Long-term family caregiving is uniquely difficult because it is largely unsupported by the very systems it sustains. We continue to treat caregiving as a private family matter rather than the population-level health crisis it clearly is. The physical, logistical and financial strain can be staggering. The emotional toll is especially complex for those caring for someone chronically or terminally ill. The stakes are often terrifyingly high as one moment can carry fatal consequences. And the responsibility is open-ended and relentless. Many family caregivers are in that role until the end of their or their loved one’s life.