Dementia is set to be one of the most pressing chronic health challenges for India in the years to come. Culture, family systems, and socioeconomic resources are factors that play an important role in determining the nature and level of care received by an individual with dementia. An understanding of psychosocial perspectives on caregiving for neurodegenerative diseases is vital to devising and implementing policy that is grounded in a holistic understanding of the condition. Through exploration of these facets of caregiving, the authors highlight the experience of family carers, and argue for a greater contribution of the state in the care of individuals with dementia in India.