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Roughly 8 million people 65 and older have dementia or need help with two or more activities of basic daily life, like getting out of bed. Facing a severe shortage of aides and high costs, caregivers often cobble together a patchwork of relatives and friends to help.
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Many health care aides were able to get insurance through the Affordable Care Act. But with the law's future uncertain, they don't know how their jobs or their doctor bills will be affected.