Over the past decade, social science researchers in the area of feminism, labor, immigration, and family have written extensively on the care work crisis and globalized care work. Depending on how broadly care work is conceived, these writings emphasize unique aspects of gender, race, class, and/or citizenship inequalities. Second wave of feminist perspectives, for instance, identify housework and most work culturally defined as "women’s work"—including all paid health occupations dominated by women, such as nurses, direct care workers, and hospital workers but also possibly even health, education, and social service occupations—as central to gender subordination. Another important research stream, focusing on domestic labor as women’s work, but recognizing its traditional outsourcing to slaves, servants, and later employees, highlights the complexities of the inequality generated, not only in terms of gender but race, class, and citizenship as well. Bringing these two bodies of literature together in conversation initially pointed to the inaccurate assumption that care work was valued when it became wage labor. The paid labor of domestics, nannies, and elderly care workers, however, remains deeply devalued, most often with those with limited options entering the profession. This article both assesses contradictions within dominant approaches to care work and highlights the cultural and political foundations of the very inequalities that domestic care workers experience.