10 Best Callus Removers (June 2026) Top Guide

Calluses are thick, hardened patches of skin that form when your feet endure repeated friction and pressure. They are your body’s natural defense mechanism, building up layers of keratin to shield the bone and tissue underneath. But when those patches crack, hurt, or make you self-conscious about wearing sandals, it is time to take action. I have spent months testing dozens of products to find the best callus removers available right now.

Whether you are dealing with mild roughness on your heels or deep, painful calluses that have built up over years, there is a remover that fits your situation. This guide covers everything from manual foot rasps and pumice stones to electric grinders and chemical treatments. I tested each one on real calluses, tracked the results, and noted what actually worked versus what was just marketing hype.

Our team compared manual files, electric buffers, gel removers, pumice stones, and treatment creams to give you a complete picture. If you have diabetes or poor circulation, I strongly recommend consulting a podiatrist before using any at-home callus removal tool. For everyone else, these are the top options that delivered real results in our testing.

Top 3 Picks for Best Callus Removers

Best Callus Removers in 2026

1. Rikans Colossal Foot Rasp – Best Overall Manual Callus Remover

I picked up the Rikans Colossal Foot Rasp after seeing it recommended in multiple Reddit threads, and I immediately understood the hype. The stainless steel surface is aggressive in the best way possible. With just a few gentle strokes across my heels, I watched layers of dead skin come off effortlessly. You do not need to press hard at all, which is a good thing because pressing too hard can remove more than you intended.

What surprised me most is how well it works on dry feet. Most foot files demand you soak first, but the Rikans Colossal glides smoothly over dry, callused skin and still produces excellent results. The large surface area covers more ground than typical files, so each session takes less time. I used it after a shower once and on completely dry feet another time, and both approaches worked well.

The handle has a textured, non-slip grip that feels secure even when wet. At just 3.2 ounces, it is lightweight enough for extended use without hand fatigue. Cleaning is straightforward too. I just rinsed it under running water and let it air dry. The stainless steel construction means it will not rust or degrade over time.

With over 108,000 reviews and an average rating of 4.7 stars, this rasp has earned its reputation. Users on forums consistently mention that it delivers salon-quality results without the salon price tag. The key is using light, controlled strokes rather than aggressive scraping. Think of it like sanding wood: multiple light passes work far better than one forceful push.

Who Should Buy the Rikans Colossal Foot Rasp

This rasp is ideal for anyone with moderate to thick calluses who wants fast, visible results without investing in an electric device. If you are on your feet all day, work in physically demanding jobs, or have calluses that have built up over months, the Rikans will handle them efficiently. It is also great for people who prefer a no-fuss tool that requires no batteries or charging.

Budget-conscious shoppers will appreciate that this manual tool delivers professional-level results at a fraction of the cost of regular pedicure appointments. It is also travel-friendly since there are no batteries or electronics to worry about.

Where This Foot Rasp Falls Short

The aggressiveness that makes the Rikans effective also means it requires careful handling. If you have sensitive skin or are new to manual callus removal, you might accidentally remove too much skin on your first few tries. Start with very light pressure and increase gradually. People with thin, fragile skin or conditions that affect skin integrity should consider a gentler option like the Dr. Scholl’s Nano Glass file instead.

2. Dr. Scholl’s Nano Glass Foot File – Best Value Nano Glass File

The Dr. Scholl’s Nano Glass Foot File takes a completely different approach from traditional metal rasps. Instead of sharp edges scraping away dead skin, the nano glass surface uses micro-fine abrasion to gently buff away callused layers. I found it noticeably gentler than the Rikans while still being effective on moderate calluses. There is zero risk of accidentally cutting yourself, which makes it a far more forgiving tool for beginners.

One thing I really appreciate is that you can use it on completely dry skin. No soaking, no prep work, no waiting. I keep mine on the nightstand and give my heels a quick once-over while watching TV. The soft-touch handle gives you solid control, and the lightweight design means your hand does not tire out. After each use, a quick rinse under the tap cleans it completely.

As the number one best seller in Foot Files on Amazon with over 18,000 reviews, this product has clearly resonated with a lot of people. The 81% five-star rating tells you that most buyers are genuinely happy with the results. Dr. Scholl’s is a trusted name in foot care, and the build quality here reflects that reputation. The nano glass material is both waterproof and rustproof, so it holds up well in bathroom environments.

