How did one of the wealthiest countries in the world get to a point where it can’t support more than 54 million older adults and twice as many in a few decades? A Question of Care™ explores the many answers to this question with expert insights into our caregiving system and how to solve the growing crisis in care. This podcast is hosted by Robert Espinoza, a national expert and frequent speaker on aging, long-term care, and the workforce. Learn more at https://www.aquestionofcare.us/.
How Are Home Care Businesses Evolving for Workers?
Home care agencies are vital in the care economy, providing essential services, employing workers, and informing government policies and industry practices. However, many operate on tight margins, and face intensified scrutiny as home care jobs remain low-quality nationwide.
In this episode, host Robert Espinoza talks to Kevin Smith, CEO of Best in Care, Inc. They discuss how home care agencies should operate in today’s environment, what it means to provide good jobs, and how to optimize government and businesses to improve home care.
This podcast was produced in partnership with MODRY MEDIA.
20 Jul 2025
Who Are the Care Workers in Hospice and Palliative Care?
In this episode, host Robert Espinoza talks to Brynn Bowman, CEO of the Center to Advance Palliative Care, about the workforce needs in palliative and hospice care, why good jobs will improve this care, and how government and industry leaders should intervene.
6 Jul 2025
Why Aren't More People Using Consumer Direction?
In this episode, host Robert Espinoza speaks with Corrine Eldridge, President and CEO of the Center for Caregiver Advancement. They discuss what consumer direction offers, why independent providers need more government attention, and how to boost this aspect of long-term care.
22 Jun 2025
Why Are Nursing Assistant Jobs Overlooked?
Host Robert Espinoza interviews Dr. Kezia Scales about the overlooked role of nursing assistants, exploring their responsibilities and the link between quality care and job conditions.
8 Jun 2025
Who Supports People with Developmental Disabilities?
Host Robert Espinoza interviews Joseph Macbeth, CEO of the National Alliance for Direct Support Professionals, exploring how to bolster direct support roles and where governmental focus should lie.
25 May 2025
What Future Can We Imagine for Home Care Workers?
Robert Espinoza interviews Helen Adeosun, who examines the needs of home care workers and how businesses can support them, envisioning a better future for this essential workforce.
11 May 2025
How Should Society Invest in Childcare Workers?
Host Robert Espinoza interviews Julie Kashen about the challenges childcare workers face and explores how society can better support and invest in them.
27 Apr 2025
What If Our Country’s Care Workforce Vanished Overnight?
In this episode, host Robert Espinoza speaks with Josephine Kalipeni, Executive Director of Family Values at Work. They discuss the centrality of care workers to our economy, why these jobs suffer in quality, and how to make a profound difference for care workers and those they support.
16 Jan 2024
How Should the Law Empower Older Adults?
In recent decades, legal cases have incrementally broadened services for older people and strengthened legal protections against age discrimination. Despite these advancements, o our country has a long way to go in extending legal rights to older individuals.
In this episode of A QUESTION OF CARE™, Robert Espinoza is joined by Kevin Prindiville, Executive Director of Justice in Aging, a national organization that uses the power of law to fight poverty among older people. They discuss how the legal system should assist older adults with their economic security, health care access, and more.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
2 Jan 2024
Is Our Culture Dealing Properly with Dying?
Death and dying are difficult subjects for most of us. Yet how our country deals with these issues might inadvertently hurt how health professionals approach end-of-life care and serious illness, all of which incurs a significant cost.
In this episode, host Robert Espinoza speaks with Dr. Joseph Shega, Chief Medical Officer at VITAS Healthcare and Co-Managing Editor of Essential Practices in Hospice and Palliative Medicine. They touch on our country’s relationship with death and dying and how a different approach to these topics would improve the end of life for millions of Americans.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
12 Dec 2023
Will Immigrants Rescue the Home Care Sector?
For generations, immigrants have contributed significantly to this country, including our health and long-term care sectors. Unfortunately, our divisive political climate prevents a constructive conversation about the potential of immigrant workers to support people with long-term care needs.
In this episode, host Robert Espinoza speaks with Ai-jen Poo, President at the National Domestic Workers Alliance and Executive Director at Caring Across Generations. They speak to the experiences of immigrant home care workers, why immigration is a contentious issue, and the future of caregiving.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
27 Nov 2023
How Does Dementia Affect the Entire Family?
In 2023, an estimated 6.7 million Americans age 65 and older are living with Alzheimer's, which will likely double to 12.7 million by 2050. Yet our health and long-term care systems aren't prepared to support this population or their families, many of whom are strained financially and emotionally.
