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" "Our national opioid problem also affects the well-being of children in a striking fashion. According to the Centers for Disease Control and Prevention (CDC), between 2008 and 2012, a third of women in their childbearing years filled -based medication prescriptions in pharmacies and an estimated 14 percent–22 percent of them were pregnant. The result: an alarming increase in the number of babies exposed to opioids in utero and experiencing withdrawal symptoms at birth, which is also known as neonatal abstinence syndrome, or NAS, in medical lingo. [...] (Given the ongoing opioid crisis, it’s unlikely that things have improved in recent years.) And the complications attributable to NAS don’t stop with birth. Though the research remains at an early stage—the opioid crisis only began in the early 1990s—it suggests that the ill effects of NAS extend well beyond infancy and include impaired cognitive and s, respiratory ailments, , difficulty maintaining intellectual focus, and behavioral traits that make productive with others harder. At this point, you won’t be surprised to learn that NAS and child poverty are connected. Prescription opioid use rates are much higher for women on , who are more likely to be poor than those with private insurance. Moreover, the abuse of, and overdose deaths from, opioids (whether obtained through prescriptions or illegally) have been far more widespread among the poor.
(born 1953) is a political scientist. He holds the Anne and Bernard Spitzer Chair in Political Science at the .
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Even before Donald Trump’s election, only one-sixth of eligible families with kids received assistance for childcare and a paltry one-fifth got housing subsidies. Yet his administration arrived prepared to put programs that helped some of them pay for housing and childcare on the chopping block. No point in such families looking to him for a hand in the future. He won’t be building any for them. Whatever “” may mean, it certainly doesn’t involve helping America’s poor kids. As long as Donald Trump oversees their race into life, they’ll find themselves ever farther from the starting line.
Imagine, for a moment, this scenario: a 200-meter footrace in which the starting blocks of some competitors are placed 75 meters behind the others. Barring an Olympic-caliber runner, those who started way in front will naturally win. Now, think of that as an analogy for the predicament that American kids born in poverty face through no fault of their own. They may be smart and diligent, their parents may do their best to care for them, but they begin life with a huge handicap. As a start, the nutrition of poor children will generally be inferior to that of other kids. No surprise there, but here’s what’s not common knowledge: A childhood nutritional deficit matters for years afterwards, possibly for life. [...] Indeed, the process starts even earlier. Poor mothers may themselves have nutritional deficiencies that increase their risk of having babies with . That, in turn, can have long-term effects on children’s health, what level of education they reach, and their future incomes since the quality of nutrition affects , concentration, and cognitive capacity. It also increases the chances of having and experiencing mental health problems. Poor children are likely to be less healthy in other ways as well, for reasons that range from having a greater susceptibility to asthma to higher concentrations of lead in their blood. Moreover, poor families find it harder to get good health care. And add one more thing: in our zip-code-influenced public-school system, such children are likely to attend schools with far fewer resources than those in more affluent neighborhoods.