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"Social Security In America"
Part III
SECURITY FOR CHILDREN
Part III is based on material provided by
Katharine F. Lenroot, Chief of the Children's Bureau
and Marta M. Eliot, M.D., Assistant Chief
Chapter XII
CHILD WELFARE IN A GENERAL PROGRAM
OF ECONOMIC SECURITY
THE CHIEF AIM of social security is the protection of the family
life of wage earners, and the prime factor in family life is the protection
and development of children. Security for families, the broad foundation
upon which the welfare of American children must rest, involves economic,
health, and social measures which pertain to the entire economic and social
structure of our civilization. Among them are an adequate wage level and
a reasonable workday and workweek, with provision of regular and full
employment necessary to yield a stable and sufficient family income; unemployment
insurance or compensation when full employment fails; provision of adequate
medical care and promotion of physical and mental health; prevention of
accidents; provision for the old, the sick, the widowed, and the orphaned;
adequate opportunities for education and for vocational guidance and placement;
crime prevention and correction; and social services for persons whose
welfare is threatened by the inadequacy or instability of those naturally
responsible for their care and support, by their own instability, or by
the breakdown of the primary measures of economic and social security.
All social security measures may be described, in fact, as affecting
child welfare--even old-age security, which lifts the burden of support
of the aged from those of middle age whose resources are needed for the
care of children.
In planning for any form of security adequate consideration must be given
to the protection of the health and welfare of the children in the families
coming within its scope. All children need health protection, to provide
which the community and the State, as well as individual parents, have
a responsibility. Such protection should begin with the preparation of
boys and girls for marriage and parenthood; should then provide for adequate
care of the mother during the prenatal period, at childbirth, and following
delivery; and should be extended throughout the infant, preschool, school,
and later adolescent periods. Many children require special medical care
or social protection by reason of physical handicaps, mental defects.
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orphanage, desertion, or grave conditions of incompetency, discord, neglect,
and demoralization in the home.
The effect of economic insecurity upon children is brought vividly to
public attention by the fact that in December 1934 about 8,000,000 children
under 16 years of age were in families receiving unemployment relief--representing
about 40 percent of the total number of persons on relief--and by evidences,
given later in this report, of the effect of the depression upon the health
and welfare of children and the resources of the agencies created to serve
their needs. Those engaged in the administration of relief and others
having an opportunity to know the problems at first hand are deeply concerned
over the gravity of the health, educational, employment, and social problems
of the children and young people in relief families, and are impressed
by the necessity of adequate consideration of the needs of children, both
in the relief program itself and in transition to other forms of aid or
rehabilitation, such as emergency work, rural rehabilitation, insurance,
or pensions. In reallocations of financial or administrative responsibility
between the Federal Government and the States, between States and local
communities, and between emergency relief and permanently established
welfare or health agencies, special care must be taken to see that no
gaps are left which may mean suffering and neglect to children. The Federal
Government has a responsibility in these matters which it shares with
the States and the local communities.
Development of provisions for the health and welfare of children has
been uneven in both extent and quality. In many areas, particularly in
rural territory, there has been general neglect of these needs. During
the depression period the degree of care which had been achieved at the
cost of much planning and struggle has been put in jeopardy and often
seriously curtailed or eliminated by reason of the financial retrenchment
of public and private agencies.
Attempts to provide social security for the unemployed, especially for
the unemployed now on relief, by measures which will enable them to become
again self-supporting, through private industrial recovery or through
a work program, will not benefit families whose breadwinners are absent.
This is also true of unemployment compensation. For these groups of families
special provision must be made.
The United States Children's Bureau was asked by the Committee on Economic
Security to act in a consultative capacity with regard to sections or
parts of the security program relating to child health and child welfare.
An advisory committee on child welfare worked with the Children's Bureau
in developing the factual material and recommendations submitted to the
Cabinet Committee on Economic Security. The membership of this advisory
committee is given in appendix XIII, page 519.
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The measures that were thus recommended are, of course, in no sense representative
of a complete child-welfare or child-health program in this country. It
was felt that it would be most logical and most reasonable to select,
in the first place, those parts of the child-welfare or child-health problem
which were very closely related to the problem of unemployment; in the
second place, measures which would attempt to meet the basic needs of
children throughout the country, such as the need for economic security
when the father is absent from the home and the need for a measure of
health protection, which must be supplied through community activities
and community agencies; and, in the third place, special social protection
when grave conditions of incompetency, neglect, abuse, or defect in the
child himself are present.
These principles are incorporated in the three sections of the program
relating to aid to dependent children, welfare services for children needing
special care, and maternal and child-health services, including services
for crippled children--a group of handicapped children needing special
attention. Other handicapped groups--the feeble-minded, the blind, and
the deaf--have not been included in the program except insofar as the
child-health services and the social services provided will place our
local communities in a very much better position to find out where there
are children in need of care, to bring together existing resources, and
to develop further experience concerning the total child-care problem
in the country.
The provisions with reference to security for children do not contemplate
any lessening of the burden now being carried by State and local agencies
or by private voluntary agencies, which are rendering very great service
to children in this country. The program recommended would attempt to
make universally available throughout the United States certain minimum
measures of public protection, without which any private effort or any
purely local effort is bound to be uneven and most inadequate in the places
and areas where children are in the greatest need.
Moreover, the recommendations regarding security for children do not
set up any new or untried methods of procedure, but build upon experience
that has been well established in this country. In that sense the children's
security measures are essentially American measures, building upon American
experience and designed to establish a foundation of Federal, State, and
local cooperation which will not lead to any difficult administrative
realms or to any unpredictable costs.
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