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Updated: Aug 6, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The conundrum of children in the US health care system
1Indiana University Purdue University Indianapolis, USA.
Insights
Children
Area of Science:
- Pediatric Bioethics
- Children's Rights Law
Background:
- Children's bodily autonomy is frequently disregarded in US healthcare.
- Medical decision-making processes often exclude children's perspectives.
Purpose of the Study:
- To explore the reasons behind the exclusion of children's voices in US healthcare.
- To examine the consequences of disempowering children in medical choices.
- To outline the ethical duties of healthcare providers to champion children's rights.
Main Methods:
- Literature review on pediatric autonomy and decision-making.
- Ethical analysis of healthcare provider obligations.
- Discussion of legal and societal factors influencing children's participation.
Main Results:
- Complex societal and systemic factors contribute to the silencing of children.
- Exclusion leads to disempowerment and potential negative health outcomes.
- Healthcare providers have an ethical imperative to advocate for children's rights.
Conclusions:
- Healthcare systems must actively include children in decisions affecting their bodies.
- Ethical advocacy for pediatric autonomy is crucial, irrespective of legal mandates.
- Prioritizing children's voices upholds their fundamental rights and well-being.
Abstract:
One area in which children's rights are rarely considered in the USA is that of autonomy over their bodies. This right is routinely ignored in the arena of health care decision making. Children are routinely excluded from expressing their opinions involving medical decisions that affect them. This article discusses the complex reasons why children's voices are typically not heard in the USA, the consequences of their disempowerment, and the ethical obligations of health care providers to advocate for the rights of children, even in the absence of a legal mandate to do so.
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