As the need for child care services in the United States continues to grow, so does the debate about how effective child care policies should be shaped. It is more important than ever for legislators, public officials, advocacy groups, and concerned parents and citizens to focus on that debate and on the need to change policies and attitudes--changes that must take place if children and families are to have sufficient, affordable, and quality child care services. This volume provides a balanced and thorough assessment of the child care field and a thought-provoking guide to the difficult choices that lie ahead. The authors, experts in child and family policy, examine important facts about major demographic and social developments, describe the effects of the Reagan administration's emphasis on privatization and deregulation, and analyze the contributions and limitations of several local and state initiatives. An invaluable source for everyone concerned with child care issues, this volume makes solid recommendations for shaping a much-needed child care policy that is responsive to the circumstances and needs of families and their children.