PEDIATRICS Vol. 115 No. 4 April 2005, pp. 1129-1133 (doi:10.1542/peds.2004-2825D)
SUPPLEMENT ARTICLE |
Successes and Missed Opportunities in Protecting Our Children's Health: Critical Junctures in the History of Children's Health Policy in the United States

* Center for the History of Medicine, Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, Michigan
Department of History, Rutgers University, Camden, New Jersey
This article revisits several turning points in the history of child health policy for the purpose of understanding why many current health needs of children have not been addressed. We demonstrate how the rupture of ties between child medical and child welfare leaders, as well as the fault lines between various health care professionals, led to difficulties in establishing programs for children in the early 20th century. We note how wartime mobilizations helped to make the needs of the nation's youth apparent to political leaders and observe that programs begun in response to these discoveries often were ended in peacetime. Finally, we discuss how politics shaped the situation wherein maternal and child health programs, including Medicaid, are need based, severely underfunded, and administered by the states, whereas benefit programs for the elderly, including Medicare and Social Security, are general entitlements administered at the federal level.
Key Words: medical history child health health policy politics child welfare Progressive Era Sheppard-Towner Maternity and Infancy Act New Deal Social Security Act Great Society Medicaid
Abbreviations: AMA, American Medical Association APS, American Pediatric Society SSA, Social Security Act
Accepted Dec 22, 2004.
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