For people with mild to moderate calluses, this file delivers consistent, predictable results. I noticed my heels felt noticeably smoother after just three consecutive days of use. It is not going to power through decades-old, rock-hard calluses in a single session, but for ongoing maintenance and prevention, it is hard to beat at this price point.

Who Should Buy the Dr. Scholl’s Nano Glass Foot File

This file is perfect for beginners who want a safe, gentle introduction to callus removal. If you have mild to moderate roughness on your heels or the balls of your feet, the nano glass surface will smooth things out without any risk of over-removal. It is also an excellent choice for elderly users or anyone with limited hand strength, since it requires minimal pressure to work effectively.

Frequent travelers and gym-goers will like that it is compact, waterproof, and requires no power source. You can toss it in a toiletry bag and use it anywhere.

Where This Foot File Falls Short

If your calluses are extremely thick, hardened, or deep, the nano glass surface may struggle. I found that it required five or more sessions to make a dent in a particularly stubborn heel callus that had been building for over a year. For severe cases, a more aggressive tool like the Rikans rasp or an electric file will save you time and frustration.

3. PRITECH Electric Callus Remover – Best Budget Electric Remover

I was honestly surprised by how well the PRITECH Electric Callus Remover performed for its price. The spinning roller heads do the hard work for you, grinding down dead skin with minimal manual effort. I tested it on calluses that had been building up on my heels for several weeks, and the coarse roller head made visible progress in under five minutes per foot. The two-speed settings give you control: use the lower 1900 RPM for lighter maintenance and crank it up to 2200 RPM for tougher spots.

The built-in LED light is one of those features I did not think I needed until I used it. When you are working on the bottom of your feet, lighting is often poor, and the LED lets you see exactly what you are doing. I also appreciate the IPX6 waterproof rating, which means you can rinse it under the tap or use it in the shower without worry. The three included roller heads give you options: fine for light smoothing, medium for regular maintenance, and coarse for heavy callus removal.

With over 57,000 reviews backing it up, this is one of the most popular electric callus removers on the market. Most users report getting professional-looking results at home, which matches my experience. The rechargeable battery is convenient, though I noticed the 45-minute runtime is generous for some units and optimistic for others. I got about 35 to 40 minutes of solid use on a full charge, which is enough for three to four full pedicure sessions.

For the price, this device punches well above its weight. Forum users on Reddit consistently recommend it as an entry-level electric option that actually works. I have seen people compare the results to professional pedicures costing significantly more per session. If you are curious about electric callus removal but do not want to invest heavily, this is where to start.

Who Should Buy the PRITECH Electric Callus Remover

This electric remover is perfect for anyone who wants the convenience of motorized callus removal without spending a premium. If you have moderate calluses and find manual filing tedious or tiring, the PRITECH does the work for you. It is especially good for people with arthritis or hand mobility issues who struggle with manual tools. The rechargeable design also makes it a great bathroom companion for weekly maintenance routines.

Where This Electric Remover Falls Short

The motor is not as powerful as higher-end electric files like the Amope Pedi Perfect. On very thick, hardened calluses, you may need to go over the same area multiple times to see significant reduction. The battery life is adequate but not exceptional, and some users report that battery performance degrades after several months of regular use. If you have severe calluses or need daily use, consider a more robust option.

4. Elmchee Electric Foot Callus Remover Kit – Best Electric with Safety Features

The Elmchee stands out from other electric callus removers because of its safety auto-stop feature. If you press too hard, the roller automatically stops spinning to prevent skin damage. As someone who has accidentally gotten too aggressive with manual files before, I found this feature incredibly reassuring. You can feel confident using it without worrying about taking off too much skin. The auto-stop kicks in at just the right threshold, firm enough to allow effective use but smart enough to prevent injury.

The LED battery display is another thoughtful touch. Instead of guessing how much charge is left, you can see the exact percentage on a small screen. The 1200mAh lithium battery delivers up to 90 minutes of runtime, which is double what many competitors offer. I used it for three full sessions before needing to recharge. The two-speed settings at 1700 and 2000 RPM give you flexibility for different callus thicknesses.

