Paid home care is under growing strain nationwide as demand from an aging population collides with low wages, high turnover, and workforce shortages. This week the New York Times highlighted promising solutions, including worker-owned cooperatives, direct-hire caregiver registries, and expanded clinical training for aides. While these models improve job quality and care coordination, the article makes clear that affordability — especially for middle-class families — remains the system’s biggest unresolved challenge.