As the number of middle-skilled and middle-paying jobs decline in the years ahead, other jobs like home health aides and personal care aides are projected to grow at an even faster pace. Despite their growth in number, care jobs rank very poorly on various important job quality markers, such as flexibility and safe working conditions. Policy makers can enact steps to improve the quality of these jobs, such as addressing wages, regulating to improve working conditions and safety, and enhancing opportunities for upward mobility and training.