When I first saw home health care businesses many years ago, people who started a business were pretty much unregulated and many worked on their own besides their regular job in nursing. Many were not even any sort of nurses. When I was younger, I helped many an old person with groceries, cleaning, picking up meds, driving to appointments with doctors, etc. Now that the baby-boomers are getting older, there's an increased need every year for nurses, but the requirements to start a business seem so stiff. It seems just about every owner I have seen with a business has an MSN, MHM, or MPH degree. I wonder what will be next, for any such business to have to have an MD as an owner? The home health care business seems to be one that is recessionary proof in these hard times in the US. I briefly considered this field, but the legalities are daunting.