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Jenn's avatar

Throwing $2000 at new parents isn’t nearly enough—in fact it’s insulting. If a woman has a C section and the baby spends even a few days in NICU, you are talking more than $2000 out of pocket-you are talking hitting your out of pocket limit, and given how many employers are forcing people into high deductible plans, that can be more like $15,000 because being a combination of mom and baby, you have to hit your family out of pocket—not just the amount for mom.

Then there is the issue of income loss during parental leave. Daycare expense if the parents plan to return to work. And yeah, car seats, strollers, and all the other routine expenses.

If you want to remove the financial penalty that parents suffer, insist on parity between contraceptive coverage and prenatal/childbirth coverage. The ACA mandates that birth control be covered without any out of pocket—-e.g. free to the insured—if it’s free NOT to have a kid, it should be free to have a kid. Maybe the Feds could reimburse the insurance companies if it’s financially ruinous to them to provide this benefit. Or put all pregnant women on Medicaid and mandate that health care providers accept Medicaid for pregnant patients. Lots of ways to skin this cat.

I still think the most elegant solution to addressing the financial penalty that is parenting was proposed by former Senator Mitt Romney—take a look at his child tax credit proposal. It started in the second trimester of pregnancy, and I think it covered kids until age 6 or so—-about the time they are in school full time. It was enough to give almost all families a real choice as to whether to pay for decent child care or have one parent opt out of paid work. Having done both (worked full time with a baby under age 1 and stayed home full time after the second kid) I believe the key to unlocking this problem of people not being able to have the children they want is to enable families to choose to do their own childcare or hire childcare. If you are a high earner and love your job, the difference between day care and a nanny might be covered by a tax credit. If you are a low paid Amazon worker, the child tax credit provides income replacement giving you the choice as to whether to return to work or not.

We spend untold trillions on seniors and paltry sums on the future taxpayers of this country. Maybe rebalance the scales and give younger people a hand, and increase taxes on capital gains and on high earners Social Security benefits to pay for it.

I will now leave my soapbox!

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Daniel Greco's avatar

Is the size a concession to political constraints--in which case I totally understand--or do you think there are good reasons not to go (much) bigger?

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