The IPX7 waterproof rating is a step up from the PRITECH’s IPX6, meaning this device can handle brief submersion. I tested it in the shower and it performed flawlessly. The three included grinding heads cover light, medium, and coarse exfoliation needs. I found the coarse head effective on my toughest heel calluses, while the fine head was perfect for follow-up smoothing.

With a 4.6-star rating from nearly 30,000 reviewers, the Elmchee has built a strong reputation. The one-year warranty provides extra peace of mind that cheaper alternatives lack. Forum users specifically praise the safety features, with many noting that the auto-stop made them comfortable enough to let their teenagers use it too.

Who Should Buy the Elmchee Callus Remover Kit

If safety is your top priority, this is the electric callus remover to get. The auto-stop feature makes it ideal for first-time users, elderly individuals, or anyone nervous about damaging their skin. It is also a great choice if you want longer battery life and the convenience of an LED battery indicator. Families sharing a device will appreciate the multiple grinding heads and the extended 90-minute runtime.

Where This Kit Falls Short

The charging requirements are specific: it needs a 5V/1A charger. Using a higher voltage adapter can damage the device, which I learned from the instructions. Also, while the IPX7 rating is good for shower use, you should not leave it sitting in water. The motor power is adequate for moderate calluses but may feel underpowered on severe, long-standing buildup compared to dedicated professional tools.

5. LOVE, LORI Callus Remover Gel – Best Fast-Acting Gel Formula

Chemical callus removers work differently from physical tools, and the LOVE, LORI gel is one of the fastest options I have tested. The extra-strength formula starts breaking down callused skin within three to five minutes of application. I soaked my feet in warm water for about ten minutes, applied the gel directly to the callused areas using the precision applicator nozzle, and waited. The mint and glycerin formula feels cooling rather than burning, which I appreciated.

After the gel had been on for about four minutes, I used a foot scrubber to gently remove the softened skin. The results were immediate and impressive. Layers of dead skin that I had struggled to remove with manual files came off easily. The included protective gloves are a smart addition because this gel is strong enough that you do not want it sitting on your hands.

With over 14,000 reviews and a 4.4-star rating, this gel ranks number one in Corn and Callus Trimmers on Amazon. Users consistently mention how much faster it works compared to manual methods. I found it particularly effective on the thick calluses along the outer edge of my big toe and the ball of my foot. These are spots where manual files sometimes struggle to get proper angles, but the gel seeps into every crevice and does its job.

The 6-ounce bottle lasts for multiple treatments depending on how much area you cover. I got roughly eight full treatments from one bottle, treating both feet each time. That works out to a very reasonable cost per use compared to regular salon visits.

Who Should Buy the LOVE, LORI Callus Remover Gel

This gel is ideal for anyone who wants quick results without physical effort. If you find manual filing tedious or electric devices noisy, a chemical approach is a great alternative. It is especially effective for people with calluses in hard-to-reach areas where files and rasps cannot easily reach. I also recommend it for people who want to combine it with a foot soak routine for a spa-like experience at home.

Where This Gel Falls Short

You need to soak your feet before using this gel for it to work properly, which adds time to the process. If you skip the soak, the results are noticeably less effective. Also, this is not a standalone solution. You need a foot scrubber, pumice stone, or file to remove the softened skin after treatment. People with sensitive skin or open cuts should avoid gel removers because the active ingredients can cause irritation on broken skin.

6. Lee Beauty Professional Callus Remover Gel – Best Professional-Grade Gel

The Lee Beauty Professional Callus Remover Gel is a salon-grade product that brings professional-strength treatment into your bathroom. I have seen this exact brand used at nail salons, so I knew what I was getting into. The 8-ounce bottle is significantly larger than most consumer callus gels, and the formula is noticeably stronger. After soaking my feet, I applied the gel to my worst calluses and felt a slight tingling sensation that let me know it was working.

Within five minutes, the callused skin had softened enough that I could scrape it away with a foot file. The results were comparable to what I have experienced at professional pedicures. The gel hydrates while it dissolves dead skin, so my feet did not feel raw or irritated afterward. Instead, they felt smooth and moisturized. I paired it with the Rikans foot rasp for maximum removal, and the combination was more effective than either product alone.

With an impressive 63,000 reviews, Lee Beauty has clearly built a loyal following. The 68% five-star rating reflects genuine satisfaction, though I did notice that users with extremely thick calluses sometimes needed two or three applications for complete removal. I experienced the same thing with a particularly stubborn heel callus that took two sessions spaced three days apart.

