Recent interest in poverty $$Word$$ cultural deprivation has intensified the need for understanding the many aspects of the problem. The addition of an inferior caste system gives another dimension. The historical evolution and institutionalization of this system must be understood if the full impact on the black child is to be appreciated. The delivery of medical care takes place in a social field. When the child who is the recipient of medical care is black, the social field and the problems he has encountered and continues to experience must be scrutinized and taken into account. The impact on development and child rearing can then be seen more objectively.

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