In this chapter, we begin with a discussion on why distance matters and an exploration of the prevalence of caring at a distance. We then examine the factors that influence decisions leading to the spatial separation of family members. We explore the differences and commonalities between family caregivers who live near and those who live at a distance from the person for whom they are caring. We consider the type of care provided and the effects of care on work and family well-being. We also describe strategies used by those who are engaged in both paid and long-distance care to minimize the negative effects of caregiving on the work and home lives. We also examine gender and social class differences with respect to these issues.