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Financial Situation of Family Caregivers

Key Takeaways

  • About half of family caregivers experience at least one negative financial impact due to their care responsibilities.
  • Common negative financial impacts include stopping or using up savings, taking on more debt, and leaving bills unpaid or paying late.
  • Some groups of caregivers disproportionately experience negative financial impacts. These include African American/Black, Hispanic/Latino, lower-income, and younger caregivers.
Financial Strain

Family caregiving can result in substantial short-term and long-term financial consequences. About one in five family caregivers report experiencing high financial strain as a result of providing care (18 percent rating 4 or 5 on a 5-point scale; see figure 30). More women than men report caregiving is a financial strain (19 percent vs. 16 percent).

Figure 30.

Financial Strain of Caregiving

CATEGORY Year TOTAL
1 - Not a strain at all ​2015 39.40
2 ​2015 22.20
3 ​2015 20.20
4 ​2015 10.10
5 – Very much a strain ​2015 7.80
1 - Not a strain at all ​2020 41.40
2 ​2020 21.00
3 ​2020 18.80
4 ​2020 11.70
5 – Very much a strain ​2020 6.70
1 - Not a strain at all ​2025 43.60
2 ​2025 19.00
3 ​2025 19.40
4 ​2025 10.00
5 – Very much a strain ​2025 7.70
Year
BY CAREGIVER AGE Year 18 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older
1 - Not a strain at all ​2015 35.50 36.00 34.60 39.90 53.30 49.30
2 ​2015 25.10 17.40 26.80 21.20 15.90 20.40
3 ​2015 23.50 23.30 18.10 20.40 16.60 15.00
4 ​2015 9.80 10.50 13.80 9.00 7.30 6.70
5 – Very much a strain ​2015 5.70 11.60 6.60 9.30 6.50 8.50
1 - Not a strain at all ​2020 40.10 34.90 32.90 46.40 53.60 46.40
2 ​2020 20.60 20.90 21.00 21.40 21.90 19.60
3 ​2020 16.30 23.10 26.00 16.60 11.40 17.10
4 ​2020 15.80 12.70 12.40 9.20 7.10 9.70
5 – Very much a strain ​2020 6.50 8.50 7.20 5.70 6.00 7.10
1 - Not a strain at all ​2025 39.80 36.30 38.30 45.40 53.50 59.50
2 ​2025 19.10 18.00 20.20 21.10 18.40 13.60
3 ​2025 22.20 22.10 20.60 17.30 15.90 16.80
4 ​2025 9.90 14.30 12.10 8.50 7.00 5.10
5 – Very much a strain ​2025 8.90 9.20 8.50 7.40 5.00 4.50
Year
BY CAREGIVER EDUCATION Year Less than high school High school grad Some college or Associates Bachelors degree Masters degree or above
1 - Not a strain at all ​2015 28.40 42.80 41.60 35.10 40.10
2 ​2015 26.10 20.40 19.30 26.10 23.80
3 ​2015 23.10 21.60 18.10 22.90 16.60
4 ​2015 3.70 8.60 12.60 10.20 11.50
5 – Very much a strain ​2015 16.60 6.30 8.50 5.10 8.00
1 - Not a strain at all ​2020 41.70 40.70 40.90 42.50 41.80
2 ​2020 18.10 21.80 18.20 24.90 21.90
3 ​2020 17.30 17.00 19.90 16.80 23.10
4 ​2020 11.70 11.50 13.40 11.80 7.60
5 – Very much a strain ​2020 11.20 8.20 7.30 3.70 5.00
1 - Not a strain at all ​2025 34.20 44.00 44.00 44.90 46.20
2 ​2025 18.00 17.50 19.20 20.40 20.40
3 ​2025 24.20 18.90 19.40 19.00 18.10
4 ​2025 10.00 10.60 9.30 11.00 9.40
5 – Very much a strain ​2025 13.20 8.80 7.90 4.40 5.80
Year
BY CAREGIVER EMPLOYMENT Year Employed Not employed
1 - Not a strain at all ​2015 36.20 44.10
2 ​2015 22.50 21.60
3 ​2015 23.10 16.00
4 ​2015 10.10 10.20
5 – Very much a strain ​2015 7.80 7.80
1 - Not a strain at all ​2020 39.60 44.20
2 ​2020 23.00 17.80
3 ​2020 19.00 18.50
4 ​2020 12.40 10.60
