The U.N. Convention on the Rights of the Child is among the most comprehensive of all international human rights covenants. It was adopted by the U.N. General Assembly in 1989, following a decade of discussion and debate relating to its content, and has now been ratified by every nation in the world except the United States. This level of endorsement and broad acceptance of its provisions establishes the articles of the CRC as global norms for the treatment of children and (...) standards for the dignity and respect that is due them. The CRC provides a global agenda for children and childhood and has been described as “an authoritative, universal definition of the rights of children and young people” (Hammarberg.. (shrink)

With more than a year to reflect on the accomplishments of the Symposium on “The Interface of Child Rights and Pediatric Bioethics in the Clinical Setting,” what remains is to synthesize what we have learned as a framework for further inquiry into the intersection of pediatric bioethics and children’s rights. Considered individually, the articles in this issue of Perspectives in Biology and Medicine present a kaleidoscope of seemingly disparate perspectives. However, viewed as a collective work, this issue provides a balance (...) of tonality and nuance and point and counterpoint with respect to the integration of ethics and rights—and we hope, as Jeffrey Brosco suggests, that “intelligent disagreement can produce.. (shrink)

Despite the progress made in pediatrics over the past decades, nearly every metric of children’s health and well-being in the United States has deteriorated relative to other high-income Western democracies. This is in part due to American pediatricians’ slow response to the impact of social and environmental determinants on children’s health. It is well established that social and environmental determinants of health—the social, economic, political, environmental, and cultural conditions that influence the health and well-being of individuals and communities—are the primary (...) drivers of contemporary child and adult health and health disparities (ACE Study 2015; CDC 2015; Marmot.. (shrink)

The manuscripts in this issue of Perspectives in Biology and Medicine reflect the work of an international group of pediatric bioethicists and child rights advocates who convened in March 2014 to pursue several questions related to the intersection of pediatric bioethics and child rights. The prequel for the Symposium involved several years of dialogue between the editors of this volume—dialogue through which it became clear that there was much to be learned about our respective disciplines and how they might inform (...) our heretofore mutually exclusive work.The principles of pediatric bioethics have been used for decades to analyze and help resolve challenging clinical situations in pediatrics, but there has been.. (shrink)

The case of Baby G raises some of the most difficult decisions confronting parents and health-care professionals. Given the context-specific nature of most medical decisions affecting children, the principles and standards of child rights and the U.N. Convention on the Rights of the Child will not clearly articulate the best interests of the child in every situation. A child rights–based approach will, however, provide the factors that must be considered, methods for their analysis, and the procedural safeguards that must surround (...) decision-making related to complex medical situations facing children, families, and providers. This approach can facilitate both.. (shrink)