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The Number One Moneymaking Business In America!

Updated on July 16, 2010

When I see old people I see $$$$

Its good to have a sense of humor when dealing with the elderly.
Its good to have a sense of humor when dealing with the elderly.
The baby boomers will soon look like this!
The baby boomers will soon look like this!

The Number One Business Opportunity in America

All across America people are in dire straits. They have no idea how they will ever find another job and their unemployment is running out FAST! You know things are bad when you see well dressed people behind Pizza Hut and Mc Donalds dumpster diving for food!

I am here to tell you there is light at the end of the tunnel. In every town and community there is an amazing opportunity for the average person. Just take a look around you, what do you see?

A lot of older people! The baby boomers are aging. And with each passing day, these people are going to need more and more care. Whoever catches the baby boomer wave is going to ride their way straight to financial freedom.

In the past when grandmother could no longer care for herself she ended up in nursing home to the tune of about 5000.00 a month! No wonder Medicare is going broke. Now the government is encouraging that same grandmother to stay in her home and receive home care from a qualified agency. Why? Home care is about 2000.00 a month less expensive than a nursing home, and it is much better for grandmother to live out her last days in the home she loves.

It’s a win/win for everyone involved and that includes the home care provider. That’s where you come in! With just a little common sense, you can get set up in this business, and make a very comfortable living for yourself, provide employment for your community, and provide a needed service to the elderly and disabled. And the best part, you will never have to see a beloved parent, grandparent or spouse end up in a nursing home. Most home care providers are able to care for almost all cases. Even quadriplegics can be taken care of in the comfort of their own home.

If you think taking care of old and disabled people is not for you, not to worry, there are plenty of people out there you can hire to do just that. In a way, you are a specialized employment agency. Your main job is to organize and coordinate.

So what do I have to do?

You will need to hire someone who does Medicare/Medicaid billing. This is a very important aspect, because this is how you get paid. Once you learn the ropes you can take this job over yourself, and I advise that you do, however to start with, you will need someone who knows the Medicare/Medicaid billing system inside and out.

Ok, I can handle that, what else is involved?

You will need to be licensed. Every state is different, so get on the internet and get googling to find out the requirements for your state. In most states this step is no worse than any other business.

Alright, what else?

You will need insurance, just like any other business. You will also have to hire an accountant to do your payroll, pay taxes, workers comp, etc. I know, this sounds like a big hassle, but a good accountant can take care of all this for you. Any business you start would have these requirements.

This sounds complicated!

It isn’t! Your basic job will be hiring the workers that take care of your patients. There are some training requirements in some states. Your workers will do the following activities-

Light housekeeping-

Your workers will do dishes, dust, vacuum, clean floors, clean bathrooms, make beds. Basically, your agency will clean and maintain the client’s home.

Meal preparation

Your workers will cook and feed the patient. All special diets must be followed. Workers will also grocery shop, stock and organize refrigerator and cupboards, remove any trash.

Bathing and basic hygiene and toileting

If the patient is in diapers, the workers should get paid more.


Workers are encouraged to interact with patients in a positive way.


Workers will pick up medications, call in for refills, and dispense medications to patient.


Pets are good for your patient’s well being, and most home care agencies will take care of the patient’s pets too if the pets are not of a disruptive nature.


Patients must be medically stable to qualify for home care. Workers would be expected to monitor the health of the patient. Take the patient to all doctor’s visits, tests, therapy. Basic wound cleaning and bandaging.

This may sound like a lot at first, but it really is not. Imagine taking care of your grandmother who is home bound and you have a glimpse of what home care is all about. Most of the time you can hire nurse's aids, although I would advise you paying them well. You should also have a nurse on call.

How much money will I need to get started?

Medicare/Medicaid takes at least 2 months to process. You will need enough money to meet your payroll for 2 months in advance. After that, you M/M payments will kick in.

Anything else?

Yes, do your research! Every state is different and don’t forget to check things out about starting a business on the local level. There may be important laws and regulations that you should know about.

