A FINANCIAL TIMES AND THE SPECTATOR BOOK OF THE YEAR 'Important' Financial Times 'Serious and thought-provoking' The Critic 'Brave' Richard Reeves Family life has changed dramatically over the past 60 years. Greater choice and autonomy, especially for women, and a more equal domestic sphere have brought great gains for human freedom. However, argues David Goodhart, there have been losses and unintended consequences too – in family instability, children's declining mental health, and the ever-rising demands on the welfare state and social care system. Sharply falling birthrates also present major challenges. For many people, especially in the bottom half of the income spectrum, the costs are now too high. The Care Dilemma argues that we need a new policy settlement that supports gender equality while also recognising the importance of stable families and community life, and that sees having children as a public as well as private good.