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This accessible, up-to-date account of the chronic issues plaguing child care reform offers viable solutions drawn from a model state child care system in the state of North Carolina. Original data illustrates the complex landscape of US child care, as well as the ambiguous relationship society has with the statistic that 64% of women with children under six are employed and in need of reliable, high-quality care of their young children. Book Features: * The history and demographics of US child care policy. * Analysis of several persistent forces impeding the emergence of a national child care system. * Contemporary ideas about motherhood, employment, and providing child care for pay. * An extensive review of research on child care and child development. * Recommendations focusing on policy integration and workforce development.