This article summarizes what is known about the cost and quality of fu
ll-time child care in centers and family child care homes, and about p
arents' attention to quality in making child care choices. It relies p
rimarily upon two recent studies which are among the first to collect
detailed information about child care operating costs: the Cost, Quali
ty, and Child Outcomes in Child Care Centers study(1) and the Economic
s of Family Child Care studies Results indicate that mediocre quality
is the rule and that parents often do not choose quality settings for
their children. At the present time, child care quality is only modest
ly related to the cost of providing services. In part, the modesty of
this relationship reflects the low Rages of child care staff the avail
ability of in-kind donations in the nonprofit sector, and the altruist
ic motivations of many providers that depress direct costs and the fee
s charged for child care. The article concludes with recommendations f
or future action: (I) launch consumer education efforts; (2) implement
higher standards for child care at the state level; (5) avoid public
policies that encourage people to become child care providers if they
have no interest in such a career; (4) increase public and private inv
estments in child care; and (5) develop the means to compensate child
care workers as is appropriate for their levels of training, experienc
e, and responsibility.