by Mary Kelly Persyn, Orrick, Herrington & Sutcliffe
“Law serves human values.”
~ Hon. Peter Rubin, ACS founder and (since 2008) justice of the Massachusetts Appeals Court, in an address to the Columbia Law School ACS Student Chapter, January 19, 2006.
From its founding, ACS has advocated for true equality of opportunity, the taproot of American democracy. Rejecting the formal equality yielded by more conservative readings of our Constitution and laws, instead we seek equity—an authentically fair chance for all.
But equity evades easy solutions, and inequity is spread so broadly across so many dimensions it’s difficult to know where to start. The answer, as I’ve written previously in this space, may well lie in approaches informed by collective impact—a modern Archimedes’ lever. Consider the work of Nadine Burke Harris, M.D., MPH, FAAP, a pediatrician who started a clinic in the Bayview neighborhood of San Francisco following her residency at Stanford. On Thursday, July 2, Dr. Burke Harris visited Orrick, Herrington & Sutcliffe to address an audience filled with United Way of the Bay Area Women’s Leadership Council members, ACS Bay Area Lawyer Chapter members, and their guests.
The Bayview is a neighborhood rich in family and community ties. But it is poor in resources and health, and suffers one of the the highest crime rates in the city. After Dr. Burke Harris opened the Bayview Child Health Center, she began to see the links links between early childhood adversity and health. She began to see children coming to the clinic with high rates of asthma, ADHD, and other childhood illnesses at many times the rate of the general population. “Doctora,” one of her patients explained, “it seems like my daughter’s asthma is worse when her daddy punches a hole in the wall.” That’s obviously terrifying for a child—but why would asthma follow?
As Dr. Burke Harris recounts, the answer materialized when a colleague came to her with the 1998 Kaiser study called “Adverse Childhood Experiences,” or ACEs. This was the “aha” moment that would ultimately change the course of her career and lead to creation of the Center for Youth Wellness.