In early 2023, a volunteer advocate in Utah's third district court began their journey as a Court Appointed Special Advocate (CASA) for children in foster care. This role involves being both a friend and a champion for siblings in the system, requiring extensive preparation through interviews, background checks, and evening classes. The advocate's responsibilities include fostering relationships with the children, collaborating with their foster families and legal representatives, and ensuring they receive necessary support. Simultaneously pursuing medical school, the advocate gained insights into health disparities within a flawed healthcare system. With approximately one-sixth of Utah's children enrolled in Medicaid, including nearly all foster children, federal cuts to this program could severely impact these vulnerable individuals. The American Academy of Pediatrics emphasizes the need for frequent pediatric evaluations for foster children due to their heightened medical needs.

Upon joining the ranks of CASA volunteers in February 2023, an individual took an oath before a judge to support children in Utah's third district courts. Initially armed only with names, ages, and brief descriptions of why these children were under state custody, the advocate embarked on a multifaceted mission. Their duties encompassed becoming a reliable adult figure by attending school events, engaging in recreational activities, and answering whimsical questions about fictional characters. Beyond personal interactions, they worked closely with foster families and attorneys to ensure adequate support systems were in place, coordinating with social workers, educators, and medical professionals.

During this period, the advocate also transitioned into medical school, gaining a deeper understanding of health disparities through the lens of providing care within a flawed system. As someone passionate about pediatrics, they recognized the critical role of publicly accessible insurance for children. Observing Medicaid cover essential treatments like inhalers for asthmatic children and funding complex medical machinery for those dependent on ventilators or feeding tubes highlighted the program's indispensability. Roughly half of foster children suffer from untreated chronic illnesses, while around ten percent are medically fragile, underscoring the necessity for comprehensive healthcare access.

With approximately one in six Utah children relying on Medicaid, including almost every child in foster care, potential federal cuts pose significant risks. These children often enter state custody following repeated failures by adults at personal or systemic levels, leading to numerous medical needs. The American Academy of Pediatrics recommends frequent specialized pediatric evaluations focusing on physical illness, mental health, developmental assessments, and dental care. Currently, joint state and federal Medicaid funding bridges the gap, supplemented by state funds during eligibility determination. Without such financial backing, ensuring these children receive necessary health services becomes uncertain.

Aspiring pediatricians and current CASA volunteers strive to prevent further failures in supporting Utah's vulnerable children. Advocating against reductions in federal and state Medicaid funding is crucial in safeguarding the well-being of these young individuals. By raising awareness and encouraging action, society can ensure that no child slips through the cracks of a fractured system, guaranteeing they receive the care and attention they deserve.