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In USA Child Health is Largely Determined by Socioeconomic Conditions

 

The federal policy neglect of adequate community and family support for children to thrive in the United States is tragic and borders on the criminal.

"Neighborhood context and children's health care utilization and health outcomes: a comprehensive descriptive analysis of national survey data"

Abstract

While child health and health care disparities arising from unequal distribution of resources are well documented, a nationally representative inventory of health and well-being for children across the spectrum of opportunity is lacking. Using the nationally representative sample of children from pooled 2013–2017 Medical Expenditure Panel Survey data linked to the census-tract-level Child Opportunity Index 2.0, a composite measure of neighborhood health, education, and socioeconomic conditions, we describe US children's socioeconomic characteristics, health care utilization and expenditures across the spectrum of child neighborhood opportunity levels. We found that neighborhood level of child opportunity was associated with almost all of children's health status, health care utilization, expenditures, access to care, and satisfaction with care outcomes. Children living in lower-opportunity neighborhoods had the highest rates of poor physical and mental health status and fewest ambulatory care visits but accounted for the highest share of emergency department visits. Their parents were also least likely to report having positive experiences with health care, good communication with providers, and easy access to care. Our findings underscore the myriad harms to children of gaps in health, education, and financial resources at the community level and provide targets for public investments to improve child-focused outcomes.

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We are NOT a nation that loves its children or their mothers or this β€” and the β€œchild care cliff”, the imminent loss of funding allowing many child care facilities to stay open, pay workers, and support millions of hardworking parents who rely on childcare to be able to stay on the job β€” would NOT be happening.

If we truly loved children we’d

- love their mothers as they carry their babies

- see policy and systems change to prevent the inequity in birth outcomes β€” Black maternal and infant mortality is THREE TIMES that of White women for myriad reasons: generational collective trauma of Black women; bias against Black women by people in medicine; poverty and inequity in healthcare, opportunity, air and water quality, food availability, transportation, and more result in 10-year gap in life expectancy. TEN YEARS

- make mandatory paid family leave for six months to a year, as is then norm in every other industrialized nation

- pay people a living wage instead of the $7.25 an hour that has heron the minimum wage since 2009!

- support health care for all instead of the hodgepodge sick care system we have now and is a racist, classist relic making the U.S., again, the outlier among industrialized nations as we are the sole leading nation without healthcare for all

- support all workers in having sick pay; that some railroad workers have had literally no paid sick leave for years is a likely factor in the rash of literal train wrecks β€” some involving spills of toxic chemicals β€” in the U.S. over the last couple of years

There is much more I could say about our racist and corrupt β€œchild protective services” system;  the absurdity of government supports to homeowners, and how these supports are nothing more than entitlement programs that further expand the gap between the morbidly wealthy, the shrinking middle class, the increasing number of the paycheck-to-paycheck working poor, and the people who are jobless, homeless, hopeless.

For more information I highly recommend β€œPoverty by America” as an audible book or bought from an independent bookseller. It is by Pulitzer Prize winning author Mathew Desmond, who also wrote β€œEvicted”.  His books are terrific reads. Or β€œlistens”.  Though they may well jack up your blood pressure.  If they don’t evoke outrage and action to evoke change, I’ll be surprised.

Thank you for posting the above article, Dr. Gordon!

Carey Sipp

Last edited by Carey Sipp
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