A plea for change: The dire state of Idaho’s direct care workforce must be addressed

Direct care workers go into the homes of others and assist with everything from transportation to chores, to basic care. But this essential work is in crisis because of the inadequate reimbursement that directly affect their rates, writes guest columnist Sarah McClure. (Getty Images)

Direct care workers are the unsung heroes of our health care system. These are the compassionate individuals who provide care for the elderly and people with disabilities. They are the ones who go into the homes of others and assist with everything from transportation to chores, to basic care. But this essential work is in crisis because of the inadequate reimbursement that directly affect their rates.

Let’s be clear — direct care workers don’t set their own rates. Agencies like Milestone Decisions, where I’ve worked for 22 years, operate under the constraints of Medicaid funding — as do any long-term care facilities or services. And Medicaid-dependent agencies work off rates set by our state legislators.

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