Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: We agree with Dr Forst and colleagues
in the need for adequate protections for home care workers—those who
often perform heroic work in difficult circumstances. Space constraints limited
our discussion of this important topic. As Forst et al state, and as we have
witnessed repeatedly, home care workers face innumerable challenges. In addition
to workplace standards, home care workers need adequate training, reimbursement,
and opportunities for promotion and career advancement. It is also important
to remember that the home environment, unlike other workplaces, is less amenable
to standardization; therefore, some rules for worker protection might need
to be suitably modified and comparisons with other workplaces placed in context.
Boal J, Boling PA, Levine SA. Effect of Exercise Intensity on Body Composition. JAMA. 2003;290(23):3069-3070. doi:10.1001/jama.290.23.3069-a