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One of 14 paths

Caring for family

Making family, or your own health, your main focus for now.

  • Family caregiver
  • Raising a child
  • Managing your own health
  • Paid caregiver program
  • Running the household
  • Family farm or business
  • Caregiving plus a class

The short version

Caring for family is a real full-time role, not a gap in the story.

It fits if you're caring for a relative, raising a child, or helping run a household.

Watch for: caregiving can close other doors before you notice, so keep learning one small thing on the side.

At a glance

Each scale shows its level and the reason, and "our read" marks a judgment call.

  • Cost while you do it

    It depends on your family and your state.

  • Time it takes

    There's no set length.

  • Possible earnings once you're done

    It depends on where you go next.

  • Getting in Our read

    Level: Open to most, 1 of 5

    There's nothing to apply for to start, though paid caregiver programs have their own rules.

  • Switching later Our read

    Level: Some of it carries over, 3 of 5

    Caregiving can close other doors before you notice, but one class on the side can keep momentum.

  • New experiences Our read

    Level: Some new, 2 of 5

    You stay in familiar places, but the responsibilities are new and real.

What it's really like

For a while, your family or your own health comes first. That covers looking after a relative, raising a child, helping run a household or a family business, or managing your own health. You can pair it with one online class or certificate on the side.

What it takes

In some states, a Medicaid program will pay a family caregiver, depending on your situation. The person you care for has to be enrolled in a Medicaid program that covers it, and you have to meet your state's rules for caregivers. Each state chooses whether to provide Medicaid support for family caregivers, so check what your state offers. The National Family Caregiver Support Program funds help for people caring for older adults at home. Those programs can choose to include caregivers under 18.

Where it leads

In focus groups run by KFF, a health policy research group, family caregivers often said they had to cut back their hours at other jobs. KFF also says Medicaid payments for caregiving can ease the money struggles that come with cutting work hours or quitting a job. A single online class or certificate alongside the caregiving can keep you moving forward.

Pros and cons

Pros

  • It's a real full-time role.
  • Some states pay family caregivers through Medicaid.
  • A class or certificate on the side can keep momentum.

Cons

  • Family caregivers often say they've had to cut back their other work.
  • Medicaid caregiver support is optional for states.
  • It has no set length.

If you change your mind

Anything you finish alongside caregiving, like an online class or certificate, stays yours. If you're paid through Medicaid, ask what happens to that pay when your family's needs change. On applications and in interviews, you can describe it as the real full-time role it was.

Try it before you choose

  • Check with your state's Medicaid agency whether it pays family caregivers.
  • Pick one small thing you can keep learning on the side.
  • If you're caring for an older relative, find local help on the Eldercare Locator.

Pick one to try this month. Trying a thing isn't choosing it.

Questions to ask

Put these to a Medicaid agency or to someone who's done it.

  1. Does this state pay family caregivers, and through which program?
  2. What are your rules for caregivers, including any age rule?
  3. What help is there for the caregiver, like respite care or training?
  4. What's a normal week like, and what's been harder than you expected?

People who did it

After her parents died in 1987, Shania Twain supported her three younger siblings. For three years she did it by singing at a resort in Ontario, and she kept writing songs in her free time.

A story like this can't tell you what's likely for you.

Check current details

Medicaid pay and rules vary by state, so check them at the source.

Compare with nearby paths

These three paths are close to this one, and their pages use the same scales.

Community college

It fits if you're unsure of a major, want options open, or plan to transfer later.

Cost while you do it
You pay some, 2 of 5 on the paying side
Time it takes
About two years, 2 of 5An associate degree is about two years of school, with a schedule that can bend around a job.
Possible earnings once you're done
Middle to Above the middle, 3 to 4 of 5
Getting in
Open to most, 1 of 5
Switching later
Some of it carries over, 3 of 5
New experiences
Some new, 2 of 5

Skills and certificates

It fits if you want one in-demand skill fast and can stay disciplined without a campus.

Cost while you do it
You pay a little, 1 of 5 on the paying side
Time it takes
A year or less, 1 of 5A short program or self-study can take just a few months.
Possible earnings once you're done
Above the middle to Higher, 4 to 5 of 5
Getting in
Open to most, 1 of 5
Switching later
Mostly easy, 2 of 5
New experiences
Mostly familiar, 1 of 5

Paid work

It fits if you want income, or you're not ready for more school.

Cost while you do it
Paid a wage, 3 of 5 on the getting-paid side
Time it takes
A year or less, 1 of 5You can start right away, with training on the job.
Possible earnings once you're done
Lower to Middle, 1 to 3 of 5
Getting in
Open to most, 1 of 5
Switching later
Easy, 1 of 5
New experiences
Some new, 2 of 5

See all 14 paths

Where these facts come from
  1. KFF, Medicaid's Home Care Support for Family Caregivers in 2025 (published January 5, 2026; opened 2026-10-15).
  2. Centers for Medicare & Medicaid Services, Leveraging Family Caregivers for Personal Care Services in 1915(c) Waiver Programs (slide deck, data as of June 30, 2020; read for the register on 2026-10-14).
  3. Administration for Community Living, National Family Caregiver Support Program (page last modified 03/18/2026; opened 2026-10-15).
  4. Administration for Community Living, Eldercare Locator (page last modified 03/02/2026; opened 2026-10-15).
  5. Medicaid.gov, Where Can People Get Help With Medicaid & CHIP? (opened 2026-10-15).
  6. On this site: Shania Twain's story on People who changed course, with that story's own sources.