The 'Care CUSP' and five ways of reaching them
54M
There is an opportunity to activate up to 54M consumers who are interested in, but not yet paying for routine childcare, adultcare, or both
FIVE TACTICS
Build social proof
Show up in person
Embrace the messy reality of care
Show impact to multiple users
Design for the unique needs of different communities
Caring for loved ones is core to the human experience–part of what makes life meaningful and gives us joy and a sense of legacy. It is also undeniably hard at times–physically and emotionally exhausting, overwhelming, and logistically complex. Those who struggle to find reliable work or a living wage also contend with a torn social safety net and little outside support. Many of us have been socialized to believe that seeking out support means we aren’t living up to our caregiving duties, that we can “do it all”–raise kids, keep aging relatives safe and thriving, run households–often while working outside the home, too. This can be especially true for women and in particular cultures that emphasize honoring elders within the family setting.

All of this adds up to an interesting challenge and a massive opportunity for entrepreneurs interested in courting consumers in the care economy. Based on a May 2022 consumer survey of 3,110 respondents, representative from a U.S. census-representative sample across gender, age, race/ethnicity, and income, we discovered that the majority of the market–54% of caregivers–are open to paying for care services, but not yet convinced they should. This is the ‘Care Cusp’ majority. We are calling on care entrepreneurs to meet the moment and address the 54 million caregivers that we expect are interested in, but not yet paying for caregiving routinely.

However, there is a lot of work to do to ensure the benefits of care products and services are tangible for this Care Cusp majority, and to hurdle the cultural barriers that may prevent consumers from taking the leap.

In this chapter, we define just who the Care Cusp really are and look at myriad ways that entrepreneurs might enlighten them about the viability of seeking out paid support–whether for childcare, adult care, and/or homecare–to make life easier and more joyful.
Stigma Scale
CARE HOLDOUTS
Care Cusp
CARE EARLY ADOPTERS
1. I think this should be handled entirely by myself/family/friends – I would not want my family to hire help with this (even if it were affordable)
2. I think this should usually be handled entirely by myself/family/friends, but I might consider buying help under the right circumstances
3. I am equally open to completing this task entirely myself/among family/friends or to buying help with this
4. I likely prefer paying for someone else to help with this task, as opposed to always doing it entirely by myself/among friends/family
5. I definitely prefer paying for someone else to help with this task, as opposed to always doing it entirely by myself/among friends/family
who are the care cusp?
Given the size of this latent customer base, engaging with the Care Cusp as they explore purchasing care solutions and adopt new behaviors presents a significant opportunity.
Here are five tactics to overcome some of the main mindsets that are a barrier for Care Cuspers:
1
Build social proof.
Scaling referrals from friends and neighbors can quickly establish trust, while reinforcing that ‘people like me’ utilize these products or services.
2
Show up in person.
Build trust by prioritizing human-to-human connections with those considering paid care services.
3
Embrace the messy reality of care.
Acknowledge and celebrate the wide range of experiences of care.
4
Show the impact to multiple users.
Emphasize how multiple users (e.g., care buyer, care recipient, care provider) can benefit from a care solution.
5
Design for the unique experiences of different communities.
Tailor your solution to your target user’s needs.
1
Build social proof
Build peer signaling from friends or ‘people like me do things like this’ into user acquisition
One of the biggest barriers to overcome when launching a new product or service that isn’t widely adopted yet is social validation. Users are looking for permission to do things that they aren’t accustomed to doing, trust that the solution can help them with their pain points, and validation from friends that this is the right thing to do.
Take Urban Sitter. They do this by matching families with individual child care providers and providing parents with online social groups from their school, church, or neighborhood, so they can see which babysitters others in their network have booked recently.

For our Care Cusp, this first touchpoint - how they hear about the product, their first impression, their understanding of its benefits - is key to drawing them in. There are multiple strategies of how to create a great first impression, particularly through the lens of sharing and the social proof to reinforce the belief that “people like me” pay for and outsource some types of care.

Urban sitter

“When people ask me who our biggest competitor is, I often say, ‘staying home.’ It’s the fact that we’ve been able to bottle the word-of-mouth recommendation in an easy to use app/website that enables parents to say ‘yes’ to all the things they want to do.”

