COMMENTARY: Masculine caregiving

Across the globe, an enormous workforce of caregivers keeps communities and families functional, yet their work is systematically undervalued, underpaid, and overlooked. As populations age rapidly, this crisis is deepening, bringing with it urgent calls for cultural change, policy action, and broader public recognition of the vital role caregivers play in every corner of society.

In 1950, infants born around the world had an average life expectancy of just under 47 years. By 2022, that figure had jumped to 71.7 years, creating an unprecedented demand for long-term care for aging populations. The United Nations categorizes care work into two core types: unpaid informal care provided by family members, and paid formal care delivered through professional systems. In both sectors, the challenges are stark: even in nations with formal care policies, poor implementation leaves vulnerable older adults with fragmented, insufficient support, while caregivers face widespread income insecurity. Research from 2002 confirmed that even formal paid care workers earn less than workers in comparable occupations requiring matching skills, education, and experience. This lack of fair compensation, paired with a widespread shortage of adequate job-specific training, leaves many caregivers facing physical injury and chronic mental distress. When caregivers are burnt out, the quality of care for their loved ones or clients inevitably suffers; as the old adage goes, you cannot pour from an empty cup, and few systems exist to refill caregivers’ cups after months or years of relentless demand.

Caregiver burnout is not a momentary feeling of tiredness, but a gradual, debilitating condition caused by prolonged, unrelieved stress. The Cleveland Clinic compares burnout to a candle that has burned through its wick: it has nothing left to give to keep providing light. It develops when caregivers sacrifice their own well-being to meet the constant needs of someone who cannot care for themselves, leaving them severely exhausted physically, emotionally, and mentally. It affects every area of a caregiver’s life, from their physical health and personal relationships to their financial stability and social connectedness.

While caregiver disrespect and burnout cut across all genders, male caregivers face unique challenges rooted in rigid cultural constructions of masculinity—particularly in Caribbean contexts like Jamaica, where conventional ideas of manhood are tied to being a breadwinner, protector, and unemotional source of strength. Theron, a Jamaican caregiver who stepped into the role to care for his aging father, says he has experienced firsthand societal bias that frames men who take on care work as less masculine. “When I took on the role of caring for dad, as the only sibling left behind, it was a natural follow,” he explains. “It took its toll in many aspects of my life, including health and relationships, but was never viewed as a burden. In the latter stages, it evoked emotional turmoil to see the man that was strong and confident and my guide in life start to lose his sense of independence and autonomy.”

In Jamaican culture, hegemonic ideas of masculinity are reinforced through popular media, social norms, and historical structures that box men into narrow definitions of strength. Men who deviate from this mold by taking on intimate care work are often viewed as lesser, adding a layer of social pressure that female caregivers do not face. But as author Wayne Campbell points out, what these men are actually demonstrating is a far more authentic form of courage: quiet, consistent strength that shows up every day to care for the people they love. It is long past time to reframe our understanding of masculinity to celebrate, rather than judge, men who choose care work. Campbell notes that men’s emotional experiences as caregivers are almost as invisible as the work itself: social norms discourage men from opening up about the grief, exhaustion, and helplessness that come with caring for a declining loved one, leaving many to suffer in silence. Communities, workplaces, and faith groups can make an immediate difference by creating safe, non-judgmental space for male caregivers to share their experiences.

Tackling the caregiver crisis requires both cultural change and systemic policy intervention. Small acts of community support can make a huge difference for overburdened caregivers: even offering to take over care for a single day to give them time to rest, or simply lending a listening ear, can ease the enormous isolation many feel. For policymakers and employers, the solutions are clear: governments should fund trained care assistants to provide daily relief for family caregivers, mandate paid special leave for medical appointments, and require employers to offer flexible scheduling or remote work options where possible. Many countries also need new legislation aligned with international labor standards to protect care workers, guarantee minimum hours and employment protections, and make care work a more attractive, sustainable profession.

Crucially, all care support systems must be person-centered, tailored to the needs and preferences of both caregivers and care recipients rather than following a one-size-fits-all model. This holistic approach must address both informal unpaid care and formal paid care, bringing together governments, businesses, communities, and households to improve outcomes for everyone. When we devalue and disrespect caregivers, we do not just harm them: we erode the dignity of the people they care for, violating the universal human right to inherent worth that the UN recognizes as the foundation of all justice and freedom.

Caregiving is fundamentally invisible labor: the emotional, physical, and financial work that holds families and societies together rarely gets the recognition it deserves. Too often, even institutions like churches marginalize older adults and their caregivers once they can no longer participate in public activities, while policymakers remain disconnected from the day-to-day realities of care work. This culture of ingratitude is unacceptable, and it must change. As U.S. President Joe Biden has noted, family caregivers are the backbone of every nation. It is long past time we give them the respect, protection, and support they deserve.