Yes, but that’s why you check references carefully and perhaps employ someone more experienced for such young children. Doctors earn ALOT here in the US and could definitely afford a more qualified caregiver or nursery fees.
@Cameleongirl
I'm in the US, and familiar with how much doctors make and how childcare works. I've been in the US since the late 80s.
At the time (early 90s) there was a massive amount of publicity being given to alleged satanic abuse in daycares. There were reports all over the news, all the time, various cases sensationalised to the Nth degree. Many parents hesitated to send their babies and small children to daycare facilities as a result.
There was also a massive backlash, related to the allegations about daycares, against women who could afford to he sahms but chose to work. Deborah Eappen (fwiw, an opthalmologist, not a pediatrician) was considered cold and even downright evil for 'prioritising her career over her babies' - this is how her choice to work was seen in many circles. The fact that her baby ended up dead was seen as just comeuppance for her.
And again - there were no 'qualified' nannies then or now in the US, and no way to check someone you were thinking of employing apart from references.
If a family preferred an English-speaking nanny who could read to a baby, sing nursery rhymes, etc., the pickings then as now were very slim.