But, that then leads to people being put at risk, because they don't want to pay at all, never mind more, so care that needs to be paid for is put off and put off until something really dangerous happens and the hand is forced
If people don’t want to pay for long term care at all, surely it’s already a risk?
We all know that most people think that long term care should be free, and want to hand on their houses and savings to their family untouched. Those same people cannot make sympathetic noises about the low pay of care staff. They have already asserted, indirectly, that the labour of those people should be free, or at least paid for by somebody else.
I think the answer, and it's very simplistic, is to cap profit that can be made annually from care. A % of the income.
How is that going to work in practice? You can’t run a business like that.
Say you have a calendar year end, and in November you forecast that your profit before tax for the year will be 2% above the permitted level. What do you do? Pay all the staff a Christmas bonus? What happens if trading in December is bad, so that you end up at 3% below the permitted level? Do you take it back again?
Care homes are not particularly profitable in any event. If permitted profits are capped, where are entrepreneurs and investors going to put their money? Not into care homes. Nobody would buy shares in care groups if potential future returns were restricted.
Unfortunately we have to accept that if care staff are to be paid more, the service users must pay more.