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Some are a joy—our very first and forever friends in life. Others are more of nuisance, a source of drama that comes and goes over the years. But when a parent falls ill or needs additional help as they age, these family relationships are truly put to the test. Some adult children work seamlessly together to find the best care solutions for their aging parents. Still others are involved sporadically, only deigning to give their opinions when pricey care decisions are on the line. To make matters worse, they wholly oppose paying a fair wage to their siblings who have taken on the role of primary caregiver. When siblings begin emphasizing cost reduction strategies and encouraging the provision of unpaid care, primary caregivers usually reach an unfortunate realization: these family members are not interested in what is best for their parents or even what is fair to them as carers. As a family, we wanted the best possible care for our parents.

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