A new reality show landed this month called Million Dollar Nannies, and if you have not seen it yet, you can guess most of it from the title. Young nannies, a villa in Ibiza, private jets, clients from the top one percent, and the kind of demands that make for good television. One mother on the show wants her staff using designer chopsticks to handle the children’s food. Another expects a text update every twenty minutes. It’s glossy, it’s a little outrageous, and people are eating it up.

Families often ask about parent care. What they are really asking is how to create a better quality of life for their parents.