I thought this was interesting

Saving Tiny Tim--Pediatrics and Childhood Poverty in the United States,  by Perri Klaas,  MD.

Dr Perri Klaas was the medical director of Reach Out and Read,  the national early literacy organisation which we participate with at work in our clinic.  I don't know if she still is.  Her Perspective article in the New England Journal of Medicine was published this week.  She talks about the challenge for paediatricians and practices serving as a medical home to evaluate the needs of patients and their families in regards to where they might be having trouble making ends meet and services that can be referred to help. It's worth a read,  and had some interesting statistics about extreme poverty in America.