Is Child Care Just An Economic Issue?

Oct 20, 2026

In recent years, our state has launched some meaningful initiatives to increase the availability of child care in response to the national child care crisis our country is facing. The primary concern initiating these efforts has historically been an economic one – that we must have child care available so caregivers can go to work and contribute to a thriving economy. However, as many parents and caregivers would tell you, the quality of their child care can also have a profound impact (positive or negative) on the health and well-being of their family.

For most of my career in child care and youth development, my focus has been on the well-being of the children and young people we’re helping to learn, grow, and thrive. Much of my formal education, similarly, was focused on the child. But becoming a parent myself revealed to me just how much of an impact our programs could have on the parents and caregivers our children go home to each day.

For many parents, finding reliable child care is one of the biggest challenges they face. Without dependable care, even simple daily responsibilities can become overwhelming. Parents may struggle to maintain consistent employment, attend medical appointments, pursue education, or simply manage the countless demands of raising a family. The stress of not knowing whether a child is safe and cared for can quickly begin to impact every facet of our daily lives.

‍

Quality child care changes that equation.

When parents know their child is in a nurturing, engaging environment with caring professionals, they are able to focus on work, school, or other responsibilities with greater confidence and peace of mind. That reduction in daily stress can have meaningful effects on mental health, lowering anxiety and reducing the chronic strain that so many working families experience. This was especially true our family immediately following the end of our parental leave.

Even though both my wife and I had many years of experience as child care/youth professionals, we struggled sending our children to daycare at the end of our leave. We worried they wouldn’t get the attention they needed, that they’d struggle to be soothed by these new adults, and that these moments away from us would somehow diminish our connection with them. We were lucky – we found a great center that we could afford and our worries were quickly put to rest. But this is not the experience many other families have.

‍

Affordability matters just as much.

In many communities, child care costs rival housing payments or college tuition. Families often face impossible choices between paying for quality care, reducing work hours, or leaving the workforce altogether. These decisions can create long-term financial consequences while increasing stress throughout the household. Making child care more affordable doesn't simply reduce expenses for families—it creates opportunity. Parents can pursue promotions, complete degree programs, accept full-time positions, or re-enter the workforce knowing their children are receiving the care they deserve. Families gain greater financial security while children continue to benefit from stable, enriching environments.

The state’s child care assistance (CCA) program plays an important role in making child care affordable for many families. However, reimbursement rates struggle to keep pace with average private pay rates, capped at 75th percentile of market rate, much less the true cost of quality child care. Centers and programs are not required to accept CCA either and many choose not to – finding the reimbursement process tedious and burdensome. This only serves to further exacerbate challenges both for families that need this assistance (and child care) to make ends meet.

‍

So what?

Children thrive when they experience positive relationships with caring adults, engaging learning opportunities, and environments that support healthy development. But quality child care also gives parents something invaluable: confidence. Knowing a child is learning, growing, and being cared for by trusted professionals allows parents to devote their attention to work and family life without constant worry.

And, the benefits don't stop at the end of the workday! Families often experience less stress at home, stronger parent-child relationships, and more meaningful time together because parents are not carrying the burden of uncertainty throughout the day.

Investing in child care is an investment in family health and well-being.

To learn more about the positive impacts of quality, affordable child care visit and follow: Iowa Association for the Education of Young Children (IAAEYC) or the Iowa Afterschool Alliance

‍

Related Issues & Ideas

White Paper

Strengths of Latinx Immigrants Despite Legal Violence

View Strengths of Latinx Immigrants Despite Legal Violence
Report

Cultivating Change: How the HealthConnect Fellowship lifted a network of advocates to improve children's health in central Iowa

View Cultivating Change: How the HealthConnect Fellowship lifted a network of advocates to improve children's health in central Iowa

Creating Space for Change

Advocates connect through a shared commitment to improve health outcomes.

View Story
View Story

Centering People in Community Planning

Amal Barre's research and advocacy efforts address housing instability and the sense of belonging in the community.

View Story
View Story

Latinx Project Tells Story of Strength and Opportunity

New report highlights central Iowa Latinos contributions and disparities and elevates Latinx leaders

View Story
View Story

Champions for Change: A Collective Commitment to Children's Health

Outcomes from Mid-Iowa Health Foundation's HealthConnect Fellowship, October 2019-June 2021

View Story
View Story

Elevating the Latinx Community

How nonprofit leaders brought attention to the Latinx community and built new systems of support during the pandemic

View Story
View Story

More Than Food: Creating Pathways to Health, Opportunity, and Belonging

View Post

Why Workforce Transportation is so Hard to Solve

View Post

Confronting Misinformation and Disinformation in Sexual and Reproductive Health

View Post

Making Integrated Care Possible: Why Sustainable Reimbursement Matters

View Post

The Things We Don't Say

View Post

The Distance Between People and Possibility

View Post

Maternal Mental Health Systems Change

View Post

Finding Nature in Every Space

View Post

More Than Prostate Cancer: Lessons from Save the Homies Day

View Post

Creating a Culture of Inclusivity

View Post

How Community Health Workers Can Improve Heart Health

View Post

How Medical-Legal Partnerships Can Link Systems to Improve Health Outcomes

View Post

Creating a Culture of Sustainability in Helping Professions

View Post

Meet Dr. Daniel Zinnel, Incoming Mid-Iowa Health Foundation Board Member

Foundation news
Aug 2, 2023
View Post

Using Data for Systems-Level Advocacy

Advocacy
Jul 28, 2023
View Post

7 Benefits of a Statewide System Approach to Community Health Work

View Post

Why I Advocate for Heart Disease Preventive Strategies

View Post

4 Ways to Center Youth in Mental Health Conversations

View Post

Economic Burden of Health Inequities: 5 Insights to Inform Action

View Post

Disability Rights Attorney Shares What Iowans Should Know About Medicaid

View Post