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The coronavirus disease 2019 (COVID-19) pandemic has exposed the frailty of the just-in-time medical system currently in place in the United States. Large gaps in access to care, unequal distribution of testing, and disparities in mortality rates in many ways reflect the greater inequalities that many communities and families were confronting daily before COVID-19. These inequities now may mean life or death. COVID-19 is not the great equalizer it is often referenced to be. It does not affect all communities, all families, or all children equally. Some neighborhoods are ravaged by food insecurity, loss of hourly wage jobs, and threats of evictions, while for others, COVID-19 is disrupting and troubling but not a true existential threat.
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Corresponding Author: Christopher Spencer Greeley, MD, MS, Section of Public Health and Child Abuse, Department of Pediatrics, Baylor College of Medicine, 6621 Fannin St, MC A2275, Houston, TX 77030 (firstname.lastname@example.org).
Published Online: August 3, 2020. doi:10.1001/jamapediatrics.2020.2776
Conflict of Interest Disclosures: None reported.
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