I suggest a microphone from https://www.knowbrainer.com/ they are the NaturallySpeaking gurus I would say. You don't have to buy the microphones directly through them, just get the brand and Google it. I am using Addasound Crystal SR2831 USB Wired Monaural Noise-canceling Headset
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In our state welfare covers care home health services for certain income limits.. My aunt has a home health care service
Prime West and MinnesotaCare....
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Isn't there home health agencies where you can get caregivers? That's what I had been using
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