When I arrived to provide medical care, the four-year-old girl was unconscious. She had multiple bruises, skull fractures, a brain contusion, vaginal and anal tears, venereal disease, and was hemorrhaging from places a little girl should not. The perpetrator? Her stepfather.
I actually sighed with relief when I learned she later died of her abusive injuries in the hospital; at least she was spared the anguish of surviving such brutality. Pediatricians across America have witnessed countless similar tragedies. A new BBC documentary has investigated why the US, one of the most prosperous nations on earth, has the worst child abuse record in the industrialised world. America's child maltreatment death rate is triple Canada's and 11 times that of Italy. Over the past decade, more than 20,000 American children have been killed their own family members – that is nearly four times the number of US soldiers killed in Iraq and Afghanistan.
What differentiates us from other countries? The single best predictor of child abuse is poverty. Children raised in families with annual incomes of less than $15,000 are 22 times more likely to be abused. Since the economic downturn, there has been a 30% increase in child maltreatment. The recession is, quite literally, a slap in the face of American children. The vast social programs available to low-income families in other countries are gapingly absent in the US. Social programs are also suffering funding cuts at the hands of Republicans, who persistently paint citizens in need of social programs as manipulative pariahs on the populace.
Since entering the bid for the 2012 presidential election, Gov. Rick Perry has boasted Texas' pseudo-success, bedazzling voters with misleading statistics. His swagger is rooted in the fact that Texas is a low-tax, low-social service state. He neglects to mention that children from Texas are four times more likely to be incarcerated, four times more likely to be uninsured, twice as likely to drop out of high school, and nearly twice as likely to die from abuse and neglect. In order to perpetuate the façade of "traditional family values", Child Protective Services in states with strong Republican leanings prefer to keep the faux family together, even in cases of flagrant abuse, instead of taking custody and removing children from their cruel environment. Nearly half of all Texan children killed by abuse belonged to families investigated by CPS, but the service's myopic political masters would rather leave a child in the hands of a sadistic, torturous family than have a child raised by a gay couple in a safe and nurturing home.
http://www.guardian.co.uk/commentisfree/cifamerica/2011/oct/24/america-child-abuse-epidemic