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Mafia, nepotism.

Overprotective parents.
"Family man" as provider, or single-parents
Care-taking as a burden on long-lived women,
taking care of her parents, here husband's parents, her siblings, her husband's siblings,
as they all age, fall apart and die.

Giving somber connotations to something wholesome sounding is the theme, right.

Alzheimer's, dementia, cancer. Diseases as family ordeals.

Wiping butts. Baby's and elderly's. I've wiped my grandfather's and my father's butt.
Was there throughout hospice care of a grandma and saw her dying breath.

In the same way that couples are sometimes a contractual relationship that's mainly economics, so is family.
"You owe them everything."

Of course, we could focus on the good things, and be grateful..............................................

Happy thanksgiving!