Consider This from NPR - Without Expanded Child Tax Credit, Families Are Sliding Back Into Poverty

Episode Date: September 14, 2023

It can be hard to see how big government policies have a direct effect on an individual's experience. But it was easy to measure the difference made by the expanded child tax credit. Giving more money to low-income families with children had a big impact. After the expanded child tax credit took effect, child poverty hit a record low of 5.2% a year ago.But less than a year later, Congress let it expire. New census data shows that child poverty has more than doubled. Host Ari Shapiro speaks with pediatrician and researcher Megan Sandel, who has seen the health consequences for kids play out in real time.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

This message comes from Indiana University. Indiana University performs breakthrough research every year, making discoveries that improve human health, combat climate change, and move society forward. More at iu.edu forward. Sometimes it can be hard to see the connection between a broad government policy and an individual's personal experience. The expanded child tax credit was different. It gave more money to low-income families with children. And for people like Angel Jackson, it made a huge difference. She's a single mom in Houston with an eight-year-old son.

My son went to a charter school, so I bought school shirts. I got his hair cut. I was able to do small things in small increments. After the expanded child tax credit took effect, child poverty hit a record low of 5.2% a year ago. In Bothell, Washington, Jennifer Bereskin and her 11-year-old son are on disability. We were able to buy the things we needed. I needed car repairs. I needed to replenish our food, you know, being able to have dry goods and things. Because during that COVID and everything, you know, grocery stores were running out of food quite quickly. The money allowed her to catch her breath. I could like breathe for a moment and be able to be like, all right, I don't have to sacrifice, you know, something here to get something else. I could get everything I needed. And then, less than a year after the expanded child tax credit took effect,

Congress let it expire. You can guess what happened next. According to new census data, child poverty has more than doubled. It's now 12.4 percent. Democratic Senator Cory Booker of New Jersey said this about the new numbers. We have now proved something pretty phenomenal and at the same time pretty obscene. And what we've proved is that poverty for children in America is not some accident. It's a policy choice. Consider this. What happens when a government program

that helped cut the child poverty rate in half abruptly stops? We'll ask a pediatrician who's seen the changes firsthand. From NPR, I'm Ari Shapiro. It's Thursday, September 14th. This message comes from WISE, the app for doing things in other currencies. Send, spend, or receive money internationally, and always get the real-time mid-market exchange rate with no hidden fees. Download the WISE app today or visit WISE.com. T's and C's apply. It's Consider This from NPR. When pediatrician and researcher Megan Sandel spoke to NPR in 2021,

the expanded child tax credit was still in effect. And she didn't need a big research study to understand the impact it was having. She saw it in her patients every day. I really have to call out the child tax credit. We have seen in the last six months families starting to get back on their feet. We have started to graduate kids from our grow clinic finally. And a lot of that has to do with being able to have that consistent check every month that they know they're getting. Now, as that credit has expired and child poverty numbers have skyrocketed, we asked her what she's seeing at her practice today.

You know, we're seeing families just under that enormous stress again. They are having to make really tough decisions. They have kids going back to school and they don't know if they can afford a backpack and that school uniform and needing to make really difficult choices about whether or not they're going to

be able to actually be able to afford the food that their kids need to grow. I think everybody understands that poverty affects health. But as a doctor, can you tell us specifically what you tend to see more of when families struggle to meet kids' basic needs? Yeah, I think, you know, many of us who are parents remember taking our kids to the doctor. And one of the things we do is we measure your weight and your height, and we put you on a growth curve. What are you expected to grow? What's the rate you're expected to grow for different ages? And what we're starting to see is kids flatlining. Kids who should be growing, should be gaining

weight, should be frankly growing the brain that they need for the rest of their lives. And we're seeing kids not grow. We're seeing kids lose weight, which when you're three or four years old, that is a medical emergency. What's going on? And a lot of times when we really dig deeper, it's simply because people can't afford enough food and are stretching beyond what they can deal with. Is there a family or a kid you can tell us about who kind of puts a face to this trend? Yeah. One of my favorite families, their child was getting ready for kindergarten. And this was a kid who I was ready to graduate in August because he was going to kindergarten. We had gotten him back to his weight. He didn't need special shakes anymore, like pediatra or things to grow. And he showed up and his weight had, he had lost two pounds, like not even gained, not

even flatlined. He had lost weight. And what ended up coming out was that, you know, they were really, really stretched and they no longer had the child tax credit. These expanded benefits ended during a time of record inflation. How does that overlay on these other trends you're talking about? I do think that it is important to name both food inflation and honestly housing costs as two of the biggest bills that families have to face every day.

That being said, what you were able to see is even in those rising costs, there was effective ways in which to reduce child poverty. And so what I don't want people to walk away from is to say, oh, well, inflation, it doesn't matter. If you give people more money, it's just going to be spent and it won't travel as far. I do think that in many ways, it really is about the positive effects of putting money in people's pockets. I think that what it underlies is that we also need to start thinking about ways in which to help people out of poverty and to be more financially stable, to not just improve their income, but to help them be able to save money. A lot of programs disincentivize people saving,

and you gain more money, but you actually lose a benefit. And I also think that this is a moment where we need to invest in housing. A lot of the infrastructure and Build Back Better had housing in the original plan, and it went away. And I think that if I were to tell you, you know, food insecurity and housing insecurity are the twin demons that face my families that I serve every day. And so we need to be able to talk about them together. As a medical provider, how does it feel to see a government program that you could see helping your patients effectively be eliminated despite the fact that it was making a visible difference? It's so interesting. We talk about evidence-based government and always wanting to say we're investing in things that work. And so this is really where we need to look ourselves in the mirror. We have something that worked really, really well. And so I want to ask, what are the ways in which, you know, we can say to ourselves, this is worthy of investment? Because what I like to say is I can do my best

role as a physician to help kids grow. But what I need is policymakers to do their job to be able to help kids grow too. And that is really in their hands. And so I'm not going to give up the fight. Like I'm not going to say, you know, it's over. I think that these are the wake up call that we can do better. And this is, I'd love to be able to come on in a year and be able to talk about that we got the number back down to 5% and beyond. What does it do to somebody's prospects as an adult when they grow up without the kind of growth, weight gain and development that you were seeing when this child tax credit was in place? Yeah, I think, you know, there are really important metrics around how kids are going

to thrive in the economy. So one is, are they showing up to kindergarten ready to learn? Are they in third grade reading at grade level? Because after third grade is where you read to learn. And if you're not reading on grade level, you're missing out. And then are you able to, you know, thrive in high school, graduate, and be able to move into the economy? And I think that when we start thinking about these ripple effects, being able to see translated in literally kids' body weight how they are doing well and how their families are thriving or not, I do think that that can make a difference in terms of what that child's going to be able to accomplish. Now, I don't ever want to give up on kids and families and, you know, whether or not you missed out on a critical time period of growth, I'm going to try and catch you back up to that curve. And it's meant we've had to, you know, institute programs

like special education, you know, consultation programs to help those kids get back on track. But it is avoidable. It was preventable. And that's the thing that I think is important is that we can do better. We saw it work. Now we have to get back to doing it regularly and making it a permanent fix. That's Dr. Megan Sandel, pediatrician at Boston Medical Center. Thank you so much. Thank you so much, Ari, for bringing light to this really important issue. We also heard reporting in this episode from NPR's Jennifer Ludden. It's Consider This from NPR. I'm Ari Shapiro. This message comes from Indiana University.

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