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Americans are regularly presented with examples of the horrific consequences of US childcare, when children are harmed, sometimes fatally, in unsafe settings. These episodes draw attention to instances of malpractice, neglect, and even violence in US childcare centers. What tends not to rise to the level of public attention is the quotidian reality of early childhood education and care in the United States: that the quality of too many programs is at best mediocre (Barnett and Frede 2017, 153–4). This is the case despite the high cost of these services to parents, creating challenges for many to afford decent care but especially burdening low- and moderate-income families. The consequences of this expensive, variable-quality system reverberate across US society, depressing women’s workforce participation, undermining the potential gains for children of early education, and reproducing class, racial, and gender inequalities.
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