Home health care worker "is absolutely the bottom rung on the ladder" of jobs.

Here's a NYT about why and what might be done about it. It's easy to understand why, but the suggestions about what might be done are not encouraging. It's hard to get higher pay for work that is what healthy people do for themselves and what strong, traditional families have done for each other.

The article stresses that these jobs are being done by immigrant women, but more immigration is not discussed as a solution. I think that's because the idea is about making the job a good job that more people would want to do. If it were an article about immigration, I suppose it would get counted as one of those jobs Americans won't do.