Health

Federal Government Failing to Protect Children, Report Says

Published

11 years ago

January 27, 2015

Vermont Attorney General Bill Sorrell, right, confers with Commissioners Theresa Martha Covington (center) and Patricia M. Martin (left) before the CECANF public meeting in Burlington, Vermont, on October 23, 2014. (Alison Redlich/AP Images for CECANF)

HOLBROOK MOHR and GARANCE BURKE, Associated Press

The federal government’s failure to enforce the nation’s child protection laws is a “national disgrace” that leaves abused children vulnerable to future harm, according to a three-year study by two child advocacy groups.

The 110-page report released Tuesday identified some of the same failures reported in December by The Associated Press after an eight-month investigation into hundreds of children who died of abuse or neglect in plain view of child protection authorities.

“Our laws are weak. We don’t invest in solutions. Federal laws aren’t enforced. And courts are turning their backs. This creates a trifecta of inertia and neglect,” said Amy Harfeld, policy director at the Children’s Advocacy Institute at the University of San Diego School of Law, which wrote the report with the nonprofit group First Star.

AP’s investigation, published Dec. 18, also revealed a system in crisis, hobbled by weak federal oversight, budget constraints, worker shortages and a voluntary data collection system so flawed that nobody can say with accuracy how many children die from abuse or neglect each year.

The AP found that at least 786 children died of abuse and neglect over a six-year span — many of them beaten, starved or left alone to drown — while agencies had good reason to know they were in danger. That figure represents the most comprehensive statistics publicly available, but the actual number who died even as authorities were investigating their families or providing some form of protective services is likely much higher because antiquated confidentiality laws allow many states to withhold vital information, shrouding their failures.

The federal government estimates an average of about 1,650 children have died annually from abuse or neglect in recent years, whether or not they were known to the child welfare system, but many experts believe the actual number is twice as high. And many more suffer from near-fatal abuse and neglect every year.

“Almost everything that happens to these children is cloaked in endemic secrecy, and most efforts by the media and advocates to provide the public with much needed transparency — which leads to accountability — are thwarted by the very governmental entities and officials who have turned their backs on their official duties to children,” the groups said.

Michael Petit, who was appointed by President Barack Obama to serve on the Federal Commission to Eliminate Child Abuse and Neglect Fatalities and serves as adviser to the advocacy group Every Child Matters, said he agreed with what he has read thus far in the report, entitled “Shame on U.S.”

“The report is saying what a lot of people have been experiencing,” Petit said, who wasn’t speaking on the commission’s behalf. “I share many of those sentiments that the federal government is not providing the kind of oversight needed.”

The Children’s Advocacy Institute and First Star fault all three branches of federal government for failing to protect children.

The U.S. Department of Health and Human Services is responsible for implementing and enforcing federal child welfare laws and programs, but the agency largely takes a hands-off approach, allowing states to self-certify that they are in compliance with federal requirements.

“There is no meaningful oversight and the states know it,” the report said.

Agency spokeswoman Laura Goulding did not immediately return a call and an email seeking comment on the report Monday.

Congress needs to mandate that HHS impose fines, withhold funds or take other punitive actions when states don’t follow federal regulations, the report said.

Because HHS and Congress so rarely hold states accountable for their failings, filing a lawsuit is usually the only way private parties can challenge problems within the child welfare system. But lawsuits are time consuming, expensive and often limited in their reach, covering violations in only one state or county rather than widespread systemic failures, the groups said.

“Federal courts have turned their backs on private attempts to enforce federal child welfare law and Congress has shown little interest in advancing the law itself,” the report said.

Emily Douglas, a child welfare expert at Bridgewater State University in Bridgewater, Mass., called the report’s findings about the judicial branch’s shortcomings particularly revealing.

“When something goes wrong, usually you hear that the state child welfare agency is a wreck or that the governor is stepping in to fire someone,” Douglas said. “But increasingly judges are going to be on the radar about the important role that they play in determining these kids’ safety. Judges are not trained social workers, so are we sure they always know the risk factors when deciding children should be sent back home?”

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The AP National Investigative Team can be reached at investigate@ap.org

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COMMENTARY: The Biases We Don’t See — Preventing AI-Driven Inequality in Health Care

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

Published

2 months ago

February 10, 2026

Oakland Post

Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.

By Sen. Akilah Weber Pierson, M.D., Special to California Black Media Partners

Technology is sold to us as neutral, objective, and free of human flaws. We are told that computers remove emotion, bias, and error from decision-making. But for many Black families, lived experience tells a different story. When technology is trained on biased systems, it reflects those same biases and silently carries them forward.

We have seen this happen across multiple industries. Facial recognition software has misidentified Black faces at far higher rates than White faces, leading to wrongful police encounters and arrests. Automated hiring systems have filtered out applicants with traditionally Black names because past hiring data reflected discriminatory patterns. Financial algorithms have denied loans or offered worse terms to Black borrowers based on zip codes and historical inequities, rather than individual creditworthiness. These systems did not become biased on their own. They were trained on biased data.

Healthcare is not immune.

These biases were not limited to software or medical devices. Dangerous myths persisted that Black people feel less pain, contributing to undertreatment and delayed care. These beliefs were embedded in modern training and practice, not distant history. Those assumptions shaped the data that now feeds medical technology. When biased clinical practices form the basis of algorithms, the risk is not hypothetical. The bias can be learned, automated, and scaled.

For us in the Black community, this creates understandable fear and mistrust. Many families already carry generational memories of medical discrimination, from higher maternal mortality to lower life expectancy to being dismissed or unheard in clinical settings. Adding AI biases could make our community even more apprehensive about the healthcare system.

