Home care has a spectrum of tiers
1. Professional certified care givers, RNs LVNs Hospice, Domestic aides, and family or friends.
2. Private agencies
3. Public agencies, which may contract with any of the above for patients with Medicaid.
Caregivers in general are paid very poorly. If we rate the importance of health care at home according to reimbursement, then it is abysmally unimportant both economically and in terms of quality of care.
A succession of home health caregivers and some recipients of that care told their stories to Clinton and they spoke generally about the changes needed in home care.