Covid-19 has exposed too many weaknesses in the neoliberal capitalist system to count, especially when it comes to the most vulnerable. For 10 years our international, interdisciplinary research team has been documenting the profound weaknesses in nursing home care within Canada, Germany, Norway, Sweden, the UK, and the US. The lines between for-profit and not have become increasingly blurred by various neoliberal strategies. One of these involves non-profit and state-owned homes contracting out services to for-profit firms as – in denial of the literature on the determinants of health – services such as food, housekeeping, and laundry have been defined out of care and dismissed as ancillary. This contracting out has not only undermined teamwork, but has also resulted in poor food, inadequate cleaning, and limited laundry – all of which threaten health.