It's clear that the Academy primarily serves to form clinical policies as they apply to the health and welfare of children. At the same time, our state and county societies and the American Medical Association serve to respond to the public sector (insurance and legal concerns). Yet, the above two purposes cannot be rightfully separated.

Every year, AAP members elect a new president. This physician comes from academia, probably on sabbatical, writes column after column about everyone's desire for universal coverage and limits on kids' access to weapons, and then returns to his/her medical school at the end of his/her term. Then, the various AAP committees form policy statements on numerous aspects of care. What all these authors fail to address and/or don't want to be bothered with is how to smoothly implement all these policies and goals into practice.

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