If you are interested in the challenges for workers and families in home health care situations you may want to know about this workers cooperative option. I just happened upon them after looking at the White Houses page on aging issues.
The Home Care Foundation helps care workers establish cooperatives in their region. You can find out more information at these links:
Home Care Foundation Blog " A Caring Revolution" blog title
Creating worker cooperatives for our hands on domestic and health care workers is a great solution addressing the poverty wages and other dysfunctional care worker challenges.