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 13, 2024
The Biden Administration Crossed a Line in Its Rule on Gender Health Care and Foster Children
What is the best way to support a child diagnosed with gender dysphoria, that is, a child who believes their body doesn’t match the person they really are? A couple of weeks ago, the Biden administration put through changes to Title IX rules, forbidding discrimination based on gender identity, which would mean, among other things,…
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 11, 2024
The US Is Failing Infants Exposed to Drugs and Alcohol
Joseph Adonis of New York, age 14 months, died from acute heroin, cocaine and fentanyl poisoning. A medically fragile toddler in Arizona died after being left unattended his crib by parents with a long history of substance abuse. A Missouri four-year old died from malnutrition and chronic abuse by a caregiver prone to “unpredictable behavior” due to drug abuse. These…
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…
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…
March 21, 2024
Why Foster Kids Aren’t Getting the Mental Health Care They need
Last fall, a 15-year-old foster child in Kansas took his own life. According to a local news report, the boy’s foster family “immediately called for help when they discovered the teenager, but paramedics couldn’t save him.” The Kansas City Beacon reported that the agency that was overseeing the placement, KVC Kansas, did not meet the state’s guidelines for…
March 14, 2024
The Chipping Away at Safe Haven Laws
“No Shame, No Blame, No Names.” That’s how one billboard advertises Safe Haven baby boxes, where a mother can anonymously leave her newborn at a fire station or other emergency facility if she feels she cannot care for the child. Unfortunately, this option, which is available in 19 states including Massachusetts, might not be effective for long. Officials…