The Shrinking Cushion of Unpaid Care Published April 27, 2026 Most measures of economic well-being in the United States are based on dollars earned or dollars spent, but we don’t live in an entirely market-based economy. The annual American Time Use Survey shows that we spend, on average, about as much time on unpaid work (defined as activities that someone else could be paid to do) as on work that earns a paycheck.