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How Families Affected by the Care Crisis Can Avoid Debt

Renauld Smith • 15 Dec, 2025

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With an aging population growing and chronic illnesses rising, we can only expect demand for care to surge. As more people seek ongoing support, one problem continues to unfold. The caregiving workforce is struggling to meet the current needs because there are fewer workers than patients. McKinsey & Company estimates that supply interventions supporting the sector can add about 5.6 million care workers. The bad news is that these numbers are not enough to close the gap. Indeed, the shortage of healthcare employees could reach 10 million by 2030. When you hear people talk about the caregiver crisis, the focus is on understaffing, limited training, and unequal worker distribution. Rarely do people discuss the devastating effects it has on households, such as how it makes it even harder to get out of the debt trap. Here, we discuss how the care sector calamity is increasing financial stress for families, translating to a growing credit burden. And we will see what families can do to weather the storm. 

Increased Health Care Expenses

When an item or service is in short supply and the demand is high, the cost doubles or triples. That’s what’s happening in the care service industry. Without enough caregivers to meet surging needs, healthcare agencies are paying higher wages and overtime to attract and keep experienced staff. Providers then pass these costs directly to families. Here’s what this means for households: home-based care, nursing home, and assisted living costs are rising beyond what many can afford. For a family that’s planning for long-term care, it means their savings deplete faster than expected. 

They end up taking loans or using credit to cover basic care. An expense that should be manageable turns into a long-term debt issue. Are there ways to prevent debt while providing care? It’s crucial to know how to manage this area of debt risk without compromising on the level of care your loved ones receive.

The first step is to start preparing for caregiving requirements as soon you are aware that they are on the horizon. For example, this might be the case if you have a loved one who is aging or living with a chronic illness or disability. Do not delay in developing a care budget and start saving.

Also, search for flexible care options and seek subsidized care arrangements or community systems. Options like adult day care, personalized plans, and flexible home care hours allow families to use resources efficiently by paying for hours or services needed. Governments and non-profit organizations offer healthcare subsidies targeting households with low income, the elderly, and people with disabilities. You can take advantage of the free money, not loans, offered to pay for services. Alternatively, you can receive credits to reduce your insurance coverage expenses, making access to essential healthcare affordable. 

Underfunding Decreases Care Quality

The health sector is already facing countless challenges with staff shortages. Underfunding makes the situation worse by forcing caregiving agencies and their employees into accepting low wages. Reducing hospital funds doesn’t just affect workers. It is also decreasing the quality of care. The UK home care funding crisis, for example, contributes to high caregiver turnover and service cuts. This systemic failure forces caregivers to exit the workforce or cut back on non-essentials like routine checkups and preventive care. And this results in reduced quality outcomes. 

The implications of poor-quality care services extend beyond lower patient safety to higher costs. Imagine being forced to wait longer for appointments or procedures because your provider is limiting their operations. Your diagnoses and treatments will delay and escalate health problems that require higher out-of-pocket costs and destabilize your family’s finances. To survive underfunded medical care and safeguard their finances, families are turning to unpaid caregiving. A spouse, children, or relatives can step in as nurses to help save hospital expenses. Taking loans responsibly is another option to ensure loved ones get care when you’re broke. However, borrow for short-term essentials with low interest rates and create a repayment plan. 

Unpaid Care Reduces Income

What would you do if formal care is too expensive for your family? You would probably choose to look after a loved one at home.  Since you won't be paying nurse fees or assisted living bills, this sounds like a perfect way to save. however, there are hidden long-term financial challenges of unpaid caregiving. When a family member takes on the role of a carer, they may quit employment, say no to promotions, or reduce work hours. Such moves reduce lifetime earnings, delay investments like housing and business development, and weaken retirement buffers. 

While the care services are unpaid, transport, special equipment, and medications must be paid for. And who pays for them? Family members. So, the costs rise over time as care needs increase. There are ways unpaid caregivers can protect their livelihoods and their family’s financial futures. Part-time jobs or remote roles are ideal options one can engage in during breaks or when another family member cares for their loved one. This ensures there's regular income the caregiver can use to contribute to their retirement accounts and build emergency funds. 

The cost of care is rising and this is affecting millions of families globally, causing financial strain. Those already struggling with limited finances are getting into more debts. As care demands continue to grow, the staffing shortage widens, and funding crises unfold, families will encounter longer wait times. They'll also pay more for services that should be affordable, and trade off their income to provide unpaid care to loved ones. As this plight unfolds, knowing how to manage your funds is vital to staying debt-free.

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