During the ongoing national discussion of proposals to reform health care financing, effects on the health status of children emerged as a special concern.
Public attention has shifted away from comprehensive reform of the health care system and toward reform of the welfare system (primarily the Aid to Families with Dependent Children [AFDC] program), but this debate with its focus on parental behavior has not attended to the effects of reform on children's health and well-being.
Yet the changes proposed will have a profound effect on the lives of children.
Children's health status is determined by a multiplicity of factors, among which social and economic factors are especially important. 1,2 Children living in poverty have poorer health than their more affluent peers, 1-16 consequently, welfare system reform carries great implications for children's health.
Welfare system reforms that reduce resources for low-income families will lead to a predictable increase in adverse health outcomes for children in low-income homes.
Pediatricians and other children's health professionals must view this process with great concern.
This commentary addresses the associations of poverty and children's health, the potential adverse consequences for children's health with the welfare system reform measures currently being enacted, and the subject of welfare system reform as human experimentation.
Mots-clés Pascal : Bien être économique, Soin, Santé, Etat sanitaire, Pauvreté, Soin santé primaire, Assurance maladie, Economie santé, Article synthèse, Enfant, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Welfare, Care, Health, Health status, Poverty, Primary health care, Health insurance, Health economy, Review, Child, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0217018
Code Inist : 002B30A03B. Création : 199608.