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ButterflyEffect  ·  3902 days ago  ·  link  ·    ·  parent  ·  post: Who Had Richer Parents, Doctors Or Artists?

I realize those two terms don't necessarily equate, but in this case I would say the combination of lower pay, lack of training, and lack of benefits shows a lack of value from an industrial point of view. More detailed analysis here. Granted, this is finally starting to change but it's been a long time coming.

If it were me I'd rather take comfort in the fact that the aide has been properly trained, has some sort of licensing, and is being properly compensated for their work in order to convince myself they are doing the best job they can do of taking care of x person. Many of the public programs that provide these services qualify for Medicare which makes it possible for lower-income families to afford them anyway.