I have experienced it as well and I think it actually should be up there at the same level, since there actually are handycapped kids that need to wear diapers. Also babies are a part of life that should not be ignored just because most people now adays don't want any. I ended up having to sit on a bathroom floor once to change my daughter, because I know there was know way the floor was clean enough to change a baby on. Babies are actually more fragile, by alot, then a adult. They can catch something alot easies, so in a situation like that you have almost no options if you dont want to end up taking your kid to the doctor or worse. Expecially in the case of my kids, because I couldnt breast feed they did not get my natural ammune system. So until they were old enough to handle fighting off the kind of things you can get off a dirty bathroom floor, I had to be careful. Plus since you can hardly afford child care now adays, you have to take the kids with you everywhere. So if there is not a place to change them you end up just not being able to go there anymore. That is a minimum of two years that you are force out of one place, for them just wanting to be cheap. I barely costs anything for them to put one in. Also, you end up not having any choices in matters like those. People are not okay with you changing babies infront of them, its always wet by those sinks (and I live where it is cold so I cant take a wet baby outside), and they don't clean enough for you to be okay with laying them on a bare floor. I mean almost all places do consider it just as important, that is why they even put it in the handy stall or have more than one. Who wants to risk losing extra business because a child pooped and now everyone is force to see it, because the parents have no choice but to just do it where they are.