I do, but having spent virtually all of my adult life in Germany (36 now, moved here at 21), my sense of what's normal is the way that things are here. My son

I do, but having spent virtually all of my adult life in Germany (36 now, moved here at 21), my sense of what's normal is the way that things are here. My son was born here and is a German citizen (which isn't automatic just by being born in Germany). He's 16 months old now. Healthcare and daycare aren't particularly difficult issues. The healthcare systems in developed countries are almost universally good. Health insurance is based on your income, rather than any pre-existing conditions or your job, and is universal. Day care is heavily subsidized. We pay €400/month because we're in the highest income bracket, but even that is being phased out next year (and up to now was only applied to kids from 1 to 3). Finding a day care spot can be annoying, but it's more of a chore than an impossibility. At our son's (public) day care, 55% of the kids have at least one non-German parent. We're not far enough for me to have anything more than a theoretical view on schools. Private schools are very rare here. Public schools are probably better than median US public schools. They're naturally in German, with the exception of (in Berlin) the JFK and Nelson Mandela schools, which are bi-lingual English and German. JFK specifically reserves spots for American kids. If the kids are young enough though, they'd probably pick up the language in an amazingly short span of time. (We don't have any special plans to send our kid to one of the bi-lingual schools. I'm fluent in German and my wife speaks it reasonably well, and we're both permanent residents here.)