Carol Emig
I
n 1968, the Kerner Commission called for “the realization of common
opportunities for all within a single society.”1 When it comes to children
and youth of color, much remains to be done to secure that common
opportunity. Broadly speaking, the lives of many children of all races are
better today than the lives of children fifty years ago, yet serious racial and
ethnic inequities persist. Black, Hispanic, and American Indian children
are still more likely to live in poverty. They lag behind their white and
Asian peers on important well-being indicators that often predict long-
term success. Even as legislative, judicial, and regulatory actions target
inequities, work remains to address discriminatory policies and practices
that often have deep and overlooked historical roots.
This work is unfolding today in a demographic, economic, and policy
landscape greatly different from fifty years ago. This chapter briefly re-
views the major changes in the child and youth field since 1968 and sug-
gests future directions for policy and research.
90
80
70
60
Percentage
50
40
30
20
10
0
1973 1976 1979 1982 1985 1988 1991 1994 1997 2000 2003 2006 2009 2012 2015
50.0
45.0
40.0
35.0
Percentage
30.0
25.0
20.0
15.0
10.0
5.0
0.0
1959 1966 1973 1980 1987 1994 2001 2008 2015
Figure 8.2 Children under eighteen living below the poverty line, 1959–2015
Source: U.S. Census Bureau, “Historical Poverty Tables: People and Families, 1959 to 2015,”
September 8, 2017, available at https://www.census.gov/data/tables/time-series/demo/in
come-poverty/historical-poverty-people.html; U.S. Census Bureau, “CPS Table Creator,” avail-
able at http://www.census.gov/cps/data/cpstablecreator.html.
Note: American Indian data may be unreliable in comparison to other races. Data for Black
children are retrieved from “Black” data before 2002 and “Black Alone or in Combination” data
for 2002 and after. Data for Asian children are retrieved from “Asian Alone or in Combination”
data before 2002 and “Asian and Pacific Islander” data for 2002 and after.
Health
Health insurance coverage for children and youth has expanded, albeit in
fits and starts, since the creation of Medicaid in 1965. Medicaid provided
health insurance to low-income individuals, including those in families
receiving Aid to Families with Dependent Children. Beginning in the
mid-1980s and continuing to 2002, incremental changes in income and
age eligibility, phased in over time, culminated in the extension of Med-
icaid coverage to all children through age eighteen in families with in-
comes below the federal poverty line and to children up to age six in
families with incomes at or below 133 percent of the federal poverty line.
In 1997, the Children’s Health Insurance Program provided federal funds
to states to cover children in families with incomes too high for Medicaid
but too low to afford private insurance. Nearly every state had imple-
mented the program within two years of the funding becoming available,
Property of Temple University Press--Not for Distribution
222 | Perspectives from the Fiftieth-Anniversary National Advisory Council
and all states had implemented a program by early 2000.20 Passage of the
Patient Protection and Affordable Care Act in 2010 expanded eligibility
even further, to include all Americans at or below 138 percent of the fed-
eral poverty line. A 2012 Supreme Court decision made states’ adoption
of this expansion optional and, consequently, not all states did so. But as
of January 2017, thirty-two states (including the District of Columbia) had
exercised this option.21
Research examining the effectiveness of Medicaid expansion in these
states found significant reductions in uninsured rates (particularly among
the most vulnerable populations, including children) and positive im-
pacts on access to care, use of services, affordability of care, and financial
security among low-income Americans.22 By 2015, a record 95 percent of
U.S. children had health insurance. Coverage for Hispanic children,
whose levels had lagged behind those of black and white children, reached
a record high of 93 percent. Nevertheless, research suggests that as many
as a quarter of low-income Hispanic families with children are not aware
that they could apply for Medicaid and other forms of public assistance.
Additionally, fears of revealing the undocumented status of household
members may prevent some parents from applying for Medicaid for their
children. For some families, language and cultural factors may also be
impediments.23
As of June 2017, Congress was considering health care legislation that
would, among other things, limit the availability of Medicaid, which pro-
vides health insurance to 43 percent of the nation’s children. Yet research
attests to the value of health insurance to children’s short- and long-term
well-being. Children who have health insurance are more likely to get
health care, more likely to be healthy, and more likely to have better edu-
cational and long-term economic outcomes24—compelling reasons for
health care policy in the United States, whatever its form or financing, to
include universal coverage for children.
Early Childhood
Perhaps the biggest shift in the public’s and policy makers’ thinking when
it comes to children is the widespread recognition of the value of invest-
ments in early childhood,25 spurred by research on early brain develop-
ment,26 rigorous evaluations of early education programs,27 and projec-
tions of positive returns on such investments.28 Head Start, established in
1965, stood virtually alone for decades in terms of federal investment in
early childhood. Today, there are publicly funded prekindergarten pro-
grams in most states. In the 2015–2016 school year, Florida, Oklahoma,
Wisconsin, and the District of Columbia each served more than 70 percent
of the four-year-olds in their jurisdictions.29 Universal prekindergarten
programs exist in Florida, Georgia, Oklahoma, Boston, New York City,
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Kerner and Kids | 223
School Discipline
As promising as early childhood investments appear to be, they alone will
not overcome the effects of poverty, discrimination, and other factors that
disadvantage many children. To sustain the gains of high-quality early
childhood investments, we need to continue to invest in proven interven-
tions to promote quality and access from preschool through high school.
One notable area of reform focuses on shifting away from school disci-
pline policies and practices that disproportionately exclude students of
color and students with disabilities from school. In the 2013–2014 school
year, 2.8 million K–12 students received one or more out-of-school suspen-
sions, with black students almost four times as likely to be suspended from
school as white students. (Hispanic and American Indian students were
also more likely to be suspended than white students, but the practice is
more pronounced for black students.) Children with disabilities, mean-
while, were twice as likely to receive one or more out-of-school suspensions
as their peers without disabilities.42 The data indicate that these suspen-
sions are often for relatively mild forms of misconduct for which school
officials have considerable discretion, not for violence or criminal activity.43
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Kerner and Kids | 225
Discipline policies that exclude students from school can have lasting
negative consequences for the suspended students. For instance, a longi-
tudinal study of more than one million seventh- through twelfth-grade
students found that those who are suspended from school even once in
their first year of high school are more than twice as likely to drop out as
students who have no history of school removal.44 Additionally, sus-
pended or expelled students are almost three times as likely as other sim-
ilarly situated students to become involved with the juvenile justice sys-
tem within a year of leaving school.45 To make matters worse, a strong
body of research concludes that excluding students from school does not
improve either individual behavior or school safety.46
While certainly not the only path to more equitable educational out-
comes, keeping students in school and engaged in learning has to be part
of the solution.
States and communities across the country are using alternative ap-
proaches to prevent and address disruptive behavior, such as social-
emotional learning initiatives,47 positive behavioral interventions and
supports,48 restorative justice practices,49 and early warning systems
aimed at intervening proactively with students who have the potential to
disrupt school or threaten school safety.50 Evidence indicates that these
approaches are associated with reductions in school dropout rates and
with increased academic achievement.51
Most of these approaches are preventive and may not include ready
strategies to help educators respond to student behavior during an inci-
dent or administer appropriate consequences to prevent a recurrence.
There is more work to be done here to provide teachers and other school
personnel with interventions, other than suspensions and expulsions,
that hold young people accountable for their behavior, keep offending
students on track academically, and avoid disparities by race and disabil-
ity. This area is ripe for the kind of innovation that the Kerner Commis-
sion called for fifty years ago.