Health Care Disparities in Children:
A Joint Article Collection from Journal of Pediatric Health Care and The Journal of Pediatrics
The COVID-19 pandemic has highlighted the effects of toxic stresses in our society that stem from systematic and structural racism and inequities. Such stresses include poverty, homelessness, disabilities, unemployment, civil unrest, food insecurity, substance abuse, social isolation and limited access to care. The purpose of this virtual issue compiled by The Journal of Pediatrics and the Journal of Pediatric Health Care is to further name and explicate health care disparities in children and youth associated with toxic stress, and to highlight approaches to reduce such inequities.
The Affordable Care Act, COVID-19, and Health Care Insurance for ChildrenDespite numerous legal and political challenges over the past decade, the Patient Protection and Affordable Care Act (ACA; Library of Congress, 2010) has been integrated into the health system of the United States and has played an important role in improving child health in this country by increasing access to health care for millions of children. The ACA has also provided a health care lifeline to children and families during the coronavirus disease 2019 (COVID-19) pandemic. This policy brief reviews the legal status of the ACA, explores the impact of COVID-19 on children's access to health insurance, discusses recent legislation supporting child health, and considers the future status of child health insurance coverage and access to care.