This book presents an up-to-date comparative analysis of formal domiciliary care systems in Denmark, Germany and the United States. It makes an important contribution to the debate about the future care of older people and provides an insightful analysis of the provision of publicly-funded domiciliary care services from a cross-national perspective. The areas addressed include: classifications of welfare state and social care regimes; the changing role of the state as a provider and purchaser of social care services; the re-commodification of the care labour force; incentives for informal care-givers via public financing and social security; and the introduction of notions of consumer power into care policies.