Explores the complex interplay of long-term care needs, globalization, and justice. The author examines the plight of dependent elderly individuals and their families, particularly in the United States, highlighting the challenges of inadequate support and fragmented care systems. The book also analyzes the struggles of paid long-term care workers, with a significant focus on emigrant women from lower-income countries like the Philippines, the Caribbean, and India, who often face exploitation and deskilling. Eckenwiler proposes an "ecological ethic" to understand these interconnected injustices, arguing for global responsibility and comprehensive policy reforms to ensure equitable and sustainable long-term care worldwide, emphasizing the need for integration across health, economic, labor, and immigration policies.