The total "Care Economy," which includes both paid and unpaid care, is currently valued at roughly $6 trillion (nearly a quarter of U.S. GDP), and experts warn it is at risk of significant contraction due to these labor shortages.
Today, we talk with Mary Helen Crowder, Home Health Aide Instructor, at the ACE Center at Hermitage, about what Henrico County Schools are doing to do their part to close the healthcare labor gap. We were visited by one of Mary’s outstanding students and spoke with her about her experiences in the program.
When professional home health aides are unavailable or unaffordable, the burden shifts to family members. As of late 2025, the estimated economic value of unpaid caregiving in the U.S. has climbed to over $1 trillion annually. A study in Health Affairs estimated the personal cost of unearned income for family caregivers at roughly $67 billion per year, a figure expected to double by 2050 as the "silver tsunami" of aging retirees intensifies.