Raymond is a talented young artist who carries his work from homeless shelter to homeless shelter in a tattered bag but has never even been inside a museum. He is emblematic of the children that the renowned pediatrician and children’s advocate Irwin Redlener has met over the course of his long and colorful career. Inadequate education, barriers to health care, and crushing poverty make it overwhelmingly difficult for many children to realize their dreams. In this memoir, Redlener draws on poignant personal experiences to investigate the nation’s healthcare safety net and special programs that are designed to protect and nurture our most vulnerable kids, but that too often fail to do so.

The book follows Redlener’s winding career, from his work as a pediatrician in the Arkansas delta, to treating child abuse in a Miami hospital, to helping children in the aftermath of 9/11 and Hurricane Katrina. The reader accompanies him to the board of USA for Africa, to cofounding the Children’s Health Fund with Paul Simon, as he persuades Joan Baez to play a benefit concert for his clinic in rural Arkansas, and to dinner with Fidel Castro. But what has motivated him most powerfully are the children who struggle with terrible adversities yet dream of becoming paleontologists, artists, and marine biologists. These stories are his springboard for discussing larger policy issues that hinder us from effectively eradicating childhood poverty and overcoming barriers to accessible health care. Persistent deprivation and the avoidable problems that accompany poverty ensnare millions of children, with rippling effects that harm the health, prosperity, and creativity of the adults they become. Redlener argues that we must drastically change our approach to meeting the needs of children—for their sake and to ensure America’s resiliency and influence in an increasingly complex and challenging world.

Irwin Redlener, a pediatrician, is president emeritus and cofounder of Children’s Health Fund and founding director of the National Center for Disaster Preparedness at Columbia University’s Earth Institute, where he is a senior research scholar.

Jane Pauley is a television journalist and author. She is the anchor of CBS Sunday Morning and was previously cohost of Dateline NBC and NBC's Today.