Through depth interviews with 20 older consumers, family members, and paid service providers from eight different ECEs, this research investigates two specific aspects of ECE consumption. First, I consider how the consumption practices and discourses of the ECE serve as a means of knowing and realizing that a consumer is old; and how ECE members negotiate conflict when they disagree about whether a member is old or not old. Secondly, I investigate the nature of value as it is created in ECEs with paid caregivers and how family members and paid caregivers work together to produce this value.