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What the Battle Over Home Health Care Worker Pay Is Really About


Should the aides who provide home care for frail elders and younger people with disabilities receive a living wage and decent benefits? If they do, how can families, who often are unable to afford care today, be expected to pay those higher wages and benefits? Should the market be allowed to set these prices, or should government intervene through minimum wage and mandatory overtime laws? Should cash-strapped Medicaid programs be required to pay more for these services? And which home care workers should be eligible for pay raises and Medicaid reimbursement?

These questions have set off an enormous, but largely unnoticed, political firestorm. In some cases, they have pit…

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Last Updated : Sunday, April 5, 2020