This exact program (without being able to opt out of paying for it) happens in Texas right now, all the time, every day.
Patients sign up for “attendant” or “non-technical home services,” with a home health care provider, and if the doctor signs that the patient could use some help with doing some things at home, then the home health care provider hires someone who is usually a RELATIVE or FRIEND to do perhaps 20 hours of work a week for the patient. The home health company has to check on the person hired about twice a year, and in exchange it gets paid to supervise the issue and get forms updated periodically.
In reality the home health care companies SOLICIT family members of sick patients by telling them that they can get them paid to do the work at home that they are already doing. Lots of takers...
The state agency in charge of this thinks all that is JUST FINE, basically admitting that they consider it a program designed to transfer wealth to such families as qualify for this.
Socialism and fascism and plan old corruption continue, and now the same thing will happen at a Federal level. Don’t like it? Well, you are just “mean spirited” and hate old people and dogs...
(and by the way the person hired usually does not do any more work at all ... and they even get paid and turn in hours for SHOPPING for the patient...)_
In California these “workers” are then unionized.