Government policies are unlikely to cover home care for the elderly, even though demand for that kind of care is rising, writes Nancy Folbre, economics professor at the University of Massachusetts, Amherst. Paid home-care workers aren't covered by the Fair Labor Standards Act and therefore aren't subject to U.S. wage and overtime protections, she writes. Medicaid reimbursement rules favor nursing-home care over home-based care, she notes.

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