The downside of employing directly though is that there is no back up when the carer is sick or on holiday. My mum and dad have the most wonderful lady who goes in to cook lunch, but it falls back on family members when she isn’t available. Given the needs of your friend’s husband he would need at least four people available to cover for the number of two handed visits he needs currently.
Not really a scam or fraud, but I wasn't sure where else to put it.
Has Trump completely lost what was left of his mind?


