Yeah but there's profit so it's fine.

It's all profit making in a capitalist system. There is in home care but that's still really expensive for people. I am an in home caregiver for the state funded by Medicaid and as an "individual provider" my client supervises me and the company that does nothing but provide a website to clock in and out with gets $15 from the state for every hour that I work. If it were just directly operated by the government it would be far more efficient, and clients would be able to get more care hours (the max is a bit less than 5 hours a day, or 123 a month) but capitalism says someone has got to make a profit. It's still a lot better than working at a care facility for an agency that sets my hours. I really like my client and they like me and it works great. I'm even able to help my client get more social services like electricity assistance and advocate for them at the doctor. The facilities are truly awful and there is no way to really make them better under the current system.