Last but not least, use your common sense, especially when hiring your workers, who are of course the backbone and face of your company. Do background checks, and check all references ,,,,twice! Make a good match between the worker and the patient, your future success depends on it. Take your time and get the best people to work for you.

Treat and pay your good employees well, but don’t hold on to workers who are chronically late, absent, or deceptive.

You must also keep a daily log for each patient. Make sure you go through these logs yourself. Make sure everyone is treated fairly to prevent problems in the future. EX: one employee should not have to take out the trash and clean out the kitty litter box, everyone should share all the chores. Most of all be fair, have a good sense of humor and use good common sense!


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    • Tony L Smith profile image

      Tony L Smith 

      7 years ago from Macon

      Nice twist on a touchy subject, this is so much better than leaving them in a nursing home.

      Good job


    • profile image


      7 years ago

      Your hub was fine- until the last comment. So, you are saying women should stick to cooking, cleaning, ironing and wiping dirty bottoms and runny noses ( of the elderly and young). If that's so noble and great, why not encourage more men to stay at home and be the caters and let women work if they want to? Or can only men get to enjoy intellectually stimulating lives with adult interactions and social opportunities? No wonder women have been oppressed for so long when even other women believe they should be manacled to the kitchen sink! So, who are you encouraging to set up and run these businesses caring for the elderly? Your Hub didn't make clear that it was a 'men only' opportunity as obviously all the women would be too busy being kept bare foot and pregnant! I'm surprised your man even let's you near a computer! No doubt only after you have completed all of your chores?!

    • magnoliazz profile imageAUTHOR


      7 years ago from Wisconsin

      Hello Lone Ranger

      I agree with you, women should stay home and take care of the family.

      Look at all the overweight people in America! They live on junk food, and they look like it. No one cooks anymore and if they do, its not like our grandmother's cooking, which was a lot healthier.

      If women stayed home, the economy would be better too. There would be less competition for the few jobs that are out there and they would pay more too.

      Yes, life would be better for everyone if women stayed out of the workplace and did the most important job there is, taking care of her family! I don't know if that will ever happen again, but it would be better for everyone if it did.

    • profile image

      Lone Ranger 

      7 years ago

      The Amish do not have to pay into social security because they do not want to be beholding to the government. They also think it is their responsibility to take care of their own people. They honor their old people and give them an honored position in their society. They also love their young people and do not leave it to others to bring up their children for them.

      If I were king, I would force mothers out of the workforce and back into the homes to care for their parents, husbands, and children. What occupation is more important and noble than that? Too many women today throw their parents into old folks homes and their children into daycare, thus hiring mercenaries to do their jobs for them.

      With so many women abandoning their homes for the job market in the late 60's, all they really accomplished, on their way to self-actualization, was lowering wages and benefit packages for everyone by creating what is known as an "employer's market", which is always followed by higher rates of unemployment.

      By competing with their fathers, husbands, brothers, and sons, they put into motion a scenario that has had dire consequences both at home and within the workforce.

      Just think how many divorces have occurred because of infidelity in the workforce. Statistically speaking, 80% of all affairs are with someone you meet at work. And, 60% of men and 60% of women have affairs sometime during their marriage. Think how often this kind of temptation and jealousy leads to divorce and broken homes.

      I do not believe The Almighty intended for women to leave their posts as wives, mothers, and caretakers, except out of true necessity. According to the Amish, (who I believe do alot of things right) "America is the land where they try to make girls into men".

    • Granny's House profile image

      Granny's House 

      8 years ago from Older and Hopefully Wiser Time

      Mag, another great hub. Well written and good information.

      also I want to thank you for commenting on my hub.I rated up

    • dansmith86 profile image


      8 years ago

      Enjoyed reading this, as an Englishman, thanks!

    • magnoliazz profile imageAUTHOR


      8 years ago from Wisconsin

      Thanks for the comment Lady_E

      YES! You must do back round checks!

