As every direct care worker advocate knows, personal and home care aides earn far too little for the important work they do. And now an updated version of PHI’s State Chart Book on Wages for Personal and Home Care Aides (PDF) gives advocates a valuable tool, proving that real wages are actually getting worse.
The chart book analyzes data from the U.S. Bureau of Labor Statistics, adjusting last year’s wages for inflation to see how their earning power compares to average wages in 1999.
Nationwide, these inflation-adjusted rates, which the chartbook calls “real wages,” have decreased by 3 percent over the past nine years, dropping from $7.50 an hour to just $7.31. Real wages increased in more than half the states during that period, but not enough to make up for their decline in the other 21.
Median wages in 2008 ranged from $7.05 an hour in Texas to $12.55 in Alaska in 2008, or real wages of $5.61 to $9.90. “Wages for personal and home care aides are so low,” says PHI Director of Policy Research Dorie Seavey, “that about 20 percent of these workers received a raise on July 24 when the minimum wage increased to $7.25/hour.”
The chartbook also compares wages to federal poverty level wages for a one-person household.
Elise Nakhnikian
Communications Director
Direct Care Alliance



As a 20-plus-year caregiver from Colorado I am tired of this state and the feds trying to balance the budget on my back. It is not the rich that drive this economy (they merely respond to the needs of the middle class and the poor). Directly help the middle class and the poor, as well as “caregivers,” and the economy will improve at all levels. Our elderly and handicapped deserve adequate care-and this is encouraged by adequately paying caregivers. Frank