I talked to some experts about what a true universal child-care program would cost. Nobody felt comfortable giving me a solid estimate. But you can extrapolate from the Center for American Progress proposal on universal pre-kindergarten, which they expected would be about $100 billion over the first 10 years. The assumption is that states would match that (ed. note -- given this spending structure, the total increase in government spending on child care would be $20B/year, which is roughly 20% of the cost of Obamacare, or about 40% of current child care spending-NB). That gets you a big chunk of the way there, but there’d be another big chunk to go. So I guess – and let me stress the word “guess” here – we’re talking hundreds of billions of dollars, across all levels of government, if it’s mostly financed by the public. But, as always, remember that a lot of that would displace existing private spending.One thing worth considering when trying to figure out how the private sector would respond to a new, massive government expenditure on child care is the difference in consumer psychology when it comes to spending money on child care versus the other large piece of the welfare state, health care.
For those with insurance, health care spending is primarily after the fact. By the time you're spending money, you've already received the service, so there's no anticipation of things getting better. The amount you're billed is either what you expected, and you pay it; or it's in error in some way and you have to argue with your insurer and your provider. Errors are way more common than anyone wants -- we're up to five errors or ambiguities in eight visits, each requiring at least two phone calls to resolve the situation, if we can resolve it at all -- and it's incredibly frustrating. I'd much rather the government raise my damn taxes, figure out what to pay to providers, and just let me get on with living my life.
|Dr. Hodgins may be panicking about being a dad, but|
he has a better chance at picking a good child care
provider than he does a good doctor for Michael Vincent.
I'm all for an expansion of child care and direct financial support to stay-at-home parents. But the straightforward case for more government spending on child care isn't that it would displace private spending, but that it would supplement it. It seems likely that the result of new spending would be that poor and middle-class families would have access to higher quality child care options, while the upper-middle class would continue to pour money into extremely high-cost private daycare, bilingual nannies, etc.
*In fact, the largest after-the-fact hidden "fee" in child care isn't money but time. Lots of daycare facilities (and schools!) now expect parents to commit to a certain amount of volunteer effort per month or quarter, just to keep the place moving. This is something new parents should remember to ask about when they go on daycare tours.
In fact, the largest after-the-fact hidden "fee" in child care isn't money but time. Lots of daycare facilities (and schools!) now expect parents to commit to a certain amount of volunteer effort per month or quarter, just to keep the place moving. This is something new parents should remember to ask about when they go on daycare tours.
Wow - really?? We've had our son at two different day care centers out here in the Maryland exurbs of DC, both of very good quality, and neither has asked us to volunteer one minute of time to assist the operations of either place.
Not all DCPs require/expect volunteer time. And in many cases I'm happy to offer it. But there were definitely providers where parent hours (beyond "help your child make a poster w/ pictures of their family") are baked into basic operations.
The problem with the proton studies is that they're focused only on the cancers... When the treatment has the possibility of reducing other associated negative effects or working when conventional radiation therapy wouldn't be tried because it would kill the patient.
Systemic shouldn't ignore the amount of costs and effects in workplace safety as well as patient quality of life, but it seems that study did.
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