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It's really hard to say how people arrange the finances in a marriage in America; there are so many different ways. I can give my sister's marriage as an example of a common way people work it out if the husband earns plenty of money:
He earns a lot of money. She does not have to work, and does not want to work. She does most of the housework and most of the childcare (they have one son). He does household repairs and sometimes cooks because he likes to. He also helps their son with schoolwork, and so does my sister.
Even though he earns all the money, she is in control of it. That may sound strange, but it is easier for him to not worry about the money. He knows he earns enough, so he leaves it to her to pay the bills, buy the food, etc. She can also buy herself nice things sometimes without his permission because she is not ridiculous about it. She understands money, understands how much they have and how much they can afford to spend.
Some men are more controlling about money and give their wives an "allowance", though I don't actually know anyone who does that. Most couples I know work similarly to my sister's household. In america, women often grow up knowing as much about money as men, so as long as they're not stupid about it, they often handle the money their husband earns.
If one spouse's family needs help (a parent gets sick, etc), the other spouse would consider it as his/her own and they would help each other's families however they can.