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Pulse issue · May 29, 2026

Today the care economy gets priced: West Virginia counts $3 billion in unpaid labor, a Colorado family documents $1.1 million against $33,614, and a Roosevelt study says senior care erases over half of middle-class wealth — even as Maryland cuts paid family care.

Listen · Pulse Daily · 4:47

Today the bill for unpaid care comes into focus — from West Virginia to Colorado to a Roosevelt Institute study on vanishing middle-class wealth — while states split between paying family caregivers and cutting them off.

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West Virginia Puts a Number on the Caregiving Women Do for Free

375,000 West Virginians — most of them women — provide $3 billion in unpaid care a year, as a federal push presses more women back toward it.

Lead brief · 4 cited sources

Ellen Allen, writing in West Virginia Watch, reports that more than one in four adults in the state — about 375,000 people — are family caregivers, providing more than $3 billion in unpaid care each year. Women carry it: about 61% of family caregivers are women, a share that holds in West Virginia. Allen's argument is that the system stays standing only because women absorb the cost privately.

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