The child care industry is vital for a healthy economy and yet there are inherent tensions that make improvements in quality, affordability, and access difficult. Improvements in one area must often come at the expense of another area. A holistic approach is essential to ensure that policy changes meet the needs of all residents in La Crosse County without exacerbating existing issues. Focusing on a single issue while ignoring the interconnectedness of all these mechanisms can only improve the s...