In this episode, host Robert Espinoza is joined by expert guest Jason Resendez, President and CEO at the National Alliance for Caregiving. They speak about the latest trends in dementia, its impact on millions of family caregivers, and how our country should support everyone as dementia cases continue to rise.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
6 Nov 2023
Why Can’t I Find a Home Care Worker?
Home care workers are a lifeline to millions of older adults and people with disabilities. Unfortunately, many of these workers are walking away from this sector to pursue better-paying jobs. As a result, it’s nearly impossible to find and retain a highly qualified home care worker these days.
In this episode, host Robert Espinoza speaks with Dr. Madeline Sterling, a doctor, researcher, and professor at Weill Cornell Medicine. They dive into her studies on home care workers, what they reveal about this job sector, and how the U.S. should transform these jobs to benefit everyone.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
23 Oct 2023
What’s It Like to Reach Older Age When You’re LGBTQ+?
Due to a lifetime of discrimination, millions of LGBTQ+ older adults struggle economically and face entrenched barriers in employment, housing, and healthcare. They also routinely encounter discrimination in long-term care environments, and the law rarely supports their urgent needs.
In this episode, host Robert Espinoza speaks with Michael Adams, CEO at SAGE (Advocacy and Services for LGBTQ+ Elders). They discuss the unique challenges facing LGBTQ+ older people, Michael’s own experiences over the decades, and what our country should do to improve the current situation.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
9 Oct 2023
Is Our Care System Racially Segregated?
Research shows that Black nursing home residents are more often physically restrained and hospitalized than their peers and are less likely to have their pain treated. Black and Latino people also make up a disproportionate number of cases and deaths from COVID-19. Why is that?
In this episode, Robert Espinoza sits down with Dr. Ruqaiijah Yearby, a professor at the Moritz College of Law at Ohio State University. They speak about systemic racism in long-term care, the unique challenges of Black older people, and what it would take to make aging a more positive experience for communities of color.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
25 Sept 2023
Why Did the COVID-19 Crisis Ravage Nursing Homes?
Since its onset, COVID-19 has disproportionately impacted nursing home residents, primarily because they live with the types of medical conditions that put them at risk of severe complications. But there are other important reasons that the nursing home sector remains vulnerable to health crises.
In this episode, host Robert Espinoza speaks with David Grabowski, a professor at the Department of Health Care Policy at Harvard Medical School. They touch on the history of nursing homes, what COVID-19 has revealed about this sector, and how it should move forward from this crisis.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
11 Sept 2023
Why Do We Tolerate Ageism?
Ageism affects all of us, and yet it is one of the least discussed issues of our time. It’s also expensive—one study found that ageism resulted in roughly 17 million cases of common health conditions, totaling $63 billion in one year.
In this episode, host Robert Espinoza is joined by Ashton Applewhite, author of This Chair Rocks: A Manifesto Against Ageism and co-founder of the Old School Anti-Ageism Clearinghouse. They dive into the definition of ageism, the ways in which it manifests in our culture, and how to combat it.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
11 Sept 2023
What Has Happened to Our Country’s Caregiving System?
High-quality long-term care remains out of reach for millions of older adults in the U.S. Given this challenge, what should we know about our country's caregiving system to fix it once and for all?
In this episode, host Robert Espinoza speaks with expert guest Howard Gleckman, Senior Fellow at The Urban Institute and a columnist at Forbes.com. They discuss the profound challenges facing older adults and why the U.S. caregiving system needs a complete transformation.
This podcast is produced by Robert Espinoza in partnership with Modry Media (https://modry.us/).
For more information about this show, visit aquestionofcare.us (https://www.aquestionofcare.us/).
6 Mar 2023
Trailer: A Question of Care
How did one of the wealthiest countries in the world get to a point where it can’t support more than 54 million older adults and twice as many in a few decades? A Question of Care™ explores the many answers to this question with expert insights into our caregiving system and how to solve the growing crisis in care. This podcast is hosted by Robert Espinoza, a national expert and frequent speaker on aging, long-term care, and the workforce. Coming Fall 2023. Subscribe now wherever you get your podcasts.
Who has been a guest on A Question of Care
Names identified in recent episode analyses. Showing up to five guests.
Dr Kezia Scales
Joseph Macbeth
Helen Adeosun
Julie Kashen
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
Apple Podcasts (US)
5.0 / 5
13 ratings
Spotify
5.0 / 5
5 ratings
Podcast Authority Score: 22 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
23
Social presence
0
YouTube
0
Engagement
51
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