The cost of child care in the United States is high. This is not news. The 2016 Care Index released by the New America Foundation and Care.com shared an increasingly troubling cost profile of child care right now. The national average for at-home care is $28,354 per year, while in-center care is $8,589 per year. Some of the most expensive metro regions included private-sector-rich NYC, Boston, Atlanta, Los Angeles, and San Francisco. These are the very same cities where employers struggle to recruit and maintain skilled talent.