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Book Review: A Group Called Women

dress the issue of health care financing, critical in the current debate over employment/insurance versus general tax-supported health care. In its recommendations on personal social services, the commission advocates that society provide actual services, which again should be neighborhood based, rather than direct cash assistance to purchase these through, for example, vouchers. Instead of recommending the evolution of a publicly operated system for personal social services, the commission stresses the need to utilize and build upon existing voluntary institutions. Such a strategy may succeed in communities where such institutions exist and are viable, but in many neighborhoods, particularly poor and minority communities that lack voluntary services, government action is needed to make personal social services available. Moreover, voluntary agencies themselves are increasingly dependent upon the public dollar and so, in supporting these as service providers, accountability to the public interest needs to be expressly stated and ensured. The commission has a primary concern for enhancing the family's ability to make choices and stresses the necessity of providing the funds to ensure this familial right. This approach is sound, but it causes some difficulty in evaluating the commission's discussion of daytime care for children under three years of age, which leaves open the question as to whether such care should be publicly supported. The commission supports a developmental approach to day care and, indeed, refers to research evidence which documents that children are learning at an earlier age than was previously thought. Such evidence would indicate that developmentally based daytime care of children under age three may be advantageous. It should also be noted that a recently published longitudinal study of infant care (group and family) in New York City suggests that group and family day care may be beneficial." As is widely known, many parents, regardless of their reasons, are working and arranging for substitute care, often under horrendous circumstances. Given these factors, infant care-quality developmental care-needs to be fully supported and available so that parents can truly have a choice. Although a separate section of the report is