RALEIGH, N.C. -- Fewer than 1 in 3 parents of young children has access to quality, affordable childcare during the pandemic, according to a new report. The survey of more than 800 North Carolina families found childcare is least accessible in rural counties and in Black, Brown and Indigenous communities.

Muffy Grant, executive director at the North Carolina Early Childhood Foundation, said before COVID-19, inadequate childcare cost businesses and taxpayers around $2.4 billion in lost revenue. That amount has already jumped to $2.9 billion, and Grant believes it's likely to skyrocket as the public health crisis continues.

"So, what we have here is a very strong economic case for investments in accessible, affordable, high-quality, flexible, culturally competent childcare," Grant said.

In the survey, 55% of households reported at least one adult having lost a job, been furloughed or having reduced pay or hours due to COVID-19. More than 70% have had difficulty finding a satisfactory childcare arrangement, and about 10% said they couldn't find one at all.

Dr. Sherika Hill teaches in the Department of Psychiatry and Behavioral Sciences at Duke University and is a researcher at the Frank Porter Graham Child Development Institute. She said entire regions of North Carolina lack programs proven to boost children's early well-being.

"We have engineered a lot of different policy, through subsidies and for families to get vouchers or discounted care for high-quality childcare centers. But we haven't gone far enough to make sure that those centers are located in communities of diverse groups," Hill said.

Of those working parents surveyed, 25% predicted their child care will disappear as the pandemic continues, and 30% predicted care will be unaffordable. And as more parents turn to makeshift childcare arrangements in order to keep working, Hill said the long-term effects on child development remain unknown.

"When you're in a disruptive childcare setting, where you're having to rely on different and piecemeal childcare arrangements, we have no idea what are going to be just the long-term mental consequences of that, in terms of relational secure attachment, and even in brain structure and development," she said.

She added women of color more frequently report their childcare provider is no longer open, or they can't afford one because of reduced income. For rural families, only 15% are currently relying on formal childcare, down from 44% pre-pandemic.

Almost 1,000 University of Michigan Health-Sparrow nurses and other health-care professionals, as well as union supporters, rallied outside the hospital in Lansing this week. The picket comes amid growing concerns over expired contracts.

They've been negotiating for better wages and benefits as well as safe staffing levels. As University of Michigan Health invests nearly $130 million in new buildings, the picketers say a strong contract is needed to recruit and keep skilled staff.

Emergency-room nurse Jen Ackley said one of the biggest issues is prioritizing which patients to see first when many need attention.

"And then, you're constantly revisiting those choices in your mind - not only during that shift, but afterwards," she said. "Did I make the right choices? Did I prioritize my care in the right way? Did any decision that I made, or didn't make, have a negative outcome for a patient?"

University of Michigan Health has not yet publicly responded to the picketers. However, it confirmed the construction of a $32 million health-care facility near Grand Ledge, in addition to plans for a $97 million psychiatric hospital in Lansing.

Ackley said inadequate staffing and what the union sees as unfair wages have led to what she called "moral injury" - a daily erosion of ethics and integrity at work. She said it's become an unsustainable situation for frontline health-care workers.

"And the hospitals like to say that there's a nursing shortage - that, 'We've tried the best we can but we just cannot staff' - and that's not the case," she said. "There's no shortage of nurses. There's a shortage of nurses that can tolerate this type of moral injury."

The picket was not a work stoppage. The nurses and other staff members participated during their off-work hours. The union represents about 2,000 nurses and health-care professionals working at the hospital.


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Changes in leadership at the federal level are likely to have some effect on the labor movement.

In Minnesota, election results have spurred thoughts about topics like the future of OSHA's worker safety standards. It may be too early to get a firm read on what will happen under a second Trump administration.

Meanwhile, at the state level, Democrats still control the Minnesota Senate but the House is locked in a tie between both parties. Democrats bolstered labor laws in recent sessions.

Mike Wilde, executive director of the Fair Contracting Foundation of Minnesota, which he said has a nonpolitical stance, said moving forward, no matter the policy, enforcement is key.

"We can have all the laws we want on the books but unless they're enforced and meaningful, they don't do anybody any good," Wilde contended.

While campaigning, President-Elect Donald Trump made attempts to appeal to unions but his first term saw a big cut in the number of federal safety inspectors for job sites, and analysts expect his staff to curtail a proposed heat safety rule.

Wilde acknowledged OSHA is not the only tool available but noted it plays a big role in protecting rooftop construction teams. He argued more resources and flexible enforcement options are needed.

Wilde added Minnesota has a strong approach to helping carry out apprenticeship programs but pointed out it is not the case in all states.

"Some employers utilize substandard apprenticeship programs that aren't very well regulated," Wilde asserted.

He suggested a robust, coordinated approach could help more people find stable careers with strong pay, benefiting the economy. Another aspect labor leaders will monitor is appointments to the National Labor Relations Board and how they affect rules directly tied to workers' rights.

Roughly 30% of Minnesota's private-sector employees do not have a work-sponsored retirement plan but some business owners and consumer advocates hope a soon-to-launch state program will improve access.

In mid-to-late 2025, Minnesota is expected to roll out its Secure Choice Retirement Program. For employers who are not in a position to provide a savings plan for their staff, they will be required to ensure a portion of a worker's paycheck is transferred to a state-sponsored retirement account.

Erik Forsberg owns a handful of restaurants in the Twin Cities area and said for hospitality workers, the benefit usually is not in their orbit when they are first hired.

"When you start a typical corporate position, you sit down with HR and they explain your benefits package," Forsberg noted. "Most of our employees just don't have access to that."

Economic data show wage growth has been strong for service workers, and Forsberg emphasized tacking on a retirement plan could convince more of them to stay longer. He added it helps small-business owners reduce hiring costs. Employers do not have to contribute to the fund and Forsberg hopes the program maintains a mission of not overburdening businesses as they prepare for other mandates, such as Minnesota's Paid Leave Law.

Next Wednesday, AARP Minnesota will host a webinar to provide more details to business owners about the new retirement program.

Mary Jo George, associate state director of advocacy for the organization, said those involved in shaping the effort want to keep this simple for employers.

"One of the things we keep hearing is that small employers, all employers, they really do want to offer a reinterment plan," George pointed out. "But it's been very costly, it's been an administrative burden."

In addition to not having a match requirement, legislative researchers said there are no fees for employers, except for any incidental costs in modifying payroll systems.

Similar programs have taken shape in nearly 20 states and Oregon officials said early success resulted in strong public backing via polling data. George stressed in Minnesota, they hope to give more people the chance to retire with dignity if they start saving much earlier in their working career.

"We know that when you can do it automatically out of your paycheck, workers are 20 times more like to save," George reported.