“How are you—and how are things going?” These are words spoken each and every day by us as pediatricians to parents and our young patients. We listen to what our patients tell us about their state of well-being and then work with them to make a plan to improve their overall health. In almost all cases, we maintain a state of optimism and encourage our patients and their families to feel likewise, no matter how dire the situation.

Now let's try this analogy again—but with the field of pediatrics being our patient. How is our profession faring? If you open a newspaper or watch television, you might say “not so well.” You may find yourself bemoaning children's access to health care and the difficulty of establishing medical homes, the ever-decreasing ability of families to afford health care for their children, the concern that pediatric practices may not stay viable given...

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