Ilitch is an increasingly frail billionaire who can afford to have the paid help wipe his ass with old Benjamins every day and maybe to help hold him steady while aiming & avoid missing the toilet when he takes a leak...lol. All he really still needs to be able to do, is to use his head. Every other physical whim that he might have can be performed for him or w/only their assistance if he wants or needs it done.