This arrangement is often beneficial in that, when done right, it can provide a greater sense of autonomy and comfort than one might experience in an institutional setting. Beyond that, it saves the government money.
However, the problem is caregivers often aren’t adequately trained or thoroughly supervised. Some work for home health care agencies, while others are family members who are paid for their caregiving services by the state. In both cases, an investigation by Kaiser Health News revealed patients are at an increasing risk of abuse, neglect and maltreatment.