Kinmen’s aging society emerged during the Cold War, but long-term care was overlooked post-martial law as economic growth took priority. Families resorted to hiring migrant care workers. Recently, the decelopment of long-term care services have fostered family caregiver case management and services. This study applies a social care framework to analyze Kinmen’s family caregivers using archival data from a local caregiving association and government policies and measures. Findings highlight distinct caregiver profiles: male, left-behind, and older caregivers. Challenges include unspoken exhaustion (male), remote supervision (left-behind), and physical strain (older). Moreover, relevant national and local measures are oriented toward the needs of individuals, service providers encounter barriers in reaching into households in need, highlighting the tensions between cultural norms and institutional structures. The establishment of innovative services tailored to the needs of local family caregivers, thereby fostering transformation in the culture of care.