Editor's Note A year ago Public Health Nursing published special content on home health care (4:2, June 1987). This past year has seen the crisis in home care escalate. Medicare claims denials are soaring. This year there are fewer home care agencies than there were a year ago, particularly voluntary agencies. This means patients, especially those without a payment source, are going without needed care. A recent conversation with a colleague gave rise to the following editorial. It is an eloquent, powerful statement about home care nursing as seen through the eyes of a practicing home care nurse. This guest editorial is adapted from Margaret Myers's “Report to the Subcommittee on Workplace and Salaries of the Governor's Task Force on the Nursing Shortage” for Connecticut. Its message is universal. I invite readers to respond through letters, which might comprise a special section in a future issue.