Picard has certainly never visited my small city hospital.  Scans, bloodwork, chemo, radiation, broken bones,  etc. are all done on an out-patient basis.  It would enlighten him to look into the farce of home care.  A PSW will bathe/shower you but is not allowed to get your groceries or sweep your floor.  So you are clean but starving and up to your ankles in dirt unless you have the money to hire a private service or are fortunate enough to have live-in family.  So much for keeping the seniors in their homes.  Good luck!