01/30/2026
If you're navigating elder care for a loved one right now, you've probably discovered something surprising: the people who actually know what they're doing aren't always the ones in the fancy offices.
They're the care coordinator who somehow got your mom's discharge moved to a day that actually works.
They're the activities director who figured out what makes your dad smile again.
They're the nurse who called you back at 7 PM because she knew you were worried.
These people aren't just "doing their jobs." They're navigating impossible systems on your family's behalf—Medicaid applications that make no sense, insurance denials that seem designed to confuse, facility transitions that happen too fast with too little information.
Here's what I want you to know:
The women (and men) who work in aging aren't entry-level workers doing "soft skill" jobs. They're crisis navigators with specialized knowledge that nobody taught them in school. They learned it by showing up, over and over, in situations where there are no good answers—only better and worse choices.
When you find someone in this field who really gets it—who listens, who follows through, who knows how to cut through the bureaucracy—hold onto them. These people are rare, and they're leaving the field in droves because we don't value them the way we should.
What you can do:
Thank them specifically. Not just "thanks for everything," but "thank you for catching that medication issue" or "thank you for explaining that form in a way I could understand."
Advocate with them, not against them. When they say the system is broken, believe them—they see it every day.
If you're in a position to hire or recommend caregivers, pay them what they're worth. This isn't babysitting. This is skilled work.
Tell other families about the good ones. Word of mouth matters in this field.
The people who stick with elder care aren't doing it for the money or the prestige. They're doing it because it's real work that matters. They're the ones you want in the room when decisions need to be made and time is running out.
Your family is lucky to have them. Maine can't afford to lose them.
If you're currently working with someone in elder care who's made a difference for your family, drop their name or their facility in the comments. Let's recognize the people holding this system together.