Americans today feel, generally, that the times are prosperous. The middle class is shaking off the bitterness and the sense of economic injustice that it experienced in the 1970s. Many, perhaps most, of us who practice pediatrics share in this renewed attitude of confidence in the working of the American system. As pediatricians, however, we easily and readily relate to disadvantaged citizens in our population who, even today, may lack advocacy. The poor, both children and adults, continue to be vulnerable despite the widely felt sense of steady prosperity throughout the country. Health care for the poor is in jeopardy. Attention to this problem needs to be renewed. As always, those who cannot speak for themselves need the voices of others raised in their behalf. Our experiences especially suit us to participate in discussion of this important social issue.
It is now more than 20 years since the enactment of