5 – Very much a strain ​2020 5.70 8.30
1 - Not a strain at all ​2025 41.60 46.60
2 ​2025 20.10 17.50
3 ​2025 19.50 19.40
4 ​2025 10.40 9.50
5 – Very much a strain ​2025 8.20 6.80
Year
BY CAREGIVER GENDER Year Male Female
1 - Not a strain at all ​2015 32.80 43.80
2 ​2015 23.80 21.10
3 ​2015 23.90 17.70
4 ​2015 10.60 9.80
5 – Very much a strain ​2015 8.80 7.10
1 - Not a strain at all ​2020 37.20 44.00
2 ​2020 22.20 20.20
3 ​2020 20.10 18.00
4 ​2020 13.20 10.70
5 – Very much a strain ​2020 6.60 6.80
1 - Not a strain at all ​2025 43.00 43.90
2 ​2025 20.80 18.00
3 ​2025 20.40 18.80
4 ​2025 8.30 11.20
5 – Very much a strain ​2025 7.40 7.90
Year
BY CAREGIVER HOUSEHOLD INCOME Year Under $15k $15 to $29k $30 to $49k $50 - 74k $75 - 99k $100k+
1 - Not a strain at all ​2015 35.30 34.10 42.20 38.70 40.90 42.60
2 ​2015 22.40 27.80 16.80 20.50 23.30 22.90
3 ​2015 19.40 20.10 22.50 21.80 17.50 19.40
4 ​2015 9.90 10.40 10.30 11.20 12.10 7.70
5 – Very much a strain ​2015 12.20 7.30 7.70 7.50 6.20 6.90
1 - Not a strain at all ​2020 38.60 39.10 43.60 41.50 39.10 42.80
2 ​2020 22.90 19.00 15.90 19.80 23.00 23.40
3 ​2020 16.40 17.60 20.70 20.70 18.00 18.30
4 ​2020 14.10 12.80 11.70 11.40 12.70 10.40
5 – Very much a strain ​2020 8.00 10.40 7.10 6.10 7.20 4.90
1 - Not a strain at all ​2025 30.10 35.80 38.30 45.40 43.50 48.30
2 ​2025 14.40 17.50 18.00 19.20 20.40 19.80
3 ​2025 27.30 21.10 21.40 18.30 20.70 17.40
4 ​2025 13.50 12.10 9.70 9.60 10.50 9.30
5 – Very much a strain ​2025 13.80 13.20 12.10 7.30 4.70 5.00
Year
BY CAREGIVER LGBTQIA+ Year Yes LGBTQIA+ No, not LGBTQIA+
1 - Not a strain at all ​2015 30.80 40.20
2 ​2015 20.30 22.50
3 ​2015 27.60 19.40
4 ​2015 13.00 9.80
5 – Very much a strain ​2015 8.30 7.80
1 - Not a strain at all ​2020 37.70 41.60
2 ​2020 13.10 21.60
3 ​2020 22.00 18.70
4 ​2020 24.60 10.70
5 – Very much a strain ​2020 2.60 7.00
1 - Not a strain at all ​2025 35.30 45.00
2 ​2025 17.80 19.20
3 ​2025 24.10 18.70
4 ​2025 13.60 9.50
5 – Very much a strain ​2025 9.20 7.40
Year
BY CAREGIVER RACE Year White non-Hispanic Black non-Hispanic Asian, Pacific Islander, non-Hispanic Other Hispanic
1 - Not a strain at all ​2015 42.20 36.00 33.30 39.40 33.90
2 ​2015 20.70 23.80 24.60 15.00 26.50
3 ​2015 19.00 19.60 25.80 28.90 21.90
4 ​2015 10.20 12.60 10.90 5.40 8.30
5 – Very much a strain ​2015 8.00 7.80 5.40 11.30 7.40
1 - Not a strain at all ​2020 42.80 39.70 37.50 43.00 38.50
2 ​2020 22.70 17.10 23.20 16.40 18.20
3 ​2020 16.70 22.40 21.90 18.30 22.50
4 ​2020 11.20 12.20 11.70 10.80 13.00
5 – Very much a strain ​2020 6.10 8.20 5.80 11.50 7.00
1 - Not a strain at all ​2025 47.50 41.30 37.90 39.70 33.90
2 ​2025 20.40 15.10 21.30 19.00 16.70
3 ​2025 16.70 23.20 24.20 23.90 23.70
4 ​2025 9.20 9.00 11.50 9.20 13.90
5 – Very much a strain ​2025 6.10 10.60 5.10 8.00 11.80
Year
BY CHOICE Year Had a choice Did not have a choice
1 - Not a strain at all ​2015 48.80 29.60
2 ​2015 22.10 22.40
3 ​2015 17.70 22.90
4 ​2015 6.40 14.00
5 – Very much a strain ​2015 4.60 11.10
1 - Not a strain at all ​2020 52.20 31.70
2 ​2020 21.90 20.30
3 ​2020 13.70 23.30
4 ​2020 7.20 15.60
5 – Very much a strain ​2020 4.40 8.80
1 - Not a strain at all ​2025 55.80 34.40
2 ​2025 17.80 20.10
3 ​2025 16.50 21.70
4 ​2025 5.70 13.20
5 – Very much a strain ​2025 4.10 10.50
Year

