The shortage of home care workers is not new on the Outer Cape. But it used to be workable, said Provincetown Council on Aging Director Chris Hottle. Now, she said, “It’s at a critical state.” In the past, “There may have been a month’s wait,” Hottle said. “Now it can be up to a year.” Elder Services has over 2,400 people receiving home care, with 395 living in Eastham, Wellfleet, Truro, or Provincetown.