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Actually, I have made due with IHSS for 10 years now. I get $11.50 an hour times just over 200 hours a month. Further, as of January 1, they will start paying time and a half for 40 of those monthly hours.
IHSS pays like $ 10.80 hr with a max of 66 hours at the very best if the client is evaluated to need 66 hrs of care by the state. $ 700 week & maybe $ 550 after taxes?25K a year? if you have your own other source of income that the IHSS supplements, then when your caregiving days end you will be ok financially for your own retirement. But what seems to be the story over & over on this site, is family leaves their job to caregive; moves in with mom/dad: spends down their own savings as their parents income is not enough to support the household & themselves; then after X # of years, mom needs a higher level of care& caregiver has total burnout; the caregiver now finds herself financially at risk, exhausted and with limited job / income prospects.
If they need to go onto Medicaid to pay for NH, then the caregiver has to deal with MERP. Yes they can get the caregiver exemption to MERP so they can inherit the home. But although that is great, it doesn't work IF they don't have the income & resources to be able to afford the home.
We all want to make sure our parents live a long healthy & hopefully happy life. But we shouldn't overlook our own future needs and it's likely costs. Often quitting our job & spending our own resources to take care of maw-maw does exactly that
The duty of the family is not a nationwide thing. It varies from state to state. I think in places like New Mexico you don't get paid. But there are states, such as California, that will pay caregivers to take care of someone, family or not.
If you have a professional degree (CPA, RN, MPH, etc) and you perform the same duties you would in your regular job, you can charge your regular rate.
Now some states have paid home health family programs. These seem to be for 10-15 hours a week at miminum wage or maybe slightly above that. It is not going to be a full time living wage. Usually you have to take some basic caregiving course, perhaps a red cross life savings course as well. Based on what other have posted on this site maybe $ 9 hr /10 hrs week; under $400 mo. Hours will be under 20 hrs week so that it is not a part time job. If you are expecting the state to pay you whatever your old salary & benefits was, that just isn't going to happen.
The viewpoint of caregiving in the US is that it is done for free by the women-folk of the family as a sense of duty and familial responsibility. If your living at the home, it's viewed that you are getting a direct benefit of free room & board as well. Whether this is right or wrong, well that is a whole other issue.....But that is how the system is set up at this point.