I had to give up a prosperous career and took jobs to work around their schedule. I took a 90% pay cut and lived out of my savings, which has been depleted.

Maylia, California

Caregiver to her father (previously cared for her mother)

Negative Financial Impacts

Family caregivers can face some changes to their finances. About half of family caregivers have experienced at least one negative financial impact as a result of caregiving (47 percent), and family caregivers report experiencing about two negative financial impacts (1.8) on average.

A little over a third of family caregivers have stopped saving, 24 percent have used up their personal short-term savings, and 13 percent have used long-term savings (like retirement or education accounts) to pay for other things. Other caregivers report taking on more debt (23 percent) while caring for a family member or friend. Seventeen percent have borrowed money from friends or family. Twenty percent of caregivers have left bills unpaid or have paid them late, whereas 14 percent have been unable to afford basic expenses like food (up from 11 percent in 2020).

Finally, some caregivers attempt to bridge the financial gap through paid work. Eleven percent had to start working, work more, or find a second job due to caregiving’s financial impacts, whereas 9 percent put off when they planned to retire or decided to never retire.

Table 5.

Negative Financial Impacts as a Result of Caregiving, 2020–2025

2020

(n = 1,392)

2025

(n = 6,549)

Saving Stopped saving 28% 31%
Used up personal short-term savings 22% 24%
education, to pay for other things 12% 13%
Debt Took on more debt 23% 23%
Borrowed money from family or friends 15% 17%
Missed or was late paying student loan 5% 6%
Filed for bankruptcy 3% 3%
Bills or Expenses Left bills unpaid or paid late 19% 20%
Was unable to afford basic expenses like food 11% 14%↑
Work Had to start working, work more, or find a second job 11% 11%
Put off retirement or decided to never retire 9% 9%
Home Moved to a less expensive home, apartment, or other living arrangement 7% 8%
Was evicted or had home foreclosed 2% 3%
Note: ↑↓ Result is significantly higher or lower than in prior wave.

Some groups of caregivers consistently experience more of these negative financial impacts at greater rates than others. African American/Black and Hispanic/Latino caregivers more often experience most of these impacts compared with the total population of family caregivers (see table 6).

Table 6.