- Lynn Perkins, CEO of UrbanSitter

Social Proof Acquisition Strategies
Examples
Celebrity or influencer endorsements
Crocs
Saweetie
Cash App
Kendrick Lamar collaboration
Tampax
Amy Schumer
Brand ambassadors
Red Bull
College ambassadors
Honest Company
Influencer brand ambassadors
Lululemon
Global and store ambassadors
Multi-level marketing
Tupperware
Host a Tupperware party
Rodan + Fields
Post on own social media as independent consultants
Pampered Chef
host a dinner party
Free credits, discounts or use 
of the platform via referrals
Uber & Lyft
Free credits for referring new users
Dropbox
Free storage for referrals
Tesla
$1000 referral discount, or free miles for 6 months
Public displays of support
Kickstarter
Easy sharing on social media that a friend backed a project
GoFundMe
Visible list of backers and easy sharing
Change.org
Live feed of petition supporters and comments on ‘reasons for signing’
Waitlist
Clubhouse
Invite-only via someone that you know
Mailbox
Waitlist for iPhone email app (xx people in front of you, yy people behind you)
The League
Application-based dating app that vets profiles
Tap into existing communities
Netflix
DVD owners on online forums and meetups
Pinterest
Design bloggers and their communities
Classpass
New members got a $100 Lululemon gift card
User reviews and testimonials
Amazon
User reviews about a product purchase
Winnie
Review from parents about a daycare or preschool
Adobe
B2B customer success stories with metrics, quotes
Source: A national survey with n=2485 respondents to understand household willingness to pay for products and services that reduce the time spent on household management tasks. Conducted in April 2021 by McKinsey & Co.
2
Show up in person
Meet potential users face-to-face to build a personal relationship
Buying a care product or service is a new behavior for many families. To get over this hurdle of trying something new for the first time, care economy companies can get creative with meeting their users in-person in order to build trust.
This can include meet-and-greets, lunch-and-learns with employer partners, or larger community events like street festivals. The power of face-to-face interactions for curious users may be even more powerful for communities with greater barriers to trust, such as non-English speaking patients navigating the U.S. healthcare system. Furthermore, building personal connections with these groups allows companies to better understand their customers’ needs.
Who has done this well?
1
Build social proof.
Scaling referrals from friends and neighbors can quickly establish trust, while reinforcing that ‘people like me’ utilize these products or services.

AIRBNB

Airbnb famously used in-person events to introduce the Airbnb platform to international hosts. They A/B tested digital-only marketing campaigns versus in-person market launches. The in-person market launches, despite having higher travel costs associated and higher overall upfront spend, led to a 5x return on investment and significantly higher host registrations.

“The host side we found is harder. Turns out, getting people to open their homes to strangers is not quite as easy as getting people to travel and have a unique experience… The first thing we learned is that talking to humans actually really works.”

— Rebecca Rosenfelt, Product & Data at Airbnb

Rent the Runway

When Rent the Runway launched, it was a new behavior for customers to rent a dress online instead of purchasing one. In order to get early users onboard, the company hosted in-person events on college campuses, inviting the public in to see and try on Rent The Runway’s collection of dresses. This allowed customers to see first-hand that the dresses were high-end and clean, and to have a low-stakes opportunity to chat with representatives from the company about the rental process.

ETSY

In order to launch their marketplace, Etsy got started by meeting sellers in person. They sent a team across the U.S. and Canada to attend every art and craft show every week. There, they would support local sellers by buying them lunch, dropping off “craft show kits,” and passing out early promotions for sellers to list on the Etsy platform. Etsy targeted artisans, fostering a sense of community around their mission and building a platform that supports local artisans and craftspeople.

Source: A national survey with n=2485 respondents to understand household willingness to pay for products and services that reduce the time spent on household management tasks. Conducted in April 2021 by McKinsey & Co.
3
Embrace the messy reality of care
Surprise and delight users by celebrating all the experiences of care
The work of care is hard and challenging, but it is also filled with many of the most joyous and profound moments of being human. Show users how care can be manageable if we open up to asking for help when and how we need it. Users are looking to be seen and heard in their moments of vulnerability and joy, and it is important to meet them where they at for their needs and state of mind.
Connect with people's humanity – speak to the complexity of what it means to care, don’t shy away from how hard it can be, celebrate the small and big moments that can bring delight and joy to show the full spectrum of how care can show up in our lives.
Who is doing this well?
1
Build social proof.
Scaling referrals from friends and neighbors can quickly establish trust, while reinforcing that ‘people like me’ utilize these products or services.

