Over one million workers in this industry have no health insurance. 90 percent of direct caregivers are women, and many are primary breadwinners in their families. Caregivers are paid minimum wage or, if they are lucky, just slightly above. Earning such low wages with no health insurance means that 46 percent of direct caregivers rely on some type of government program, such as food stamps, Medicaid, housing, child care, energy assistance, or transportation assistance.