Negative Financial Impacts by Race/Ethnicity of Caregiver

Total

(n = 6,549)

Non-Hispanic white

(n = 801)

African American

(n = 197)

Hispanic

(n = 199)

AANHPI

(n = 205)

A B C D E
Saving Stopped saving 31% 28% 36%↑ 40%↑ 19%
Used up personal short-term savings 24% 21% 29%↑ 31%↑ 17%
Used up long-term savings, like retirement or education, to pay for other things 13% 11% 16% 18%↑ 10%
Debt Took on more debt 23% 19% 27%↑ 31%↑ 17%
Borrowed money from family or friends 17% 13% 24%↑ 24%↑ 6%
Missed or was late paying student loan 6% 13% 24%↑ 24%↑ 6%
Filed for bankruptcy 3% 2% 4% 6%↑ 1%
Bills or Expenses Left bills unpaid or paid late 20% 17% 29%↑ 24%↑ 7%
Was unable to afford basic expenses like food 14% 11% 18%↑ 20%↑ 5%
Work Had to start working, work more, or find a second job 11% 8% 17%↑ 16%↑ 11%
Put off retirement or decided to never retire 9% 8% 10% 11% 8%
Home Moved to a less expensive home, apartment, or other living arrangement 8% 6% 14%↑ 10% 5%
Was evicted or had home foreclosed 3% 2% 6%↑ 4% 1%
Note: ↑ indicates a figure is significantly higher than the total population of caregivers.

Lower-income caregivers, those with less than $50,000 in household income, are more often hit by these negative financial impacts. Lower-income caregivers are more likely to be unable to afford basic expenses (28 percent compared with 8 percent). Notably, lower-income caregivers more often report disruptions to savings (45 percent stopped saving, 35 percent used up personal short-term savings, and 19 percent used long-term savings). These caregivers are already less likely to have sufficient savings to weather financial storms.

More caregivers under age 50 experience many of these negative impacts than older caregivers do. Impacts like taking on more debt (27 percent compared with 19 percent), stopping savings (35 percent compared with 28 percent), or using up personal savings (30 percent compared with 20 percent) can set back a young family caregiver’s future financial security. Taking on more debt (27 percent compared with 19 percent), paying bills late or leaving them unpaid (26 percent compared with 15 percent), and experiencing an eviction or foreclosure (5 percent compared with 1 percent) can negatively affect their credit scores.

Compared with non-LGBTQ+ caregivers, LGBTQ+ caregivers more often experience several negative financial impacts, especially around saving (44 percent have stopped saving compared with 29 percent) and not being able to afford basic expenses (27 percent compared with 12 percent).

Affordability of Services

Since 2015, more family caregivers have had difficulty finding affordable services for their care recipient, with 28 percent having difficulty finding services like delivered meals, transportation, or in-home health services (see figure 31). Caregivers living in rural areas more often say it is very difficult to get affordable services in their local area or community (34 percent), compared with urban (27 percent) and suburban (26 percent) caregivers.

Figure 31.

