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Other than the driving my sons about, I don't see my life as vastly different, either.
You're right, in that you can even take kids to Vegas.
Four or five.
Twice (only once for a 3 day weekend, though).
My kids have been to Vegas, lol.
I know a couple of people who have done it as well, but they have kids...
Gambling and excessive drinking weren't really things I wanted to do or enjoyed before I had kids, and I have no desire to take them up now, but if I did, I would imagine one could hire sitters or nannies in Vegas just as easily as anywhere else in the developed world.
I took my kids to Vegas a couple of times in that we were going somewhere else (Death Valley) and flew in and out of Vegas 'cuz it was easiest. We took the kids to see a cheesy renaissance jousting thing.
We have a few friends who are childless by choice, their lifestyle is really that much different than ours.
My oldest loved Circus Circus and all the rides and we did the renaissance jousting thing as well.