We are now experiencing extraordinary challenges that are adversely impacting the health and well-being of our children and their families. These include multiple and very interrelated issues: coronavirus disease (COVID), Black Lives Matter, the struggling economy, immigration, environmental toxins, child abuse, gun violence, and others. Beyond responding to the complex acute stresses of clinical disease, the COVID pandemic has further unmasked chronic issues of racism, social injustice, disparities, and inequities that permeate our health care system. 1-7 For example, the disproportionate effects of COVID in Black, Latinx, and Native Americans is reflected by a greater susceptibility for disease, hospitalizations, and mortality with infection. 8,9 Such findings reflect many factors, including racial differences in jobs and exposures, nutrition, and other chronic health illnesses, such as diabetes, obesity, cardiovascular diseases, and chronic obstructive pulmonary disease. Well beyond the COVID pandemic, discrepancies in maternal, child, and adult health care, leading to death at earlier ages and worse morbidities, have been long recognized as reflecting major inequities in availability of health services, insurance coverage, social and economic factors, and other issues. 2,4,6 Thus addressing concerns underlying structural racism and sustained inequities in health care requires a greater awareness of the persistence of the US as an unequal society. 1-3