Many Americans work for free when it comes to providing long-term care, a news report found.

Nearly 80% of all long-term care is provided in-home, and family members provide most of it at no cost, according to the Philadelphia Inquirer. This care amounts to an estimated $306 billion each year, the newspaper reported.

Medicaid provides limited intensive in-home care. The federal-state program will pay for aides, but the aides are limited to services including light housecleaning, errands or bathing. They are not allowed to provide skilled nursing care, such as help with feeding tubes and numerous other tasks.