Ann Bookman explains this struggle very well in her article entitled Families and Elderly Care in the Twenty-First Century; Bookman says: Affluent and upper-middle-class families usually have adequate funds to pay for elder care services, while poor families are usually eligible for a variety of subsidized services, such as home health care. The families most affected are the working poor and those with moderate incomes, who are too “rich” to benefit from subsidized services but are unable to pay for care themselves. Many families caring for elderly relatives encounter this type of “middle-class squeeze” (Bookman