Quitting the job is not an option - Just my view. Hire a nurse aide to drive ILs for doctor appointments, taking care of them in your absence during the day (when they get sick / need someone to be with them) and to take care of their grooming needs etc. Over all, ILs also need someone to interact with them / understand their needs on a daily basis. Keeping elders at home is same as a kid's day care need and it will cost that much as well. I am sure, your DH and BIL can share the expanses. Hiring a nurse aide could be less than keeping ILs (2 of them) in high end retirement home in India? Your kids are teenagers, they need your full attention in studies, after school activities, entertainment etc. Children shouldn't feel ignored, if you are overwhelmed in taking care of ILs, it will reflect on the kids with your impatience, anger, lack of physical strength. You can do only so much! I have seen many Indian families keep their ILs in separate apartment in nearby location. Also, witnessed the family drifting apart, kids didn't do well in school / college, the kids emotionally moved away from their parents (parents fight due to ILs responsibility). It looks like, you are already signed up to take care of your ILs, it is not a simple task.