This issue deals with the future of an age-based public policy. Articles discuss the history of age-based public policy; the competing bases for benefits; population dynamics; Social Security, Medicaid, and Medicare; employer policies; and local and state policies. Describes California's Linkages Program. (JOW)

Reviews the Reagan administration's approach to maternal and child health policy. Analyzes the administration's legislative and regulatory efforts in this area and concludes that its goal has been to lessen the national commitment to maternal and child health at a time of heightened need for federal intervention. (CMG)

Several problems of the U.S. health care system are reviewed, including rising costs, increasing numbers of people who are uninsured, and the financial failure of public hospitals that treat uninsured patients. A plan called "Health America," which will guarantee health care for every U.S. family and control soaring health care costs, is…

Prepared for joint hearings on the impact of the proposed budget cuts on programs affecting children, these background materials describe the main programs which serve children in five general areas. These areas are health services for mothers and children, child nutrition programs, aid to families with dependent children, day care and other child…

In March 1995, the U.S. House of Representatives passed the Personal Responsibility Act (H.R. 4), part of the House Republican Contract with America. The bill would move primary responsibility for child and family programs to states and communities, reduce federal spending, and consolidate programs into block grants for child care, child…

During the past three decades, there has been an increase in knowledge about early childhood development. Early experiences can function as either risk factors or protective factors for a child's future health and development. This has led to concern about how current health systems contribute to the quality of the earliest experiences of life.…

The UCLA Center for Healthier Children, Families and Communities (CHCFC) has developed the School Readiness Critical Pathways (SRCPs) as an evidence-based conceptual model that links related outcomes and strategies. This helps to organize an array of broad and diffuse evidence regarding the strategies that produce school readiness outcomes for…

The federal Maternal and Child Health Bureau has launched a five-year initiative that will support state efforts to build comprehensive early childhood service systems. This initiative--the State Early Childhood Comprehensive Systems Initiative (SECCS)--provides two year planning grants followed by three year implementation grants to the 50 state…

If early childhood systems are to be effective at the population level then they must be able to provide family-centered care to all the racial, ethnic and cultural groups that they serve. Despite major policy driven and technological advances in healthcare, health disparities across different races and ethnicities persist. For example, the infant…