Why I Started Caregiver Atlas
- Nancy Fay
- May 21
- 4 min read
Because no one warns you...and almost everyone will face it.
There is a reality most of us don't talk about until we're already in the middle of it.
At some point, many of us will become caregivers - often while still raising kids, working full time and trying to hold our own lives together.
This group has a name: the sandwich generation.
And the truth is - it's not small and it's not rare.
This isn't a "maybe" - it's a high probability.
Today, about 1 in 4 American adults is a caregiver. (aarp.org)
And nearly 30% of caregivers are part of the sandwich generation, caring for both children and aging parents at the same time. (aarp.org)
If you're in your 40s or 50s, the odds go even higher - more than half of people in this age group are supporting both an aging parent and a child in some way. (mhanational.org)
This isn't something that happens to "other people."
It's something most of us will face - whether we're ready or not.
We don't prepare for this - and neither do our parents.
There is another uncomfortable truth behind caregiving:
Most families are not financially prepared for it.
We assume people plan for aging.
We assume there's money set aside.
We assume there's a plan.
But in reality:
Many people reach retirement without enough savings for long term care.
Most do not have long term care insurance.
And few truly understand what aging will cost.
So when care is needed, the responsibility doesn't fall on a system.
It falls on family.
It falls on you.
And when there's no:
Financial safety net
Clear plan
Legal or medical direction
The caregiver becomes the plan.

Most of us are learning this role in real time.
Caregiving doesn't come with a manual.
We're not taught this in school.
We don't prepare for it like we do careers or parenting.
And most of us avoid thinking about decline and death until we have no choice.
So what happens?
We get thrown into it.
Suddenly, you're:
Managing medications
Coordinating doctor visits
Making financial decisions
Navigating insurance and care systems you never dealt with before
And you're expected to figure it out as you go.
It's no surprise that:
We are learning one of the hardest roles of our lives...while actively living it.
The cost is far higher than people realize.
Caregiving is not just emotional - it's financial.
And often, those costs come directly out of the caregiver's life.
The average caregiver spends about $7,200 per year out of pocket. (aarp.org)
That's about 26% of their income. (aarp.org)
Many families spend closer to $10,000 to $15,000 per year on care. (worldmetrics.org)
And that's just direct costs.
Long-term care itself can be staggering.
In-home care averages $25 to $35 per hour (championcareinc.com)
Full-time care can reach $6,500 to $10,000 per month (championcareinc.com)
And here's the part many people don't realize:
Medicare does not cover long-term care. (championcareinc.com)
So unless there is:
long-term care insurance
significant savings
or Medicaid eligibility
The cost shifts directly onto families.
The ripple effect no one talks about.
Because people aren't prepared, caregiving doesn't just impact the parent - it reshapes the caregiver's entire future.
1 in 5 caregivers reduce work hours or leave their job. (newkerala.com)
Many dip into personal savings or stop contributing to retirement. (aarp.com)
Some take on debt just to manage care.
Over time, this creates a cycle:
One generation isn't prepared....so the next generation sacrifices their own financial stability to fill the gap.
And it keeps repeating.
Meanwhile, the system depends on this.
Family caregivers provide care valued at over $1 trillion annually in the U.S. (aarp.org)
WE ARE the system.
The time commitment alone is overwhelming.
Caregiving isn't a small responsibility.
It's often the equivalent of another job.
Caregivers average 24 hours per week providing care (whereyoulivematters.org)
About 1 in 4 say it's essentially a full time job. (health.usnews.com)
And sandwich generation caregivers?
They're doing this while:
Raising kids
Working full time
Managing a household
There is no extra time built into the day for this.
They just absorb it.
And yet - support rarely fits real life.
This is the part that stayed with me the most.
Support exists - but not for the people who need it most.
Most caregiving resources are:
During the day
In person
Designed for retirees or those not working full time
But what about the person who:
Works 9-5
Has kids to get to practices, homework, dinner
Takes calls from doctors during lunch breaks
Handles medications at night after everyone is asleep
The caregiver doesn't have time to attend a day session.
And yet - they are often the ones carrying the heaviest load.
Why I created Caregiver Atlas
I didn't start Caregiver Atlas because I had everything figured out.
I started it because I didn't.
I started it because:
I saw how quickly caregiving becomes overwhelming.
I felt the weight of decisions no one prepares you for.
I realized how expensive and isolating it can be.
And how little support out there actually fits real life.
Caregiver Atlas is meant to be:
A place where information is clear and accessible.
A space built for real schedules, not ideal ones.
A resource that speaks in plain English.
A reminder that you are not the only one navigating this alone.
Final Thought
We prepare for careers.
We prepare for having children.
We think about retirement.
But we don't prepare for caregiving.
We don't talk about caregiving because we don't plan for it - and we don't plan for it because we don't want to face what aging really costs. But ignoring it doesn't prevent it. It just shifts the burden onto the people we love most.
And that's why this conversation matters.
NOTE!!
This website is a work in progress, articles and events will be added almost daily. Go to our website to join our biweekly newsletter to keep up with new articles and local events. www.caregiveratlas.org or email info@caregiveratlas.com.
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