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Reply to "Children and Toxic Stress: The Discussion Continues"

We have an extraordinary moment before us here. Yesterday's event framed the issue of trauma and the effects of toxic stress so well, but it is now incumbent on the participants to take the next steps. I agree with strategies that include the sharing of narratives and storytelling (Julie Campbell's example yesterday was clear and inspiring), but we also need to engage and implore our payors and policy makers to include ACEs as a routine part of all health screening. The link between ACEs scores and physical health outcomes is clear. While no one would disagree with the moral imperative of helping children overcome trauma, it becomes less clear when we ask "whose job is it?" or "who is going to fund this?". As was pointed out so many times yesterday, it is the entire community's responsibility, and I believe we may need to be more forceful in opening some of those doors.

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