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The Fifth Freedom: Guaranteeing an Opportunity-Rich Childhood for All

Autor David Erickson
en Limba Engleză Hardback – 27 feb 2023

The status quo doesn't work for millions of Americans, and the consequences of millions of failures are expensive for everyone else.

There has to be a better, fairer, and more cost-effective way of helping people achieve success. That is what this book is all about. The United States now spends trillions of dollars on chronic disease, incarceration, educational failures, and lost productivity-among the many problems of the current system. Instead, this book argues for better, more targeted spending that could guarantee an opportunity-rich childhood for all. The "guardrails" of the title are the aspects of a well-functioning neighborhood that help children become thriving adults: good schools, well-funded libraries, safe streets and public spaces, quality health care, churches and other spiritual homes, and transportation and other public services. "Airbags" are timely interventions at the individual level that help avert lasting damage from bad events. Examples include drug treatment or psychological counseling for troubled young people.

The United States can afford both better guardrails and airbags for kids to help them become healthy and productive adults who will be effective parents for the next generation. This book advocates a smarter social safety net that will catch kids heading in the wrong direction before they are harmed, and society will pay for those upstream investments and reap the benefits of healthier and more productive generations to come.

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Specificații

ISBN-13: 9780815740032
ISBN-10: 0815740034
Pagini: 202
Ilustrații: 13 b/w illustrations; 1 b/w photos; 1 textbox
Dimensiuni: 152 x 229 x 17 mm
Greutate: 0.47 kg
Editura: Bloomsbury Publishing
Colecția Brookings Institution Press
Locul publicării:New York, United States

Cuprins

Preface
Introduction: Better Policies and Improved Neighborhoods Can Secure the Fifth Freedom-an Opportunity-Rich Childhood for All
1 Evolution of the Welfare State: 150 Years of Efforts to Assist Low-Income Communities and Individuals
2 Guardrails and Airbags: Better Strategies to Improve Neighborhoods and Support Families Are the Basis for a Smarter Social Safety Net
3 Financing Guardrails and Airbags: Creating a Market That Values Health
4 Hawaii Case Study: How an Island State Can Point the Way
5 Conclusion and Next Steps
Notes
Index

Recenzii

Passion is not a characteristic normally associated with the Federal Reserve but Erickson, a senior vice president at the Federal Reserve Bank of New York, displays a fair share of it in this important albeit somewhat wonky book. Frustrated by the prevailing focus on the downstream consequences of poverty, such as drug treatment or job training programs, he argues that Americans should shift significant resources to the upstream causes of deprivation. As he argues, the US must pay more attention earlier on to what he dubs "guardrails" (good schools, affordable housing, fresh food) that set children on the right path and "airbags" (mentors; enrichment programs; access to sports, nature, and the arts) that can intervene to rescue those who are skidding off the track. Erickson knows that such a shift in emphasis will meet resistance, but he insists that creating a "market that favors health" will ultimately prove more beneficial to all, and he offers numerous examples of organizations and funders already moving in this direction. The Fifth Freedom is hardly bedside reading. More policy paper than stirring narrative-it nonetheless deserves readers' wakeful attention. Recommended. Graduate students, faculty, and professionals
David Erickson's new book is a must-read for anyone interested in health and social welfare. He takes square aim at the 'know-do' gap that has plagued efforts to improve our social safety net. Drawing upon his decades of experience, the book offers a lucid diagnosis of the problem as well as practical solutions that would advance health and social equity for millions of people.
Whether serving as a family physician for patients experiencing homelessness, as Chicago's public health commissioner deploying policies to improve health, or as Kaiser Permanente's Chief Health Officer implementing upstream interventions to optimize conditions for health, I know just how important reliable and sustainable investments are to the health of our communities. In The Fifth Freedom, Erickson deftly connects the dots between how strategic investment decisions - whether from private industry, the nation's health care system, or from all levels of government-can create the conditions for health and equity we all need to truly thrive.
With empathy, precision, and deeply informed historical analysis, David Erickson issues a clarion call for America to fundamentally rethink how it serves its citizens and enables the next generation to flourish. The Fifth Freedom shows that it is possible-and necessary-to think big, to spend well, and restore hope and economic security to all people and places. An essential read for policymakers and citizens alike.
David Erickson's provocative new book leads off with a bold premise: what if, as a society, we decided to truly invest in children's health and well-being, ensuring that no child grows up in poverty? Drawing on a rich mix of history, social theory, evidence-based research, and promising strategies from the field, this book builds a compelling case that this premise is achievable if we're willing to re-think our existing approaches to health and social policy.
David Erickson is not the first author to question why, in a nation as wealthy as ours, so many have so little. But The Fifth Freedom's unique marriage of insights from history, health policy, and community development finance show in bold and concrete terms how we can guarantee the right to an "open future" for all children. Through case studies, compelling metaphors, and clear language, Erickson sows the seeds for a revolution in how America constructs its social safety net.