
The Opinions Caregiving, the Life-Altering Job You Didn’t Apply For
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Feb 3, 2026 Michelle Cottle, a Times Opinion politics writer who reports on aging and long-term care, shares her personal caregiving story and broad reporting. She discusses watching a loved one decline, the emotional toll and coping, financing and policy gaps in U.S. long-term care, workforce shortages for paid caregivers, and why demographic shifts make this a growing national challenge.
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When Cancer Met Dementia
- Michelle Cottle describes her father's rapid decline after a cancer diagnosis revealed underlying Alzheimer's disease during treatment complications.
- She and her family pivoted from aggressive treatment to comfort care and faced wrenching conversations and decisions together.
Text Threads As Survival Tools
- Michelle recounts the daily chaos and dark-humor text threads she and her siblings used to track their father's behavior and stay sane.
- Those exchanges served as emotional release and a vital safety valve during caregiving's disorienting moments.
Finding Joy In Small Moments
- Vishakha Darbha and Michelle remember small joyful moments, like a father insisting on wearing the wrong jeans, that provided relief amid decline.
- Shared laughter over these moments helped them cope and stay connected emotionally.