FRIDA

Frida, which allows parent to deal with constipation and colds via novel devices, uses humor throughout its branding, both online and in TV ads. Their marketing explicitly acknowledges the "Gross" nature of their products, but does so in a fun and frank way that resonates with parents.

“Honest storytelling is part of the company's DNA, and these commercials from Frida Baby are the latest installment of that philosophy… Director Quinn Katherman strikes just the right balance, wringing equal measures of humor and empathy from memorably icky product demos.”

Muse by Clio

MEGABABE

Megababe produces beauty products for stereotypically unspoken personal care needs, like melasma and chafing. They also do it disarmingly, with cute, millennial-forward packaging. As highlighted in The Cut, “Megababe is a body-positive beauty company that’s unafraid to tackle physical nuisances like chub rub and boob sweat.”

The Megababe ethos starts with founder Katie Sturino, who also runs a plus-sized fashion blog and the Boob Sweat podcast. Sturino “has a history of acknowledging the real problems women face just living their lives and finding a comfortable — and cute — work-around.”

maple

Maple is an app that helps families manage their households — from family calendars, to-dos, and connections to products, deals, and services for the home. Maple explicitly acknowledges that running a household is tough and helps by breaking down tasks and projects step by step for users to easily follow and use the app for themselves. They also have an online community called Chaos Club where parents can share or ask the Maple community for support or tips on parenting and household management.

Bobbie

Bobbie sells organic baby formula, in part, by destigmatizing formula feeding. They start with their own founders, who share stories about the shame they felt when choosing formula for their child instead of breastfeeding.

Bobbie’s messaging actively calls for respect for a mother’s individual journey around feeding her baby:

“Shifting the scrutiny of how we feed to what we feed. Simply put, if you choose to feed your little one formula, it should be undeniably good, and we will be here to support you.”
Source: A national survey with n=2485 respondents to understand household willingness to pay for products and services that reduce the time spent on household management tasks. Conducted in April 2021 by McKinsey & Co.
4
Show the impact to multiple users
Bring the benefits to life for all your care stakeholders
One of the most unique aspects of building a product or service in the care space is that there are often multiple users to design for – whether this is part of the buying process (e.g., an adult child purchasing a device for their aging parents or employers paying for a care solution on behalf of their employees), or part of the product experience itself (e.g., divorced parents co-parenting using an app). Care entrepreneurs have to consider the needs and wants of multiple users, balancing communicating different value propositions and functionalities.
Some care customers may focus on the potential for a product or service to make their own lives better, while others may see the most important motivation as what that product or service can do for those they love. Companies have a lot of room to play with marketing that makes both benefits of an offering apparent. This is especially true of the Care Cusp, many of whom pride themselves on their ability to care directly for those they love. As recent analysis in the Harvard Business Review makes clear, companies experimenting with capturing this market will visibilize their effort, and the meaning they get from it, without overemphasizing the ease that the product or service brings. This prevents customers from feeling like they’re buying their way out of important roles or duties in their most intimate lives.
Who is doing this well?
1
Build social proof.
Scaling referrals from friends and neighbors can quickly establish trust, while reinforcing that ‘people like me’ utilize these products or services.

PAPA

Papa, a companion service for older adults and families, emphasizes the importance of connection and the ease of getting an extra pair of hands or ears, no matter how small or big the task is. Papa messages multiple benefits, to health plans, older adults, adult children, employers, and college young adults, in order to have a multi-user platform that works for all.

yohana

Yohana is a platform with a specialized team that supports families in organizing, researching, and supporting their day-to-day life. Yohana Guides help caregivers manage family life so that parents have more time for themselves and have more time for their kids. Yohana anchors their offering in taking tasks off of caregivers’ plates, thereby freeing them up to be their best and most present selves with their loved ones.

OUTSCHOOL

Outschool is an online marketplace for virtual children’s classes. Outschool highlights the impact of their platform to three different users of their marketplace: kids — showing them how fun learning can be; parents — showing how it’s empowering to let their kids learn from experts; and educators — highlighting the freedom to “teach on your own terms.”

