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What kills me about this is that my mom has been having home care for years now. At the beginning the workers were making $20/hr. Now they're making close to minimum.
I know FULL WELL how much this care costs. The fact that their pay has gone DOWN is the problem, and it's just more enshittification.
Can you hire someone privately rather than through a company?
Yes, but if your caregiver gets sick, either they have to find coverage while they are sick, or you do on short notice.
With a company, they can reassign someone to fill in with little disruption (theoretically). The reality is, they are struggling with hiring and keeping people for all of the reasons listed in this thread, so even if you hire a company, maybe you will get someone to cover for your regular, or maybe you won't.