In the 2 years since the publication of our original article,1 little has changed with regard to the status of children in the United States. Poverty remains a major problem. More than one of four urban children live in poverty, and in one Upper Midwest city, over 46% of all children fall into the poverty category.2 There is still no universal access to adequate health care, and all poor children, including those with cardiac disease, are affected.
The American Heart Association (AHA) has approached the issue of children and access to health care. A task force on children and youth that was established in 1991 is developing strategies for the AHA to serve as a catalyst among communities, government agencies, and voluntary and professional organizations to advocate the heart-health needs of children. Another task force, on access to health care, was established in 1992. Its final report3