Source: A national survey with n=2485 respondents to understand household willingness to pay for products and services that reduce the time spent on household management tasks. Conducted in April 2021 by McKinsey & Co.
5
Design for the unique experiences of different communities
Tailor your solutions to your target user’s needs
Each family and community care experience is unique, with differences across geography, race, cultural backgrounds, connectivity, parenting philosophies, healthcare preferences, and more. To build resonate solutions for diverse care consumers, entrepreneurs need to commit to learning about consumers – and this requires being in context.
Care entrepreneurs must immerse themselves in their consumers’ ranging needs, desires, behaviors and tailor their value proposition, products, and services  to address them wholly.
Who is doing this well?
1
Build social proof.
Scaling referrals from friends and neighbors can quickly establish trust, while reinforcing that ‘people like me’ utilize these products or services.

Misalud

MiSalud is a personalized digital health platform focused on serving Spanish-speaking communities. These care consumers may have had negative experiences that leave them distrustful of the U.S. healthcare system. In order to meet people where they understandably are, MiSalud works with influential individuals already embedded within these Hispanic communities (e.g., church groups, employers, etc.) to accelerate trust building.

They also design as little friction as possible into their earliest touchpoints–moments where skepticism could mean disengagement. New patients are directly linked to care providers, via “no-login” initial consultations where they can see a Spanish-speaking health coach for free. Prior to launching the “no-login” feature, MiSalud had previously noted that 70% of those interested in the service dropped out when asked to provide an address.

By moving to a “no-login” initial consultation, new users “see that MiSalud’s health coaches are real people, and that they really do speak Spanish fluently, [so] the trust is built so much more rapidly.”

- Wendy Johansson, MiSalud Cofounder and Chief Product Experience Officer

Mcdonald’s

McDonald’s illustrates how even a massive global brand in hundreds of markets around the world can adapt to diverse consumer preferences. For instance, McDonald’s caters to local tastes by taking staple menu items like the Big Mac hamburger and innovating famed variants like the Maharaja Mac in India, the McRice Burger in Indonesia, and the McBaguette sandwich in France. Even within the U.S., McDonald’s has catered to regional differences, such as with the summertime McLobster sandwich in the New England region or biscuits and gravy across locations in the South. Trust and demand is built through this kind of regional attention.

The franchise is particular about localizing its offering at every touchpoint - including how the products, brand, and physical locations are packaged around the world. For example, McDonald’s created a collectible bone-china packaging ahead of Queen Elizabeth’s Platinum Jubilee in the UK, and they aired an anime-style commercial voiced by Japanese idol girl group AKB48 with six different cuts for each region of Japan. McDonald’s restaurants are also often located in historical buildings, designed with playful nods to local context, or showcase stunning local architecture; examples include a timber-frame UNESCO World Heritage site building in Paris, a spaceship-themed building in New Mexico, and an award-winning glass McDonald’s designed by Georgian architect Giorgi Khmaldze in Batumi. Increasingly, consumers want to see even transnational brands acknowledging the beauty and specificity of their local outposts.

Seeking support isn’t easy for so many Americans.
We live in a country that prides itself on individualism, encouraging families to work hard and pursue their own definition of success. But what is often lost in the shadows of that socialization is the fact that caring for others and being cared for are an essential, indispensable part of life, too. Rarely can we manage that care on our own; instead, most of us need the support of the proverbial village, whatever form that takes – including seeking out products or services that ease our burden. It’s the story underneath the story–and it’s ripe for telling in this moment where the pandemic has pulled back the curtain on care.

The Care Cusp illuminates how over half of family caregivers in the U.S. are underserved and tiptoeing towards telling a fuller story of their own care lives and needs. This is huge! It means that 54M people could become regular care buyers–expanding the market and sparking new waves of demand, innovation, and investment.

This is a call for entrepreneurs to rise to the occasion and build the solutions and experiences that will transform what care looks like for the majority of caregivers across the country. Many of these Care Cusp consumers and their loved ones would be better off if they actively sought out solutions that would support them in their care work. The work ahead is to normalize asking for and paying for additional support, and continually perfecting the products and services we offer parents, adult children, and the people they love. By using a number of the tactics in this article, care companies can help consumers grow from being Care Cusp to passionate users and advocates about the village required to care for us all.
Source: A national survey with n=2485 respondents to understand household willingness to pay for products and services that reduce the time spent on household management tasks. Conducted in April 2021 by McKinsey & Co.