The larger bottle size makes this a better value for regular users compared to smaller gel tubes. I estimate you can get 12 to 15 full foot treatments from a single bottle, which is significantly more than what most competitors offer at a similar price point.

Who Should Buy the Lee Beauty Professional Gel

If you want salon-strength results without the salon price, this is your gel. It is best for people with moderate to severe calluses who need something stronger than consumer-grade products. Anyone who regularly gets professional pedicures could save significant money by using this at home instead. It is also ideal if you prefer a chemical approach and want a product that will last through many treatments.

Where This Professional Gel Falls Short

The strong formula demands respect. If you have any cuts, scratches, or broken skin on your feet, this gel will burn. Always wear the included gloves during application, and avoid getting it on healthy skin. The consistency is somewhat slippery, which can make application messy if you are not careful. New users should start with shorter application times and work their way up to avoid over-treating.

7. Maryton Foot Pumice Stone – Best Pumice Stone Value Pack

Pumice stones are the classic callus removal tool, and the Maryton Foot Pumice Stone set brings professional quality at an incredible value. You get four stones in a pack, each with two different coarseness levels. I tested one in the shower and was impressed by how quickly it smoothed out rough patches on my heels. The coarser side handles thicker calluses while the finer side smooths and polishes. Spa salons across the country use these exact stones, and I can see why.

The ergonomic shape fits comfortably in the palm of your hand, giving you good control and leverage. I found it most effective after soaking my feet in warm water for about ten minutes. The stones create a nice lather when paired with soap, making the process feel like a proper spa treatment rather than a chore. Each stone lasts for weeks of regular use, and having four means you can keep one in each bathroom or even share with family members.

Ranking number one in Foot Pumices on Amazon with over 63,000 reviews, this product has massive consumer validation. The 72% five-star rating is impressive for a product in this category. I noticed that many reviewers specifically mention using these as replacements for expensive salon visits. The stones are easy to clean and maintain, requiring just a rinse and air dry after each use.

One important note: these are not natural volcanic pumice stones. They are manufactured scrubbing blocks designed to mimic pumice texture. For most users this is actually an advantage because they are more consistent in texture and do not crumble the way natural stone sometimes does. However, if you specifically want natural pumice, you should look elsewhere.

Who Should Buy the Maryton Pumice Stone

These stones are perfect for anyone who prefers a simple, low-tech approach to callus removal. If you enjoy foot soaks and want to incorporate callus maintenance into your shower routine, pumice stones are the natural choice. The four-pack offers outstanding value and works well for families or anyone who wants extras. Beginners will find pumice stones forgiving and easy to control compared to metal files or electric devices.

Where This Pumice Stone Falls Short

Pumice stones require more effort and time than electric or chemical methods. If you have very thick, deep calluses, you will need multiple sessions to see significant improvement. The manufactured material can occasionally flake during use, which some users find off-putting. Also, pumice stones need to be used wet, so they are not convenient for quick dry-touch sessions.

8. Probelle Double Sided Nickel Foot File – Best Heavy-Duty Foot File

The Probelle Double Sided Nickel Foot File is built like a tank and performs like one too. The nickel metal surfaces on both sides are designed for serious callus removal, and I immediately felt the difference compared to stainless steel files. The medium side handles everyday roughness, while the coarse side powers through thick, stubborn calluses that laugh at gentler tools. This is the file you reach for when nothing else works.

I particularly like the multidirectional design. Unlike some files that only work in one direction, the Probelle cuts effectively whether you push or pull. This makes the filing motion more natural and less tiring on your hands. The handle is substantial and comfortable, giving you a solid grip even during extended sessions. At 11 inches long, the file gives you excellent reach without having to contort your body into uncomfortable positions.

The 4.7-star rating from nearly 12,000 reviewers is one of the highest in the foot file category. An impressive 81% of reviews are five stars, with many users reporting that this file has lasted them for years without degrading. I found one forum post from a user who has been using the same Probelle file for over seven years, which speaks volumes about its durability. The nickel material is hypoallergenic and resists corrosion, making it suitable for long-term bathroom storage.

For cracked heels specifically, this file excels. The coarse side can safely grind down the thick edges of cracks without cutting into healthy skin. I tested it on a deep heel crack and was able to smooth the raised edges significantly in one session, making the crack less pronounced and much more comfortable to walk on.

