finally recognized that she was suffering from a milk allergy and reflux, the prolonged pain had caused bottle aversion—a life-threatening condition in which babies become too traumatized to eat. She was later diagnosed with ARFID, a trauma-based eating disorder that still affects her today.

What happened to my daughter forced me to confront a devastating question: Would we have been treated differently if I weren’t a woman of color? Research has repeatedly shown that Black women and children are less likely to have their pain taken seriously by medical providers, and over the last decade, federal programs aimed at identifying and addressing those disparities began making meaningful progress. But under the Trump administration, many of those initiatives are being dismantled in the name of fighting “DEI,” with funding slashed, bias training suspended and research into racial disparities frozen or erased altogether.

My daughter is now in preschool—playing, laughing and growing—but she still struggles to eat enough to meet her nutritional needs.

Our story is not an isolated tragedy; it is a warning about what happens when healthcare systems stop listening to mothers and when political attacks on equity research blind medicine to its own biases. If we truly value mothers and children, we cannot treat efforts to understand racial disparities in healthcare as expendable.

Virginia Just Became the First Southern State With Both Paid Leave and Paid Sick Time

Advocates fought for paid leave in Virginia for more than eight years. The state’s former governor, Glenn Youngkin, vetoed paid leave bills two years in a row.

But the story changed when Gov. Abigail Spanberger (D) took office in January 2026.

She not only called on the Legislature to pass these policies, but campaigned on paid leave as a core part of her platform. She also included paid leave as part of her plan to build “an economy where every Virginian can earn a good living, afford to take care of their families, and know they’ll have a secure retirement.” With the support of a strong coalition, Virginia’s Legislature responded by once again passing paid sick time and paid family and medical leave legislation.

Each year, American families lose $22.5 billion in wages due to a lack of paid leave. At a time when families are already struggling with rising costs of gas, groceries and housing, this is money that they cannot afford to go without.

How I Broke Through the Fertility Industry’s False Promises to Become a Mom at 44

Assisted reproductive technology is more an art than a science—and until the success rates for certain groups drastically improve, doctors are foisting fairy tales onto vulnerable women. 

IVF was a hot button issue in this year’s election. But today’s discussion about whether IVF should remain legal leaves out a fundamental point: It assumes that IVF works. This is, however, far from the truth for many—especially Black and Brown women and older women—for whom assisted reproductive technology is far from a miracle cure.

Why are we selling women on the idea that they can easily get pregnant after 40 when we know that’s exceedingly rare? The answer is money.

The Public Is Demanding Paid Sick Time. It’s Time for Lawmakers to Pay Attention.

There was a promising development in the 2024 election that should not be overlooked: By large and decisive margins, voters in Alaska, Missouri and Nebraska all voted yes to enacting new paid sick time laws in each state. Now, 3 million more U.S. workers have the legal right to paid sick time and will no longer need to make the impossible choice between sacrificing a paycheck and going to work or sending a child to school sick.

With these ballot wins, 19 states, as well as over a dozen localities, have now embraced paid sick time as a fundamental workplace right—and that is worth celebrating. But access to such a vital protection shouldn’t depend on luck or zip code. Tens of millions of workers are still being left behind. If Congress wants to address widespread concerns about economic hardship and rising costs of living, they can listen to voters and tangibly improve the well-being of working families everywhere by passing the federal Healthy Families Act.