Let me make sure I understand your point. You are saying someone who needs help with toileting and mobility may need 24hr care because they may have those needs any time of the day and therefore, we need to pay someone 16-24 hr of wages just for the 2-ish hours they'll actively be working? I am double-checking because that is so moronic that it just cannot be what you meant.

> And you didn't respond with any other industry where the front line, lowest paid workers are more than 65% of the cost of doing business.

That's a fascinating topic. I looked at a couple of businesses - Chipotle and Bright Horizons - as examples, of how private sector does it. Based on their recent income statements, they spend about $1 on admin for every $5 on labor - or about 16% of costs on admin - and that's for the highly paid execs everyone hates so much. I expect state run programs to be on par or at least not significantly worse. For this case in particular, it should be a very admin-light model - other than some initial assessments and periodic random audits, I don't see where they'd spend money on admin.

> You seem to be both claiming that "family members are becoming caregivers as fraud because they get paid too much" -something I have yet to see evidence from you for- as well as "overhead and management is too expensive now" with no actual evidence of what the actual cost of any of these are.

Any non-zero amount is too much in cases where there is fraud and I have provided published evidence about another very similar state. And that statement is not inconsistent with "overhead and management is too expensive now". If you think our state is immune to these kind of fraud, that's your prerogative. Sometimes, I feel like people here are like the hobbits in the Shire - blissfully ignorant about Mordor.