The Support at Home program's legislation and guidelines are constraining the independence, autonomy and empowerment of older people who want greater agency over their lives. Reforms are needed to address an absence of rights, funding shortfalls, workforce shortages, and policy and regulatory inflexibility. Although inadequate funding and workforce shortages are structural constraints difficult to overcome, a renewed focus on the rights of older people is feasible and necessary. A more flexible and client-focused approach will help the program give older people what they want.