I am a newbie at hiring outside help to care for my husband who has vascular dementia and peripheral neuropathy. Thought it would be short term, but now looks quite permanent. Am not working through an organization, just found someone on my own. A friend mentioned the other day that I should be paying the IRS Social Security and Medicare taxes, and maybe even state (SC) taxes. Does anyone know if this is true? Can I continue to pay this person "under the table" as she puts it? Can I deduct this (and the taxes) as a health expense deduction when I file my taxes next year? Thanks for any advice you can give me.