Family care from a distance is a fact of life for millions of Americans. Living at a distance from an aging parent or grandparent can make caregiving a complex and difficult challenge. "Miles Away: The MetLife Study of Long-Distance Caregiving" by the MetLife Mature Market Institute and the National Alliance for Caregiving examines the challenges long-distance caregivers face not only in their personal lives but also in their work and careers. In order to provide assistance for an aging loved one, long-distance caregivers miss an average of 20 hours per month of work, according to the report. The study found that long-distance caregivers live an average of 450 miles and 7.2 hours away from the person for whom they provide care, and spend an average of $392 per month, which includes $193 on out-of-pocket expenses for caregiving and $199 per month on travel. More than a third (36%) report missing days of work.