Proper and complete accounting for loss of household services is required in the analysis and quantification of economic damages in personal injury and wrongful death litigation. Practice to date by most damages experts (DEs) addresses only a fraction of potential loss in many cases. Omission of mostly passive services from the accounting for lost services is the problem. The result is often a 60-70% understatement of actual total losses. The problem arises from institutional and loss analysts’ singular focus upon services which are actively performed. This paper proposes including passive care in the definition of lost services and provides a framework within which to measure that element of loss.