The United States is in the midst of a historic demographic shift. According to recent U.S. Census data, between 2020 and 2024, the number of adults aged 65 and older grew by 13%, while the population under age 18 declined by 1.7%. Perhaps even more striking: 11 states now have more older adults than children — up from just three states in 2020.
This trend is reshaping families, communities, and the way our society must think about care. With fewer younger relatives available to provide support and more older adults choosing to age in place, the need for professional caregiving is growing at an unprecedented rate.
What This Means for Families and the Care Industry
As the ratio of older adults to younger caregivers continues to shift, many families are finding it increasingly difficult to balance the demands of work, parenting, and caring for aging loved ones. At the same time, older adults are expressing a strong preference to remain at home rather than move into long-term care facilities.
The result is a greater reliance on professional home care — not just as supplemental support, but as essential partners in ensuring quality of life, safety, and independence for older adults.
Why Home Care Matters More Than Ever
Home care offers families peace of mind, knowing that their loved ones can receive personalized, one-on-one assistance in the comfort of their own home. For older adults, this support ranges from help with daily activities and medication reminders to companionship and specialized care for conditions like dementia.
As the aging population expands, professional caregivers are filling a critical gap. Home care helps relieve the pressure on families, health systems, and communities — providing a sustainable, compassionate solution for a nation in demographic transition.
Family & Nursing Care: A Trusted Partner for Today and Tomorrow
At Family & Nursing Care, we recognize the challenges and opportunities this demographic shift brings. With more than 57 years of experience, we are uniquely positioned to meet the growing demand with responsive, compassionate, and highly coordinated services. Families can rely on us 24/7/365, knowing that we are always just a phone call away.
“The demographic trends are clear: we are moving into an era where professional caregiving will be central to how families support their loved ones,” said Mitch Markowitz, Vice President of Business Development at Family & Nursing Care. “Our role is to step in as a trusted partner, ensuring older adults can age with dignity while families can focus on their relationships, not just the responsibilities of care.”
As the number of older adults continues to rise, care planning has never been more urgent. Families who prepare today will be best positioned to navigate the future with confidence and peace of mind.
Learn more about how Family & Nursing Care can support your family by visiting our Home Care Services webpage.

At Family & Nursing Care, our mission is to help older adults age with dignity, comfort, and connection. That commitment extends to every aspect of our work and is at the heart of the Family & Nursing Care Foundation.
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