As a physician, I know how much trust patients place in the healthcare system during their most vulnerable moments. As a Black woman, I understand how bias can shape experiences in ways that are often invisible to those who do not live them. As a mother of two Black children, I think constantly about the systems that will shape their health and well-being. As a legislator, I believe it is our responsibility to confront emerging risks before they become widespread harm.

That is why I am the author of Senate Bill (SB) 503. This bill aims to regulate the use of artificial intelligence in healthcare by requiring developers and users of AI systems to identify, mitigate, and monitor biased impacts in their outputs to reduce racial and other disparities in clinical decision-making and patient care.

Currently under consideration in the State Assembly, SB 503 was not written to slow innovation. In fact, I encourage it. But it is our duty must ensure that every tool we in the healthcare field helps patients rather than harms them.

The health of our families depends on it.

About the Author

Sen. Akilah Weber Pierson (D–San Diego) is a physician and public health advocate representing California’s 39th Senate District.

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As California Hits Aging Milestone, State Releases Its Fifth Master Plan for Aging

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

Published

2 months ago

February 9, 2026

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By Bo Tefu, California Black Media

On Jan. 27, California released its Fifth Master Plan for Aging Annual Report,titled “Focusing on What Matters Most,” outlining the state’s progress and priorities as its population rapidly grows older.

The report, issued by the California Health and Human Services Agency (CalHHS), provides updates on the Master Plan for Aging’s “Five Bold Goals”: housing, health, inclusion and equity, caregiving, and affordability.

The report comes as Californians aged 60 and older now outnumber those under 18 for the first time, a demographic shift expected to accelerate over the next decade.

Launched in 2021, the Master Plan for Aging takes a “whole-of- government” and “whole-of-society” approach, coordinating state agencies, local governments, community organizations, and private partners. The annual report highlights significant milestones, including more than 100 California communities joining AARP’s Age-Friendly Network and $4 million in state funding awarded to local organizations to develop aging and disability action plans in 30 communities statewide.

The report also underscores California’s leadership at the national level, noting that dozens of states have followed its example and that federal legislation inspired by the plan was reintroduced in the U.S. Senate in December 2025.

CalHHS Secretary Kim Johnson emphasized the plan’s focus on equity and resilience amid ongoing challenges.

“The Master Plan for Aging continues to provide a vision, a focus, and a platform for collaboration,” Johnson said. “Equity is at the center of all that we do.”

Looking ahead, the report notes that by 2030, one in four Californians will be age 60 or older, positioning the Master Plan for Aging as a central framework for meeting the state’s long-term social, economic, and health needs.

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Candidates Vying for Governor’s Seat Debate at Ruth Williams–Bayview Opera House in San Francisco

The gubernatorial debate participants included Antonio Villaraigosa, former Los Angeles mayor; Matt Mahan, San Jose mayor; Betty Yee, former California state controller; Xavier Becerra, former U.S. Secretary of Health and Human Services, and attorney general of California; Steve Hilton, political commentator and political adviser; Tom Steyer, entrepreneur, and Tony Thurmond, California’s superintendent of public instruction.

Published

2 months ago

February 9, 2026

Oakland Post

The gubernatorial debate was hosted by KTVU’s Greg Lee, KTTV’s Marla Tellez and KTVU’s Andre Senior. The candidates are (l.-r.): Xavier Becerra, Steve Hilton, Matt Mahan, Tom Steyer, Tony Thurmond, Antonio Villaraigosa, and Betty Yee.

By Carla Thomas

On Tuesday, Feb. 3, seven candidates took the stage at the historic Ruth Williams–Bayview Opera House in San Francisco for the gubernatorial debate, hosted by the Black Action Alliance (BAA) in partnership with KTVU and sister station KTTV Fox 11 in Los Angeles.

For many voters, it marked a first opportunity to hear directly from several candidates seeking to lead the nation’s most populous state.

Crucial topics and issues addressed throughout the debate included housing, crime, immigration, climate change, health care and homelessness.

The debate was moderated by KTVU political reporter Greg Lee alongside KTVU’s Andre Senior and KTTV Fox 11’s Marla Tellez.

Candidates also addressed inflation and the rising costs across the state, impacting everything from groceries to childcare and health care.

Thurmond vowed to generate 2.3 million units of housing by placing 12 units on each parcel of available land in the 58 counties of California. Steyer agreed that billionaires should pay their fair share of taxes.

Hilton wanted to cut taxes, help working-class families, and end the Democrats “climate crusade and insane regulations.”

Yee offered a more transparent governmental approach with accountability, given the state’s debt.

Gonzalez said, “This debate was a great way to see who has great ideas and who has substance.”

“It’s important to have the debate within a community that requires the most,” said business leader Linda Fadekye.

Attendees included State Controller Malia Cohen, representatives of the National Coalition of 100 Black Women, the National Coalition of 100 Black Men, the San Francisco African American Chamber of Commerce, and Black Women Organized for Political Action, among others.

Event host, the Black Action Alliance (BAA) was established to amplify the voices of the Bay Area’s Black community, whose perspectives have too often been overlooked in politics and public policy.

Loren Taylor, CEO of BAA, said it was important to bring the event to the Bayview in San Francisco and shared his organization’s mission.

“The Black Action Alliance (BAA) stands for practical, community-driven solutions that strengthen public safety, address homelessness, support small businesses, expand affordable housing, and ensure access to quality education—issues at the heart of the Black experience in the Bay Area,” said Taylor.

California’s primary election will take place on June 2 and the general election will take place on Nov. 3.