Affordability of Services

CATEGORY Year TOTAL
1 - Not at all difficult ​2015 22.10
2 ​2015 20.90
3 ​2015 31.00
4 ​2015 14.40
5 - Very difficult ​2015 10.60
1 - Not at all difficult ​2020 23.70
2 ​2020 15.10
3 ​2020 32.90
4 ​2020 14.90
5 - Very difficult ​2020 12.00
1 - Not at all difficult ​2025 20.10
2 ​2025 16.50
3 ​2025 32.80
4 ​2025 14.20
5 - Very difficult ​2025 14.00
Year
BY CAREGIVER AGE Year 18 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older
1 - Not at all difficult ​2015 22.40 17.30 20.20 22.30 23.00 35.10
2 ​2015 15.20 19.50 23.10 25.20 25.90 16.10
3 ​2015 31.60 36.80 30.20 28.40 28.90 30.20
4 ​2015 15.90 15.30 15.80 11.80 16.20 8.10
5 - Very difficult ​2015 12.30 11.20 10.70 10.90 5.20 10.60
1 - Not at all difficult ​2020 24.80 25.20 18.60 22.60 26.00 31.50
2 ​2020 11.30 11.30 16.20 20.00 15.00 17.40
3 ​2020 31.40 33.10 38.80 31.70 31.50 26.50
4 ​2020 14.80 15.70 15.60 14.80 13.20 14.70
5 - Very difficult ​2020 16.00 14.10 10.00 9.60 11.90 8.20
1 - Not at all difficult ​2025 20.00 17.30 16.60 19.10 26.00 27.30
2 ​2025 16.90 11.90 17.40 18.70 16.10 19.70
3 ​2025 31.50 38.20 33.30 31.10 32.40 26.90
4 ​2025 15.80 17.10 12.80 14.10 11.60 10.70
5 - Very difficult ​2025 13.10 14.30 17.40 14.60 11.00 11.70
Year
BY CAREGIVER EDUCATION Year Less than high school High school grad Some college or Associates Bachelors degree Masters degree or above
1 - Not at all difficult ​2015 28.00 24.70 23.60 19.20 15.00
2 ​2015 17.30 19.00 23.00 18.30 25.90
3 ​2015 20.10 29.80 29.20 36.00 36.10
4 ​2015 12.80 13.50 14.30 15.30 16.20
5 - Very difficult ​2015 21.00 11.00 9.50 10.00 6.80
1 - Not at all difficult ​2020 25.70 26.10 22.70 25.50 17.90
2 ​2020 13.10 14.60 15.70 13.70 17.80
3 ​2020 33.00 34.20 31.10 30.90 37.70
4 ​2020 11.40 10.50 15.40 17.80 19.10
5 - Very difficult ​2020 15.80 12.90 13.70 10.70 6.60
1 - Not at all difficult ​2025 23.00 23.40 20.00 16.70 17.10
2 ​2025 11.50 15.20 16.40 18.50 19.70
3 ​2025 28.40 32.40 32.70 35.90 32.20
4 ​2025 17.40 11.70 15.20 14.20 14.30
5 - Very difficult ​2025 17.90 13.70 13.50 12.90 14.90
Year
BY CAREGIVER EMPLOYMENT Year Employed Not employed
1 - Not at all difficult ​2015 20.70 24.30
2 ​2015 21.60 19.80
3 ​2015 32.60 28.60
4 ​2015 14.70 13.90
5 - Very difficult ​2015 9.20 12.70
1 - Not at all difficult ​2020 23.00 24.70
2 ​2020 14.20 16.50
3 ​2020 34.80 29.80
4 ​2020 14.40 15.70
5 - Very difficult ​2020 12.20 11.70
1 - Not at all difficult ​2025 18.80 22.20
2 ​2025 16.10 17.30
3 ​2025 34.80 29.70
4 ​2025 14.00 14.50
5 - Very difficult ​2025 14.40 13.50
Year
BY CAREGIVER GENDER Year Male Female
1 - Not at all difficult ​2015 18.40 24.60
2 ​2015 21.10 20.70
3 ​2015 31.70 30.50
4 ​2015 17.90 12.10
5 - Very difficult ​2015 10.40 10.70
1 - Not at all difficult ​2020 22.50 24.40
2 ​2020 17.10 13.90
3 ​2020 35.60 31.20
4 ​2020 14.30 15.20
5 - Very difficult ​2020 9.80 13.50
1 - Not at all difficult ​2025 21.60 19.20
2 ​2025 16.20 16.80
3 ​2025 32.10 33.10
4 ​2025 14.40 14.10
5 - Very difficult ​2025 13.40 14.40
