Caregiving is hot – but practicality is not. The letters to the editor in today’s WSJ print edition were on point following Ezekiel Emanuel’s May 3 article about the Independence at Home program. The article described care in the home provided for an 87-year-old diabetic, post-stroke, oxygen dependent woman receiving six hours of daily home care, supposedly more than she would receive in a nursing home. One doctor observed: “What happens at the seventh hour when she needs help in transferring, falls from her wheelchair or when her blood sugars go out of control?” What happens indeed? And the next letter: "The backbone of home care remains 'Low-paid, low-skill home service workers who cook, clean, bathe and help clients around their home.' And the process for overseeing this industry of workers who help the neediest elderly – actually it’s not much of a process at all. And the distinction in the media between private duty non-medical home care, home health care, geriatric care management, or hospice care in the home? Not much.