This article suggests that the literature on care, which originally was hea
vily influenced by a gendered perspective, has now taken on other important
variables. However, it is argued that if we look at the particular impact
of the marketisation and privatisation of long-term care, we can see that g
ender is still a useful perspective on the production of care. especially p
aid care. The reordering of the delivery of domiciliary care within the 'mi
xed economy of welfare' is having important effects on the labour market fo
r care and is likely to lead to further inequalities between women, both no
w and in old age. The article proceeds to look at the impact of these inequ
alities on the consumption of care in old age, particularly by elderly wome
n and considers factors that may provide women with the resources to purcha
se care and/or pay charges for care. The article argues that gender does st
ill matter, but that its impact has to be understood within a context of gr
owing inequalities between women, and an analysis that takes account of wid
er social and economic relations within kin networks and between generation
s.