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Similarly, several states are taken small steps to improve the home -care worker job, <br />most importantly by creating opportunities for advancement. <br />For example, New York has a program that lets trained home health aides administer <br />routine medications, a step closer into the health care system. "People still think of thei <br />as baby sitters," says Gurgone. "They have to be seen as part of the health-care team." <br />And there's now greater emphasis on home -care worker training in Washington, largel <br />through the efforts of the Service Employees International Union. <br />America's home care system will fail without paying higher wages and benefits to <br />workers. Getting there will be an uphill struggle. <br />iA`w_JJ1 <br />�� Chris Farrell <br />