1. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 Bioethics and the Health of Children Larry R. Churchill Center for Biomedical Ethics & Society Vanderbilt University

2. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 Major Themes The U.S. medical care system is hazardous to the health of children Medicare is one of the largest hazards Making the health of children paramount will require new ways of thinking--a cultural shift Why the health of children is important to everyone Physicians (especially pediatricians) have an important role in making policy changes

3. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 U.S. Income & Net Worth Disparities

4. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 Children Living in Poverty

5. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 Intergenerational vs. Lifespan Synchronic thinking Views needs and interests at a point in time for segments of the population Diachronic thinking Views needs and interests of total population over a lifetime

6. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 The Blessings of Finitude All philosophy is training for death. --Socrates Teach us to number our days, that we may get a heart of wisdom. --Psalm 90 Teaching people to die is teaching them to live. --Montaigne Any definition of health that is not silly must include death. ---Wendell Berry

7. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011

8. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 Why Worry about Children’s Health? What a mature society would do The vulnerability of the young On-going stability of social service and medical care systems for adults depends on healthy children How young workers will feel/think about older adults if they were deprived as children …solidarity, reciprocity Mutualism—relationships in which both parties benefit from the interaction (Erik Erikson)

9. Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 “What Force Shall Represent the Future to the Present?”