      That is essential to say the very least and may save you from getting sued in the future too.

      If you even have an uneasy feeling about a potential employee, I suggest that you heed that feeling and not hire them.

      These workers are going into the elderly's homes, and they have to be honest. Nothing will hurt your business more than if one of your workers is found to be stealing.

      You also have to watch workers who get overly involved with your clients and hope to be put in their wills. This happens more than you may think.

      This is why you need to consult with an attorney when starting up a business like this. It is well worth the money spent.

    • Lady_E profile image


      8 years ago from London, UK

      Sounds very good. I wonder if the workers would have to be CRB Checked. (i.e criminal record checked) before working with the Vulnerable.

      Nice of you to share this info.


    • magnoliazz profile imageAUTHOR


      8 years ago from Wisconsin

      Thank you for the nice comments everyone!

      James- Good luck to you and your lovely wife. I think you will be a success with just about anything you undertake.

    • James A Watkins profile image

      James A Watkins 

      8 years ago from Chicago

      Truly an outstanding article about a great idea. I may well take you up on it. Brilliant! Thank you so much.

    • Deborah Demander profile image

      Deborah Demander 

      8 years ago from First Wyoming, then THE WORLD

      You are correct about the aging baby boomer population. This is a very informative hub.


    • Ign Andy profile image

      Ign Andy 

      8 years ago from Green Home Office

      Great informative hubs, I agree more elderly people need proper attention and comfort. So it sounds a business.

    • profile image


      8 years ago

      magzz: voted this one up too .. you are 98 now!!

    • saddlerider1 profile image


      8 years ago

      What a wonderful hub to share with us all. There are ample opportunity for many out of work, close to retirement age people. It would be very sad to see anymore put out on the streets of America, we have enough homeless out there as it is. A great idea and thank you for sharing it. I am certain there isn't an elder sick person out here who would not want to be able to stay in their own home and not in a hospital or senior medical center.

    • profile image


      8 years ago

      Do I know that you are a competent authority on the proposal put forth in the hub!! I do but how can you be so benevolent to share it with others is what amazes me and it is one of the many reasons that I call you an angel!!

      I missed out on posting the first comment on this hub as I was busy with my daughter since yesterday!!

      Another observation, "When there is a will there is a way", however difficult the days maybe(I know because I have to pay salaries) and however hard maybe the competition, a focussed person with the will shall always find a way and succeed!! A lagard given ample opportunities at the best of times will fail!!

      Another wonderful hub and kudos for your benevolent act!!

    • JannyC profile image


      8 years ago

      I wonder if things have gotten better in my state. When I tried to get paid to take care of my aging and sick mom I got blocked in every try I made. This was a great hub and more places are needed to help people stay in the comfort of their own home.

    • profile image


      8 years ago

      Yikes! As a boomer, this is all the more reason to make sure I'm in decent health and out hiking instead of needing care. But besides tht, it's an excellent idea. You are absolutely right. There will be a boom in elder care.

    • lightning john profile image

      lightning john 

      8 years ago from Florida

      Hi Magnoliazz! Really like the picture of the couple at the top. This is a good plan for those thinking of getting into eldercare! Thank you.

    • magnoliazz profile imageAUTHOR


      8 years ago from Wisconsin

      Thank you liljen23 and Sue Adams for your comments! Sue-Little by little the USA is getting there, we have a lot to learn from the UK and other countries, I appreciate you sharing your home care experience with us.

    • Sue Adams profile image

      Juliette Kando FI Chor 

      8 years ago from Andalusia

      Great info here Magnoliazz. It's about time America caught up with the times. In England we've had home care allowance since after the war. I looked after my ageing mum and we both got paid. She got disability allowance and I got carer's allowance. Enough to live on and a much happier time for the elderly when they can be looked after in familiar surroundings by their loved ones.

    • liljen23 profile image

      Jennifer Crowder 

      8 years ago from Shreveport,LA

      Wow,this is a great hub with good information to receive from it. Enjoyed reading it!!


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