There is clearly a need for immigrant care workers in Canada but that some key issues need to be addressed to better meet their needs and the needs of the older adult recipients of their care. Some of the policy shifts required are related to the immigration status of the care worker – such as their English or French language sufficiency and their Canadian cultural competency – but others are more general concerns with the lack of status and attention that older adult care has garnered in the Canadian context. The relative invisibility of the conditions of older adult care can be seen as being mirrored in the invisibility of the work and living conditions of their immigrant care workers.