This chapter examines the concept of structural burden in Indian and Australian aged care policies. Policy regimes of governments of both countries construct aged care as a family responsibility in order to control government expenditure on subsidized aged care. This has placed much of the burden of navigating both countries’ complex health and aged care systems onto family carers. In addition, changes in Australia’s migration rules have created further burdens for Indian-Australian migrants who had planned to relocate their parents post-retirement in order to facilitate informal care, but must now alter those plans. The chapter examines how aged care policy and migration policy combine, creating distinct pressures for Indian-Australian migrants, which in turn facilitate the growth of luxury private aged care facilities within India. The concept of structural burden illustrates how private troubles are also public concerns, as it connects the everyday pressures that Indian-Australian migrants face with the broader trajectories of health, aged care, and migration policy in both India and Australia.