title: Care and trembling.
abstract: Medicare's antifraud program and its stepped-up focus on home health care have created a climate of intimidation, fear, and guilt. Increasingly, paid caregivers feel that this climate contradicts their sense of common decency and morality, makes them feel like criminals for caring as they watch their clients get hurt by the system. What hurts them most is that they are forced to participate in this withdrawal of care. This discussion showcases the dangers of making caring work formal and public.
authors.forename: D
authors.initials: D
authors.lastname: Stone
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D003363:Cost Control / Q000592:standards; D004608:Eligibility Determination / Q000592:standards; D005607:Fraud / Q000331:legislation & jurisprudence*; D006699:Home Care Services / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D006801:Humans; D019458:Insurance Coverage / Q000592:standards; D006278:Medicare / Q000331:legislation & jurisprudence* / Q000592:standards; D009014:Morals; D016134:Organizational Policy; D011369:Professional-Patient Relations; D011787:Quality of Health Care / Q000639:trends*; D014481:United States