Over the past 25 years, pediatric care has changed dramatically. Dr. Christopher Forrest, a pediatrician at Children’s Hospital of Philadelphia, notes that he increasingly sees children with chronic health issues. “They just seem to be sicker. And it turns out they are,” he observes.
A recent study published in JAMA supports this claim. The health of children in the U.S. has been declining across several key indicators since 2007. Children were found to be 15% to 20% more likely to face chronic conditions in 2023 compared to 2011. Issues like depression, anxiety, obesity, and autism have all seen an increase.
Reports also indicate more children struggle with poor sleep and loneliness. “Children’s health in the United States has been declining for almost two decades,” Forrest explains. Researchers analyzed extensive data, including surveys and pediatric health records, to better understand this issue.
Mortality rates for children’s health have also worsened. In the past, American children had similar death rates to their peers in Europe. However, from 2010 to 2023, they were 80% more likely to die. Factors contributing to these figures include gun violence and motor-vehicle accidents, with gun-related deaths becoming the leading cause of youth mortality in 2020.
Dr. Frederick Rivara, a pediatric expert at the University of Washington, emphasizes the role of healthcare access in this worsening trend. Unlike many other wealthy nations, the U.S. lacks universal health coverage. This gap may worsen as cuts to Medicaid threaten coverage for many low-income families. A Pew Research report found that around 41% of U.S. children were enrolled in Medicaid earlier this year.
While initiatives addressing chronic diseases are gaining attention, other policy changes may undermine public health. For instance, budget cuts at the Department of Health and Human Services impact critical health programs aimed at protecting children’s well-being, such as campaigns against sudden infant death syndrome.
As we look to the future, it’s crucial to engage in open conversations about children’s health. Awareness of these challenges can inspire action toward better care and preventive strategies, ultimately aiming for a healthier generation.