A steadier ground guide for the one who ended up carrying it. Why the role usually got assigned rather than chosen, how to actually ask instead of silently keeping score, and when the imbalance is doing real damage to you.
Notice the running tally you keep without meaning to, every task, every call they didn't make. That tally is real, and it deserves to be seen. Keeping it silent is its own kind of exhausting, and it's worth naming to yourself before it comes out sideways at the person who least deserves it.
Before anything else: was this division always the pattern, or is it new since the diagnosis? Most of the time, it's old. Whoever lived closest, or was the most organized, or simply answered the phone first, became "the one who handles things" years before any of this started, and nobody sat down and agreed to it. The role calcified by default, and now it's load-bearing.
A few things usually keep it that way. Asking for help can feel like admitting you can't manage, especially if being capable is part of how you see yourself. Past attempts to ask sometimes got a lukewarm response once, and that one experience quietly became the reason you stopped trying again. And it's worth being honest that the imbalance isn't always one-sided: sometimes the sibling doing everything also has a hard time actually letting a task go, correcting how a sibling did it, or redoing it after the fact, which teaches everyone else that helping isn't worth the effort. None of that makes the resentment less real. It does mean part of the fix is available to you directly, not only from them.
Make one small ask before you make the case for a full renegotiation, since a full renegotiation is a much harder yes.
Note whether particular requests get declined, or whether they were never actually asked, just assumed and resented when they didn't happen on their own. Also note your own reluctance to hand something off. Both patterns point to different fixes.
You are allowed to be furious about the imbalance without needing every sibling to feel exactly as guilty as you'd like, and you're allowed to keep doing this work even while you're angry about doing it alone.
This is what the tracking is for. A specific, dated pattern of asks and responses turns a family grievance into something a mediator, a lawyer, or your own doctor can actually work with.
Nobody handed you this job in a conversation you agreed to. That doesn't make it less yours right now, and it doesn't mean you have to hold it without help.