The document identifies the top 10 contributing factors to the caregiving crisis in America: 1) an aging population, 2) changing family trends like more two-income households and single-person homes, 3) a fragmented healthcare system, 4) insufficient funding and planning for long-term care, 5) a lack of financial and emotional support for caregivers, 6) caregiver resistance to accepting support, 7) high rates of caregiver insomnia, anxiety and depression, 8) increased medical problems among caregivers, 9) family ambivalence and divisiveness around care plans, and 10) caregiver isolation and withdrawal due to a lack of adequate support systems.