Is is just me?

Is it just me, or am I being unsympathetic? I just don't understand why home care is ordered in many cases for such a long period of time (6-8 weeks) , when pt's have family members who could easily take them to get labs, therapy, etc. I'm not talking about the ones who obviously cannot out, or have spouses/family members who are unable to help. I just have a problem with the ones who can easily get into a car for follow up appointments with physicians but are unable to get to a lab for a blood test?
I guess I'm feeling a little resentful - I worked for a non-profit hospice agency who watched every penny, and then some, yet I see folks in home care who are well able to get to appointments, to the drugstore, etc either by themselves, or with family assistance....yes, I understand they are allowed to do quick errands but honestly...
I'm not sure I'm cut out for this home health stuff.....
mc3