"Value of unpaid caregiving" means the hours families give, priced as if they had been
bought. No money changes hands. It is included because leaving it out makes the real cost look far smaller
than it is.
A cost-effectiveness ratio — dollars per QALY, a quality-adjusted life year — is not a
measurement. It is the output of a model with stated assumptions, and it encodes a judgement about how much a
year of reasonable-quality life is worth. Different modellers reach different answers from the same trial.
Economic value of unpaid dementia caregiving, Alabama
Modelled estimate
US-state
6,391 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Alabama (222 thousand caregivers; 396 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Montana
Modelled estimate
US-state
652 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Montana (18 thousand caregivers; 26 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Alaska
Modelled estimate
US-state
929 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Alaska (25 thousand caregivers; 40 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Nebraska
Modelled estimate
US-state
1,617 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Nebraska (42 thousand caregivers; 63 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Arizona
Modelled estimate
US-state
9,700 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Arizona (242 thousand caregivers; 379 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Nevada
Modelled estimate
US-state
5,651 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Nevada (137 thousand caregivers; 226 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Arkansas
Modelled estimate
US-state
4,957 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Arkansas (175 thousand caregivers; 268 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, New Hampshire
Modelled estimate
US-state
1,518 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, New Hampshire (57 thousand caregivers; 66 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, California
Modelled estimate
US-state
53,229 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, California (1403 thousand caregivers; 1904 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, New Jersey
Modelled estimate
US-state
13,561 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, New Jersey (283 thousand caregivers; 512 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Colorado
Modelled estimate
US-state
9,613 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Colorado (211 thousand caregivers; 336 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, New Mexico
Modelled estimate
US-state
2,387 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, New Mexico (68 thousand caregivers; 119 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Connecticut
Modelled estimate
US-state
6,255 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Connecticut (197 thousand caregivers; 241 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, New York
Modelled estimate
US-state
33,771 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, New York (776 thousand caregivers; 1299 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Delaware
Modelled estimate
US-state
1,649 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Delaware (37 thousand caregivers; 67 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, North Carolina
Modelled estimate
US-state
8,300 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, North Carolina (338 thousand caregivers; 446 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, District of Columbia
Modelled estimate
US-state
405 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, District of Columbia (15 thousand caregivers; 15 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, North Dakota
Modelled estimate
US-state
609 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, North Dakota (19 thousand caregivers; 26 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Florida
Modelled estimate
US-state
30,319 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Florida (877 thousand caregivers; 1378 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Ohio
Modelled estimate
US-state
15,506 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Ohio (490 thousand caregivers; 705 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Georgia
Modelled estimate
US-state
14,303 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Georgia (391 thousand caregivers; 789 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Oklahoma
Modelled estimate
US-state
4,776 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Oklahoma (135 thousand caregivers; 226 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Hawaii
Modelled estimate
US-state
3,275 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Hawaii (62 thousand caregivers; 111 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Oregon
Modelled estimate
US-state
8,001 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Oregon (188 thousand caregivers; 291 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Idaho
Modelled estimate
US-state
2,432 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Idaho (74 thousand caregivers; 118 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Pennsylvania
Modelled estimate
US-state
17,213 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Pennsylvania (472 thousand caregivers; 835 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Illinois
Modelled estimate
US-state
16,690 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Illinois (465 thousand caregivers; 668 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Rhode Island
Modelled estimate
US-state
1,525 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Rhode Island (37 thousand caregivers; 53 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Indiana
Modelled estimate
US-state
6,622 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Indiana (221 thousand caregivers; 329 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, South Carolina
Modelled estimate
US-state
7,029 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, South Carolina (229 thousand caregivers; 377 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Iowa
Modelled estimate
US-state
2,730 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Iowa (80 thousand caregivers; 118 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, South Dakota
Modelled estimate
US-state
910 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, South Dakota (29 thousand caregivers; 33 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Kansas
Modelled estimate
US-state
3,377 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Kansas (141 thousand caregivers; 172 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Tennessee
Modelled estimate
US-state
13,121 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Tennessee (393 thousand caregivers; 686 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Kentucky
Modelled estimate
US-state
6,654 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Kentucky (190 thousand caregivers; 323 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Texas
Modelled estimate
US-state
35,637 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Texas (1287 thousand caregivers; 1913 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Louisiana
Modelled estimate
US-state
5,353 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Louisiana (221 thousand caregivers; 366 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Utah
Modelled estimate
US-state
3,383 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Utah (118 thousand caregivers; 150 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Maine
Modelled estimate
US-state
2,993 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Maine (66 thousand caregivers; 103 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Vermont
Modelled estimate
US-state
836 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Vermont (20 thousand caregivers; 29 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Maryland
Modelled estimate
US-state
7,347 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Maryland (260 thousand caregivers; 294 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Virginia
Modelled estimate
US-state
12,835 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Virginia (333 thousand caregivers; 561 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Massachusetts
Modelled estimate
US-state
6,723 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Massachusetts (220 thousand caregivers; 254 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Washington
Modelled estimate
US-state
11,632 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Washington (257 thousand caregivers; 393 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Michigan
Modelled estimate
US-state
16,280 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Michigan (422 thousand caregivers; 682 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, West Virginia
Modelled estimate
US-state
2,181 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, West Virginia (65 thousand caregivers; 116 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Minnesota
Modelled estimate
US-state
6,280 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Minnesota (168 thousand caregivers; 231 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Wisconsin
Modelled estimate
US-state
7,292 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Wisconsin (206 thousand caregivers; 322 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Mississippi
Modelled estimate
US-state
2,701 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Mississippi (109 thousand caregivers; 168 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Wyoming
Modelled estimate
US-state
601 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Wyoming (19 thousand caregivers; 30 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025
Economic value of unpaid dementia caregiving, Missouri
Modelled estimate
US-state
8,558 million USD (2025 dollars)
Who this covers: Unpaid caregivers of people with Alzheimer's or other dementias, Missouri (227 thousand caregivers; 357 million hours)
State totals do not sum to US total due to rounding.
Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 · 2025