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Joyce Bumbray-Graves remembers her hands, dry and cracking from endless hours of handwashing. I had bandaids all over my fingers, she says. Oh my God, my hands were raw. The state of her hands is one of the few specifics that sticks out in her mind from a chaotic few weeks during the holidays. In one room of her house in Northern Virginia was her husband Andy, so sick with the coronavirus that he struggled to get out of bed. He communicated with her in whispers over a cell phone because the disease had stolen his breath. Meanwhile, in another part of the house were Leia and Lisa, her adopted sister and her niece. Both are in wheelchairs Leia has spina bifida and Lisa has cerebral palsy and need round-the-clock care. Bumbray-Graves is a direct-to-consumer home health care worker, paid by Virginia s state Medicaid program to feed, bathe, and care for Leia. Other home health care workers help with Lisa, but when Bumbray-Graves husband got sick with the coronavirus, ....