Year
BY CAREGIVER HOUSEHOLD INCOME Year Under $15k $15 to $29k $30 to $49k $50 - 74k $75 - 99k $100k+
1 - Not at all difficult ​2015 31.60 22.00 26.10 16.00 18.70 20.60
2 ​2015 17.60 23.00 17.30 19.80 18.70 26.30
3 ​2015 23.10 24.00 30.10 39.40 39.20 29.60
4 ​2015 15.00 13.10 13.50 16.70 14.10 14.20
5 - Very difficult ​2015 11.60 15.00 12.40 7.60 8.10 9.10
1 - Not at all difficult ​2020 24.60 20.30 29.00 27.30 17.20 23.10
2 ​2020 17.90 13.80 11.80 11.60 18.90 16.80
3 ​2020 28.30 40.10 32.00 29.50 34.40 32.90
4 ​2020 13.90 11.70 10.70 15.80 15.10 17.70
5 - Very difficult ​2020 15.40 13.00 14.20 14.30 12.50 8.40
1 - Not at all difficult ​2025 16.30 21.70 22.50 21.70 18.20 19.20
2 ​2025 14.80 13.00 14.10 15.30 18.40 18.40
3 ​2025 35.70 31.90 28.90 34.60 32.50 33.40
4 ​2025 15.70 15.30 16.20 12.40 15.70 13.20
5 - Very difficult ​2025 16.00 16.40 14.60 13.20 13.40 13.70
Year
BY CAREGIVER LGBTQIA+ Year Yes LGBTQIA+ No, not LGBTQIA+
1 - Not at all difficult ​2015 20.80 22.20
2 ​2015 16.00 21.40
3 ​2015 28.00 31.40
4 ​2015 19.00 14.00
5 - Very difficult ​2015 16.10 9.90
1 - Not at all difficult ​2020 27.70 23.10
2 ​2020 10.00 15.70
3 ​2020 34.50 32.80
4 ​2020 12.80 15.20
5 - Very difficult ​2020 13.10 12.00
1 - Not at all difficult ​2025 17.30 20.50
2 ​2025 15.80 16.70
3 ​2025 31.40 32.80
4 ​2025 18.00 13.70
5 - Very difficult ​2025 14.40 14.00
Year
BY CAREGIVER RACE Year White non-Hispanic Black non-Hispanic Asian, Pacific Islander, non-Hispanic Other Hispanic
1 - Not at all difficult ​2015 22.10 24.10 15.60 32.90 21.30
2 ​2015 21.50 20.00 25.70 15.80 18.40
3 ​2015 32.30 29.80 37.20 12.10 27.70
4 ​2015 13.60 15.10 12.70 16.90 17.10
5 - Very difficult ​2015 9.40 10.20 8.70 19.00 14.80
1 - Not at all difficult ​2020 22.50 31.40 22.90 24.10 21.70
2 ​2020 16.50 13.50 12.40 11.80 13.00
3 ​2020 33.30 26.60 41.10 33.70 34.10
4 ​2020 15.40 12.40 13.00 19.30 15.00
5 - Very difficult ​2020 11.10 14.30 10.60 11.00 14.00
1 - Not at all difficult ​2025 20.20 26.00 11.50 23.00 17.10
2 ​2025 16.90 16.10 16.90 13.20 16.50
3 ​2025 33.00 32.20 38.20 33.60 30.30
4 ​2025 13.50 10.60 15.60 17.00 17.90
5 - Very difficult ​2025 13.70 13.20 14.00 10.60 16.90
Year
BY CHOICE Year Had a choice Did not have a choice
1 - Not at all difficult ​2015 28.90 15.40
2 ​2015 21.50 20.40
3 ​2015 27.40 34.30
4 ​2015 11.90 16.80
5 - Very difficult ​2015 8.80 12.40
1 - Not at all difficult ​2020 32.50 15.90
2 ​2020 15.50 14.70
3 ​2020 31.50 34.20
4 ​2020 11.50 17.80
5 - Very difficult ​2020 7.80 15.70
1 - Not at all difficult ​2025 28.80 13.50
2 ​2025 17.40 15.90
3 ​2025 32.70 32.90
4 ​2025 9.80 17.50
5 - Very difficult ​2025 8.50 18.30
Year

We [caregivers] are under-rated, and I think the world has no idea what we do. Being a caregiver is the hardest role. It’s nothing like babysitting. You are playing three or more roles: taking care of your family members, the house, yourself, your job…

Maylia, California

Caregiver to her father (previously cared for her mother)