Universal Child Health Care in Quebec

by admin on 04/03/2018 5:11 AM

When ‘Universal’ Child Care Isn’t Universally High-Quality

Quebec made up for shortages in its day-care system by letting private centers step in—
and different families are getting very different experiences.

Conor Williams

Today, the U.S. is somewhat of an outlier among developed countries, which tend to offer more-substantial public support for paid parental leave and child care. The Canadian province of Quebec, for example, is two decades into a policy experiment that provides generous parental leave, monthly cash benefits families can use for their children, and a heavily subsidized child-care system. The politique familiale (“family policy”)—which was launched in 1997 with a policy brief entitled Les enfants au cœur de nos choix, or “children at the heart of our choices”—shows how such programs can be framed as economic imperatives. It also reveals that a universal child-care system doesn’t have to be a singular, unitary institution: It can be delivered via numerous different types of care centers, both public and private. 

Quebec’s family policy begins with up to 55 weeks of paid leave for parents when they have or adopt a child, as well as a yearly allowance of anywhere from $500 to about $1,900 (in American dollars) that families receive per kid under the age of 18. But the policy’s central piece is Quebec’s full-day, year-round child-care program for all children under 5, which the province annually subsidizes with roughly $2 billion in public funding. Quebec families cover part of the costs on a sliding scale, with the wealthiest families paying around $17 per day for their first child. In 2016, nearly 300,000 children were enrolled in the province’s system.

But just because the program is “universal” does not mean it is uniform. A plurality of the province’s young children attend centres de la petite enfance (CPE)—publicly subsidized, nonprofit child-care centers that collect small daily fees. Families apply through a centralized lottery system, with many kids granted preference to a given center if their siblings are already enrolled there or (in some cases) if their parents work in the same building. But funding limitations mean CPEs can’t serve everyone who wants their services. Families say it’s normal to spend several years on CPE waitlists before getting a slot.

So, in 2003, provincial leaders created a tax credit that reimburses families for up to 75 percent of tuition at private child-care centers and home-based care options. This new option helped ease Quebec’s child-care-undersupply problem for more families. It also helped the number of seats in unsubsidized private centers in Quebec skyrocket: Slots in these centers, many of them for-profit ones, grew by 3,000 percent between 2003 and 2016, reaching more than 55,000 seats. The total number of child-care seats in the province grew by a relatively modest 73 percent during the same period. . .

A visit to a CPE—one of the nonprofit, publicly subsidized centers—makes it clear why these centers are so popular with Quebec families. CPE Populaire St-Michel is located in a borough just northwest of downtown Montreal, where almost half of the residents are immigrants. Its 220 children are spread across three programs—the infants are in a nursery that employs five adults per child; older kids are grouped by age in noisy, cheerful classrooms connected by a purple hallway. . .

In and of itself, variability in the delivery of public education isn’t a bad thing. Families have diverse needs and preferences—parents’ schedules can be inflexible, their kids may have allergies, and so on. A single curriculum, delivered through a single type of child-care center, is unlikely to meet everyone’s needs. What’s more, new public early-education initiatives don’t arise in isolation. It was easier for policymakers to provide public support for private child-care providers than it was to dramatically expand the CPEs.

But Quebec’s example shows that a diverse system of child-care providers also comes with challenges. The government imposes stricter learning standards on the publicly subsidized CPEs; it has less oversight of the private providers. As a result, a given private provider may be able to attract families concerned primarily with cost not by its educational quality but rather by its low tuition. As part of a 2014 government study, observers rated the CPEs considerably higher than they did private providers across a range of factors, including teachers’ interactions with infants, the facilities, and educational programming. The upshot: In creating the tax credit, Quebec may have achieved one prong of the family policy’s mission at the expense of another. As the University of Quebec at Montreal economist Pierre Fortin put it, “We have two tiers of child care: One that is of very high quality and one that is of low quality.”

Still, in subsidizing such programs, Quebec has ultimately made well-resourced, affordable early-childhood education the norm. When the provincial government had to cut the equivalent of about $93 million in CPE funding several years ago as part of austerity measures, a 2016 Montreal Gazette article lamented that one center “had to ration food” by reducing the amount of meat it served and halting its fresh-fish offerings; the center, the article noted, could “no longer afford to make sandwiches with croissants.” Such cuts certainly aren’t negligible—CPE St-Édouard’s director Luce Vandemeulebroecke, for example, had to reduce her teachers’ hours, and many centers have found themselves increasingly reliant on philanthropy. Still, that a rollback on croissants made headlines attests to the relative strength of public commitment to the program.

While CPEs serve children from birth to 5 years old, most American public prekindergarten sites only serve 3- and 4-year-olds. For comparison’s sake, a cut of $93 million would eliminate about 40 percent of the pre-K spending in Washington, D.C., which runs one of the country’s most widely accessible early-education systems. D.C. preschoolers wouldn’t just lose field trips and balanced meals. The program would cease to exist—at least as a system striving to serve all children.

It doesn’t have to be that way. Quebec’s CPEs show that it’s possible to create an expansive, publicly funded system of high-quality child care and early-education centers whose reach extends far beyond the most impoverished kids. Of course, “expansive” sounds expensive, and new public funding is always challenging to come by.

Fortunately, Quebec’s family policy also demonstrates that these systems produce economic benefits for the public by means of easing pressures on working families, especially when combined with paid parental leave and child allowance programs. Eighty percent of Quebec mothers with children 5 or younger participate in the labor force, according to Fortin—9 percentage points higher than mothers living in other Canadian provinces. In the United States, that figure is 65 percent of mothers with children 6 or younger.

Increases in the number of working mothers generate additional tax revenues and help offset the province’s labor shortage caused by the province’s aging population, with data suggesting that the increased productivity helps the universal-child-care program pay for itself. One study estimates that the program raised the province’s annual GDP by the equivalent of about $3.9 billion. Quebec’s business community was initially wary of the policy because of its high costs, noted Michel Leblanc, the president and CEO of Montreal’s chamber of commerce. “But very rapidly the impacts on the participation of women in the workforce were very clear,” he said, “While Quebec was lacking in this regard before,” he said, “now Quebec is leading Canada.”

The business case for expanding early education and family-support programs can help expand political coalitions for these systems. After all, the United States’ first large, public child-care system wasn’t designed as an entitlement program, but rather as a means of funneling more mothers to the World War II assembly lines.

This story is part of our Next America: Early Childhood project, which is supported by grants from the Annie E. Casey Foundation and the Heising-Simons Foundation.

Read the entire report: https://www.theatlantic.com/family/archive/2018/05/quebec-child-care-family-leave/559310/

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With five employees per child, it shouldn’t be long before everyone is either on Aid or receiving Aid.

With no remaining taxpayers, will the public realize that all entitlements work only until bankruptcy?

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