Ann Bookman describes this struggle very well in her article entitled Families and Elderly Care in the 21st Century; Bookman states: Upper-middle-class and wealthy families typically have sufficient funds to pay for elder care services, while poor families typically qualify for a variety of subsidized services, such as health care. at home. The families hardest hit are the working poor and those with moderate incomes, who are too “rich” to qualify for subsidized services but unable to pay for care themselves. Many families caring for elderly parents face this type of “middle-class squeeze” (Bookman