This article examines the largely hidden reality of children and teenagers in the United States who take on significant caregiving responsibilities for ill, disabled, or aging family members, often stepping into adult roles with little recognition or support. It highlights how organizations like the American Association of Caregiving Youth (AACY) are working to identify and assist these young caregivers, who may number in the millions, and whose responsibilities can include managing medications, assisting with daily living tasks, and providing emotional support. The piece underscores the personal toll this work takes—disrupting education, social development, and mental health—while also situating the issue within a broader systemic failure: a long-term care system that relies heavily on unpaid family labor.