In Paraguay, work is being done on the construction of public care policy to deal with the great deficit in the ability to provide quality services and in equal conditions, which is generating profound changes at the household level and the labor market. The article aims to think about a public policy of care that is comprehensive and that guarantees the social protection of all people, at the same time a small summary of empirical data is developed that allows knowing the context, for example, of domestic work and that of care for dependent people, the description of comparative models of care systems in countries that contemplate practices to reconcile productive life with reproductive life and that provide enough evidence on how the policy regarding care in the country could be thought and designed , that minimally guarantees quality and that can resolve the market failures generated by the public supply deficit, the perpetuity of traditional gender roles that, empirical evidence demonstrates, interfere in the labor trajectories of women, the accentuation of inequalities and the almost complete exclusion of those who must dedicate themselves to the almost exclusive care of children in their early childhood, older adults and those who have an illness or disability. As such, this work aims to demonstrate that without a public policy of quality, comprehensive care, with a gender perspective and, above all, with a transformative approach, gender inequalities and brakes at all levels will probably continue to be perpetuated. Care policies must be based on a comprehensive social welfare system where the main pillars must be: education, health, social security, quality care and decent work.