This article explores the political economy of eldercare labour and the gendered politics of care work in China. Building on insights from research conducted in 2016–17 in Shanghai, we argue that gendered regimes of productive and reproductive labour, processes of class formation and economic reforms articulate with a regime of differential urban citizenship rights – urban and rural hukou – in shaping and influencing the lived experience of paid eldercare workers. As a framework for understanding ‘who cares’ in local eldercare labour markets in China, we follow recent work interweaving social reproduction theory (SRT) and intersectionality. In conversation with those debates, we experiment with mobilising intersectionality alongside SRT as we explore these eldercare workers’ paths into the sector, but argue that attention to the Chinese context and Chinese feminist contributions can also transform SRT and intersectional approaches through historically and materially grounded analyses of evolving relations of exploitation and oppression. This approach enriches the feminist political economy of paid eldercare through attention to who is channelled into this work in one of the world’s largest, and fastest-ageing, economies.