Home health-care aides love what they do but hate the pay, reports the Associated Press. And their training varies widely.

Though home health-care care costs you a median of $19 an hour, the employees of these agencies see less than $10 of that, according to a behind-the-scenes look from the AP.

“We compete with McDonald’s, Wendy’s and the discount stores,” said Jennifer Witten, owner of Imani Home Health Co. in Cleveland. “You can’t afford to raise your salaries, yet you want to hire the best people.” …

The qualifications and training for home care aides varies. A high school diploma isn’t usually a requirement, and some states call for only on-the-job training, while others insist on more formal instruction about basic nutrition and personal hygiene at community colleges or elder care programs. Home care agencies that are reimbursed by Medicare or Medicaid must hire aides who have passed…

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