How Do You Fire Your Family?

Federal officials reverse course on disability provision of Affordable Care Act

Yuxing Zheng, The Oregonian - August 16, 2013

I think people who use in-home long term care should be allowed to hire family to provide care if that's what they want. My only questions for those who do would be:

Could you fire your Mother, Father, Sister, Brother or Spouse if they were doing a crappy job?

and

How will you feel about living with your family, depending mainly on them for your day to day needs, when you are 25, 30, 40 years old?