Few issues have aroused more heated public debate than that of day care for children of working parents. Who should be responsible for providing child careâ€"government, employers, schools, communities? What types of care are best? This volume explores the critical need for a more coherent policy on child care and offers recommendations for the actions needed to develop such a policy. Who Cares for America's Children? looks at the barriers to developing a national child care policy, evaluates the factors in child care that are most important to children's development, and examines ways of protecting children's physical well-being and fostering their development in child care settings. It also describes the "patchwork quilt" of child care services currently in use in America and the diversity of support programs available, such as referral services. Child care providers (whether government, employers, commercial for-profit, or not-for-profit), child care specialists, policymakers, researchers, and concerned parents will find this comprehensive volume an invaluable resource on child care in America.

Valerie Polakow spent a year traveling around the country listening to low-income women from diverse backgrounds tell their stories of struggle, resilience, distress, and occasional success as they encountered ongoing child care crises. The resulting work is both a compelling account of the lived realities of the child care crisis, and an incisive critique of public policy that points to the United States as an outlier in the international community. Drawing on historical and international perspectives, Polakow creates a groundbreaking analysis of child care as a human right, persuasively arguing for a universal child care system. “Who Cares for Our Children? is one of the most disturbing books I have read in a long time. It should have a major impact on debates over poverty and social policy.” —From the Foreword by Barbara Ehrenreich, author of Nickel and Dimed “In this beautifully written and provocative volume, Polakow deftly steps aside and lets real mothers, struggling against the odds to keep their families safe and sound, speak for themselves about what they need. This book delivers a timely message: Child care should be viewed as a human right.” —Martha F. Davis, Northeastern University School of Law “A collection of moving and often chilling personal narratives. . . . Who Cares for Our Children? is a powerful and well-documented analysis of the worlds of low-income families.” —Beth Blue Swadener, Arizona State University “Thoroughly researched and grounded in a heartfelt sympathy for the struggles of families . . . that face such painful choices and dilemmas in meeting the needs of their children.” —James Garbarino, Loyola University Chicago

America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.

America's Children offers a valuable overview of the dramatic transformations in American childhood over the past fifty years, a period of historic shifts that reduced the human and material resources available to our children. Alarmingly, one fifth of all U.S. children now grow up in poverty, many are without health insurance, and about 30 percent never graduate from high school. Despite such conditions, economic, family, and educational programs for children earn low national priority and must depend on inconsistent state and local management. Drawing upon both historical and recent data, including census information from 1940 to 1980, Donald J. Hernandez provides a vivid portrait of children in America and puts forth a forceful case for overhauling our national child welfare policies. Hernandez shows how important revolutions in household composition and income, parental education and employment, childcare, and levels of poverty have affected children's well-being. As working wives and single mothers increasingly replace the traditional homemaker, children spend greater portions of time in educational and daycare facilities outside the home, and those with single mothers stand the greatest chance of being welfare dependent. Wider changes in society have created even greater stress for children in certain groups as they age: out-of-wedlock births are on the rise for white teenagers, half of all Hispanic youths never graduate high school, and violence accounts for nearly 90 per cent of all black teenage deaths. America's Children explores the interaction of many trends in children's lives and the fundamental social, demographic, and economic processes that lie at their core. The book concludes with a thoughtful analysis of the ability of families and government to provide for a new age of children, with emphasis on reducing racial inequities and providing greater public support for families, comparable to the family policies of other developed countries. As the traditional "Ozzie and Harriet" family recedes into collective memory, the importance of creating strong national policies for children is amplified, particularly in the areas of financial assistance, health insurance, education, and daycare. America's Children provides a compelling guide for reassessing the forces that shape our children and the resources available to safeguard their future. "In this conceptually creative, methodologically rigorous, and empirically rich book, Hernandez uses census and survey data to describe several quite profound changes that have characterized the life courses of America's children and their families over the last 50 to 150 years....this erudite book is destined to be a classic." —Richard M. Lerner, Contemporary Psychology "America's Children goes a long way toward informing the debate on the causes of increasing poverty, and it challenges some widely held misperceptions....its study of resources available to children (and their families) lays a valuable foundation for surveying trends in family structure, education, and income sources....Anyone interested in the changing lives of children should read it; anyone interested in understanding the causes and patterns of poverty, and in designing a better welfare system, must read it." —Ellen B. Magenheim, Journal of Policy Analysis and Management A Volume in the Russell Sage Foundation Census Series