In Algerian Kabyle families, the intersection of tradition and modernity creates a dilemma for family-based eldercare. As daughters-in-law choose to live independently from their in-laws’ home, some unmarried daughters may be left to fill the care gap. Given the shift from traditional to modern caregiving arrangements, how can elders and the members of their family survive and thrive? Choosing an empirical case study that is analyzed using key concepts from care ethics and gender justice, we develop a notion of “caring (...) with the heart” for aging family members in need of long-term care. We offer seven possible solutions and policy options for the modern Kabyle context. (shrink)