Introduction Globalization is fundamentally restructuring traditional labour markets and the way in which individuals are redefining their market position and their work-life balance. There has been virtually no research on how specific pressures of the global economy affect the prospects for care-giving among highly skilled, wellheeled, First World professionals (Blair-Loy and Jacobs 2003). These high-end ‘servants of globalization’ (Salazar Parreñas 2001a) face a range of new pressures from increased competition, workplace and time pressures. McDowell (1997) has shown how international banks and corporations are providing a range of in-house services for employees, but the responsibility of much caregiving and emotional labour remains the responsibility of the employee and is likely to be associated with greater dependence on paid caregiving.