Most children in orphanages have one parent still living, or have an extended family that can care for them in the absence of their parents.

BBC: Madonna 'to adopt second child'

Their main competitor, says Justine Longford of Super Camps, is free child care from the extended family.

ECONOMIST: An American tradition is spreading

This step-by-step negotiation preparation process, though designed to help defense department agencies purchase everything from a gross of grenades to a dozen F-15s, is every bit as useful to the woman negotiating health care services for her family, extended family, friends, and, in my case, an impoverished ex-husband.

FORBES: Negotiating Life's End on Medi-Cal: Second in the Series