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In my experience it's not limited to large metro populations with high COL. We live in a mid-sized Canadian city (~400k population) with a relatively low cost of living and the preferred daycares here all have waiting lists. Basically, if you don't get on them soon after your child is born (or about 12 months before you intend them to start), you'll be left with a lot less choice when they're ready to start.

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It is basically limited to places where child care is a) heavily regulated, and b) left up to private providers. Two obvious solutions present themselves: de-regulate and let the kiddos sink or swim; b) have the government either pay for daycare or run them. There are probably others, but no one in Ontario at least seems to have figured one out.

Hard to see either solution coming into play anytime soon. Option (a) is likely out due to recent-enough-to-be-remembered tragedies pushing regulation in the opposite direction and Option (b) seems antithetical to the recently-elected government's style. Also, incorporating this promise into the NDP's election platform didn't seem to help them much. As you can tell, I'm not optimistic ;)

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