As pediatricians, we have committed our lives to assuring the well-being of all children. We have taken a stand against health hazards such as childhood poverty and gun violence. However, when it comes to race-based violence, we have remained silent.

Although the Academy has provided resources on toxic stress on its website (, additional advocacy, education and action need to be initiated, given the recent series of race-based deaths. It is time for us, as pediatricians, to take a strong stand against the violence that is claiming the lives and sense of security of our young black patients.

Pediatricians occupy a strategic position between families who fear race-based victimization and the medical establishment charged with protecting all children. As providers within complex systems, we understand that broken systems often pose a greater threat than the imperfect people within those systems. A systems-level problem must be addressed with systems-level...

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