From County Health Rankings & Roadmaps:
The high cost of child care has forced many American families to make impossible trade-offs between paying for their children’s care or other necessities such as food, safe housing and health care. On average, families with two children pay a quarter of their income toward child care, driving some out of the workforce altogether.
To help communities better understand the burden, County Health Rankings & Roadmaps has released a new measure, Child Care Cost Burden, which captures child care costs for a household with two children as a percent of median household income in the county.