Fellows of the American Academy of Pediatrics should be proud of the effective way their organization has recently "spoken up for children." Thanks to the well-coordinated team efforts of our elected officers, especially our immediate Past-President, Don Blim; of our Washington office led by Jackie Noyes; and of the Government Affairs Committee, chaired by Birt Harvey, the chance has greatly diminished that children will be forgotten or shortchanged by the block-grant approach to reducing federal expenditures for health care. Although support was given by such organizations as the Association of Maternal and Child Health-Crippled Children (MCH-CC) Directors, the Children's Defense Fund, and the American Medical Association, it was AAP initiative, strategy, and implementation from start to finish that carried the day.