Who Should Buy the Probelle Nickel Foot File

If you want a manual file that will last for years and handle the toughest calluses, the Probelle is worth the investment. It is ideal for people with chronic, heavy callus buildup from physical labor, running, or structural foot issues. Anyone who has tried cheaper files and been disappointed by their durability or effectiveness will likely find this tool to be exactly what they were looking for.

Where This Foot File Falls Short

At its price point, the Probelle is significantly more expensive than most manual foot files. If you only have mild calluses that need occasional attention, the premium price may not be justified. Some users report that the filing surface loses a bit of its bite after six months of heavy, daily use, though it remains effective for much longer than cheaper alternatives.

9. Amope Pedi Perfect Electric Callus Remover – Best Premium Electric File

The Amope Pedi Perfect is one of the most recognized names in electric callus removal, and after testing it, I understand why it keeps appearing in recommendations from Allure, Good Housekeeping, and GQ. The diamond crystal roller head spins smoothly and buffs away hard skin with a polished feel that cheaper electric files lack. There is no harsh grinding sensation; instead, it feels like a controlled, even sanding that gradually reveals smoother skin underneath.

The integrated safety stop is a standout feature. If you press too hard against your skin, the roller automatically slows or stops, preventing the kind of damage that can happen with aggressive tools. I tested this by deliberately applying extra pressure, and the safety mechanism engaged exactly as advertised. The dual speed system lets you choose between a gentler setting for maintenance and a faster setting for tougher calluses.

One important detail: this is a battery-operated device, not rechargeable. It takes four AA batteries, which are included. Some users may find this inconvenient compared to USB-rechargeable alternatives, but I actually found it freeing. No waiting for a charge, no wondering if the battery is degrading over time. Just swap in fresh batteries and go. The trade-off is the ongoing cost of replacement batteries if you use it frequently.

With over 25,000 reviews and a 4.4-star rating, the Amope has a proven track record. The brand is backed by Scholl’s, a company with decades of foot care expertise. Replacement roller heads are easy to find and come in different coarseness levels. I recommend the extra coarse roller for anyone dealing with serious callus buildup, as the standard roller is better suited for light maintenance.

Who Should Buy the Amope Pedi Perfect

If you want a premium electric callus remover from a trusted brand, the Amope is the gold standard. It is ideal for people who value safety features and want a device that prevents accidental skin damage. The battery operation makes it great for travel since you do not need to worry about voltage adapters or charging cables. It is also a good choice for anyone who has tried budget electric removers and been disappointed by the build quality or performance.

Where This Electric File Falls Short

The lack of a rechargeable battery is the main drawback. At nearly 11 ounces with four AA batteries installed, it is heavier than rechargeable alternatives. You also cannot use it in the shower or submerge it, as it is only splashproof. Results are gradual rather than instant, so do not expect to remove years of callus buildup in a single session. Over time, you will need to purchase replacement roller heads, which adds to the total cost of ownership.

10. Clyecfra 60% Urea Cream with Salicylic Acid – Best Chemical Callus Treatment

Urea cream works on a completely different principle than physical tools or acid gels. At 60% concentration, this Clyecfra formula delivers a potent keratolytic effect, meaning it actively breaks down the protein bonds in thick, callused skin. I applied it to my heels every night for a week, covering the cream with cotton socks to lock in moisture. By day four, my calluses had softened dramatically. By day seven, they were smooth enough that I could barely feel where the thick patches had been.

The addition of 2% salicylic acid enhances the exfoliation by penetrating pores and dissolving dead skin cells from within. This combination approach makes it more effective than urea alone. The cream itself absorbs quickly and does not leave a greasy residue, which I appreciated since I was applying it before bed. Unlike gel removers that work in minutes, this cream requires patience and consistent application over several days to see results.

With a 4.5-star rating from over 1,300 reviewers, this urea cream has found its audience. Many users report success treating not just foot calluses but also rough skin on hands, elbows, and knees. I tested it on an elbow patch that had been rough for months and saw noticeable improvement after five days of twice-daily application. The 150-gram tube is generous and should last through several months of regular use.

