Doing it by a state does not make it magically scale in any way shape or form. You still need something like one-to-one or one-to-a-few for care work to be eff

Doing it by a state does not make it magically scale in any way shape or form. You still need something like one-to-one or one-to-a-few for care work to be effective. Trying to provide it through the government does absolutely nothing to change this fact.