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DOCTOR’S CORNER

GENETRHEANTEIXOT N

by Allen Weiss, MD, MBA, FACP, FACR                                  reunion—as I did this past year—can attest to the wide range of
President and CEO, NCH Healthcare System                             accomplishments of classmates. In my graduating class we had a
                                                                     two-time United States House of Representatives member. (We
T he American Dream has been that all children—                      also had an individual who spent 20 years behind bars.) Almost
            regardless of their family, social background, economic  universally, our upwardly mobile parents had high aspirations for
            resources, or any other tangible asset—can become more   their children much the same way their parents, many of whom
            successful than their parents.                           were immigrants, had sacrificed so their children, our parents,
                But for the next generation, moving up the ladder    could be first-time college graduates and professionals.
            is no longer the norm. This upward mobility of success,
 affluence and influence is now being challenged. In fact, more         Now, the inequities in America are placing these success
 than ever before, more children have less of an opportunity to      stories and in some cases, the Horatio Alger stories, in jeopardy.
 advance their lot in life.
                                                                        There are two broad areas of inequity, according to Putman:
     This disquieting trend is well outlined in Our Kids by Robert      • Inequality of income and wealth. The distribution of
 Putman, a professor of public policy at Harvard. He shares          income and wealth in today’s America has never been so great.
 life stories of high school classmates who graduated fifty-
 plus years ago. Anyone who has attended a 50th high school

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