The Independence Inversions
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If you need a lot of help with everyday self-care, then you're not safe and home care agencies won't serve you. If you need less help, then you may not qualify for home care at all.
If you have family around to contribute to your care, then you'll get less home care. If you don't have any additional support systems, then home care doesn't want to take responsibility for your safety and may refuse services altogether.