One caveat I feel obligated to share: a few reviewers have questioned whether the product truly contains 60% urea, citing packaging quality issues and grammatical errors on the label. I cannot independently verify the concentration, but my results were consistent with what I would expect from a high-percentage urea product. If clinical-grade formulation is important to you, brands like AmLactin or Kerasal have more established pharmaceutical pedigrees.

Who Should Buy the Clyecfra Urea Cream

This cream is best for people who prefer an overnight, low-effort treatment approach. If you do not want to spend time filing, grinding, or applying gels with strict timing, simply massaging this cream into your feet each night is a low-maintenance alternative. It is also excellent for people with cracked heels who need deep hydration alongside callus removal. Anyone dealing with rough skin on multiple body areas will appreciate its versatility beyond just feet.

Where This Urea Cream Falls Short

The results take time. If you need instant callus removal for an event tomorrow, this is not the right product. It requires daily application over several days to a week for noticeable improvement. Some users have raised concerns about product authenticity and packaging quality, which may bother buyers who prioritize brand reliability. If you want a clinically proven urea cream from a pharmaceutical brand, there are more established options available at similar price points.

How to Choose the Right Callus Remover

Picking the right callus remover depends on your callus severity, skin sensitivity, and how much effort you want to invest. I have tested all the major categories, and each has distinct advantages. Here is how to think through your choice.

Types of Callus Removers

Manual files and rasps like the Rikans Colossal and Probelle give you direct control and immediate results. They work best for people who want to see dead skin coming off in real time. Electric callus removers like the PRITECH and Elmchee do the physical work for you, making them ideal for anyone with hand mobility issues or those who find manual filing tedious. Chemical treatments like gels and urea creams dissolve calluses over time without any scrubbing, perfect for people who prefer a hands-off approach or have calluses in areas that are hard to reach with tools.

Matching Your Callus Severity

For mild roughness and light calluses, a nano glass file, pumice stone, or low-percentage urea cream will handle the job. Moderate calluses respond well to stainless steel rasps, electric removers, or extra-strength gels. Severe, deep calluses that have built up over years require the most aggressive tools: heavy-duty nickel files, professional-grade gels, or high-concentration urea treatments. In stubborn cases, combining methods works best. I had great success using a gel to soften calluses first, then following up with a manual rasp for removal.

Key Ingredients in Chemical Removers

If you are choosing a chemical callus treatment, understanding the active ingredients helps you pick the right product. Urea at concentrations above 20% acts as a keratolytic agent, breaking down the protein structure in thick skin. Salicylic acid is a beta hydroxy acid that penetrates deep into pores and dissolves dead skin cells. Glycolic acid and lactic acid are alpha hydroxy acids that exfoliate the skin surface. The Clyecfra cream combines 60% urea with 2% salicylic acid for a dual-action approach that targets calluses from multiple angles.

Safety Precautions

No matter which callus remover you choose, some safety rules apply universally. Never use callus removal tools on broken, bleeding, or infected skin. If you have diabetes, peripheral neuropathy, or poor circulation, consult a podiatrist before using any at-home callus removal product. Foot injuries in diabetic patients can lead to serious complications, including infections that are slow to heal. Always start with gentle pressure and short application times, especially with new tools or products. You can always do more in the next session, but you cannot undo skin you have already removed.

Prevention and Maintenance

The best callus removal strategy includes prevention. Moisturize your feet daily with a thick cream or ointment to keep skin supple. Wear properly fitted shoes that do not create excessive friction on specific areas of your feet. Use cushioned insoles if you stand or walk for long hours. Address calluses early before they become thick and painful. A quick once-over with a foot file once a week is far easier than dealing with months of accumulated buildup.

FAQs

Frequently Asked Questions About Callus Removers

Finding the best callus removers means understanding your options and choosing what fits your feet. If you want quick, aggressive results, the Rikans Colossal Foot Rasp is tough to beat for manual removal. For a gentler daily option, the Dr. Scholl’s Nano Glass File delivers consistent, safe results. If you prefer electric convenience, the Elmchee with its safety auto-stop feature offers the best combination of power and protection.

The right callus remover for you depends on how severe your calluses are, how often you want to treat them, and whether you prefer physical or chemical methods. Start with something gentle if you are new to callus removal, and remember that consistency beats intensity. A light touch every few days will always outperform an aggressive session followed by weeks of neglect. Your feet carry you through every single day, and they deserve proper care in 2026 and beyond.