What Is Caregiving?

Whether it’s a newborn baby, an aging parent, or ill spouse, care is a universal experience we all will be impacted by. The systems that provide and finance care are deeply connected to our social insurance programs like Social Security, Medicare, Medicaid, and Paid Family and Medical Leave. Care connects us across families, communities, and generations. It enables people to work, learn, and thrive, sustaining both individual wellbeing and the broader economy. Yet despite its fundamental importance, care work—whether paid or unpaid—is often undervalued, under-supported, and unevenly distributed.

Care is in crisis: the current caregiving system is severely underfunded and fragmented, leaving millions of working families unable to access affordable, high-quality care across childcare, paid leave, and long-term care.

In Their Own Words

By the Numbers

Academy Resources

This article is the first in a three-part series examining the growing crisis facing America’s long-term care system, and why states must improve home care jobs.
This article is the second in a three-part series examining the growing crisis facing America’s long-term care system, and why states must improve home care jobs.
This article is the final in a three-part series examining the growing crisis facing America’s long-term care system, and why states must improve home care jobs.
On June 23rd, 2026, the Academy hosted a virtual Lunch-and-Learn exploring LTSS policy. This session included an introduction to the landscape of long-term care supports, key challenges in LTSS policy, and reforms that can address these challenges.
The Academy hosted a 40th Anniversary Gala on the evening of June 9 in Washington, DC. The evening brought together Members, partners, and leaders from across sectors to honor the Academy’s legacy and look ahead to what’s next.
As the Academy marks 40 years during a time of profound change and debate about the future of our social contract, we convened our annual Policy Summit in Washington, D.C.
On July 30, the Academy brought together social insurance champions to celebrate the 60th anniversary of Medicaid, Medicare, and the Older Americans Act and recommit to the unfinished work ahead.