I am a disability support worker, and would like to add a little context that may affect how this expense is perceived. One of the types of in home support for the very disabled, injured or the very old, is nursing.
Some types of in home care require a nurse - administering certain medication, handling a ventilator, wound care, etc.
If there are not nurses in the community offering these services the alternative is that these people go to the hospital for the round the clock care they need - a much more expensive proposition.
Is this where the majority of hours are worked? Because the way I understand the scheme, it's the facilities that have no other choice but to hire agency staff where the growth is. Like hospitals.
Ah, do facilities hire private nurses? Like traveling nurses? I had only heard the term "private nurse" as in one who is privately hired to work in the home.
Edit: Ah, they do indeed, I have now read the article, apologies. I read private nurses and assumed it meant in home nurses. It seems in Canada the term applies to travel nurses or agency nurses.