New data suggest that direct care wages are Lagging behind In all 50 states and DC, the direct care worker median wage is lower than the median wage for other occupations with similar entry-level requirements. This fact sheet shows that in all 50 states and the District of Columbia, the direct care worker median wage is lower than the median wage for other occupations with similar entry-level requirements, such as janitors, retail salespersons, and customer service representatives. In many states, direct care worker wages also cannot compete with occupations with lower entry-level requirements. Read the article.