I have spent years working with older adults in community and home-based care. During that time, I learned that one of the most stubborn barriers to health is not a rare disease, a complex guideline, or even a lack of services.

Sometimes, the barrier is a piece of paper. A flyer that an 80-year-old cannot read because the font is too small, a brochure filled with medical jargon that confuses more …

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Last month, a daughter called our care center in panic. Her mother, who lives with early dementia and mobility problems, needed support immediately. She had already contacted five agencies. All of them gave the same answer: “We have caregivers, but they are not allowed to work here.”

Not because the workers lacked skills. Not because the families were difficult. But because recent regulations now restrict long-term care workers to a single …

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