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September 21, 2024

Why Is Race Still a Factor in Adoption?

“I know you really want to be parents, and I can tell that you would love and dote on the child,” Angela Tucker, a consultant for an adoption agency, told Todd and Tammy. “But adopting a Black child requires more than love. I will not be recommending that you proceed with adopting a Black child.”…

August 27, 2024

Poverty Isn’t Neglect, and Money Isn’t Always the Answer

“I think about the families separated in Missouri over the years, not because of abuse or neglect, but because they could not afford to pay a bill or new clothes for their kids.”  That was House Ways and Means Chairman Jason Smith (R-Mo.) last month, announcing the Protecting America’s Children by Strengthening Families Act.  This idea that children are removed…

June 26, 2024

Reducing Racial Disparities in Foster Care Might Endanger Black Children

To what lengths should we go to reduce racial disparities in the child welfare system? In 2021 the Los Angeles County Board of Supervisors voted to require the Department of Children and Family Services to pilot a program of “blind removals.” The program, which had been tried to great fanfare in a couple of other jurisdictions, essentially…

June 23, 2024

Is Systemic Racism Responsible for the Increase in Child Mortality Rates?

How is it that in the richest country on Earth, life expectancy has been falling? This is the question that many policymakers and consumers of news have been asking themselves of late. Between COVID-19, drugs and the consequences of obesity (including high blood pressure and cardiovascular problems), we are digging ourselves an early grave. Still,…

May 31, 2024

ACS Has Lost the Plot

It’s been almost a year, but Lynija Eason Kumar was finally charged with murder last month in the death of her six-year-old daughter, Jalayah Eason. The child, according to New York City’s medical examiner, died as a result of blunt-force injuries, malnourishment, and positional asphyxia. According to the New York Times, she “died after Ms. Eason…

May 2, 2024

Lives Cut Short: A Project to Document Child Maltreatment Fatalities

Every year, at least 2,000 children die of maltreatment. Many of the adults responsible for their deaths were known to child welfare services or law enforcement before the fatal incident occurred. Unfortunately, state governments fail to count many of these deaths or release information that would help determine their causes. Why is this? How can…

April 23, 2024

Neglected Representation in Foster Care

How do people working in the child-welfare system determine what is in a child’s best interests? Meeting the child in question might seem a good first step. A new report from the California legal advocacy group AdvoKids, however, found that the lawyers representing foster children in court often fail to perform this basic task. In…

April 9, 2024

Child Abandonment in the Name of Compassion

A self-described libertarian friend once described to me the feeling she had when it was time to leave the hospital with her newborn baby. She remembered looking at the nurse and thinking, “You’re just going to let me take this thing home? I have no idea what I’m doing.” Even those of us who are…

April 5, 2024

The US Is Failing Substance-Exposed Infants

Key Points Read the full pdf. Introduction The stark human and societal cost of the drug epidemic is undeniable, directly taking over 100,000 lives each year since 2021.1 Due to infrequent and inconsistent testing,2 there is no reliable count of how many children are exposed to substances in utero, but, even before the current drug epidemic began,…

March 27, 2024

Narcan Babies

“As medical professionals who work with pregnant patients, you face numerous medical, legal, and ethical decision points when treating a patient for substance use during pregnancy, and when providing care to a neonate with drug or alcohol exposure.” So begins a pamphlet of advice for doctors and nurses that discourages them from reporting mothers for substance abuse…