Policy brief

Put Children First

It is not a slogan until it is a decision rule. The rule is simple. When the interest of a child and the interest of an adult conflict, the child wins. This page sets out what United States policy would change if the country applied that rule, and what it would cost.

The outline

The rule Almost every country has already agreed to this rule. The United States is the only UN member state that has not.

"Put children first" has three parts. All three are necessary.

Show it

Every law, budget line, and public service must show its effect on children before anyone approves it.

Decide it

When the interest of a child and the interest of an adult conflict, the child wins.

Measure it

The state measures the result each year and publishes it.

The second part changes policy. The first and third parts only make the second part visible.

The test

Apply one question to any policy. Does this policy improve the life of a child who has no vote, no money, and no lawyer?

A policy passes if the answer is yes. A policy fails if the answer is no. A policy also fails if nobody measured the answer.

Why children lose now

Children lose for three structural reasons, not because anyone intends harm. They do not vote, and politicians answer to voters. They do not own property, and budgets follow property and income. They cannot sue, and courts hear the parties in front of them.

The rule corrects for those three facts. Everything else on this page follows from that correction.

The treaty

This rule is Article 3 of the UN Convention on the Rights of the Child. The best interest of the child is a primary consideration in all actions that concern children. The United States signed the Convention in 1995 and has never sent it to the Senate for a vote. Somalia ratified in 2015. Since then the United States has been the only UN member state outside the treaty.

Where money goes The federal government spends about $6,860 a year on each child and about $40,050 on each adult over 65.
$6,860Federal spending per child, 2024
$40,050Federal spending per adult aged 65 and over, 2024

That is 5.8 times more per older adult than per child. The Penn Wharton Budget Model uses wider age groups and finds a larger gap. In fiscal year 2025, retirees received 38.6 percent of all federal spending. People under 26 received 10.3 percent.

Federal spending on children was $532 billion in 2024. That is 8 percent of the federal budget. The Urban Institute projects 6 percent by 2035. The share falls because spending on children is discretionary, and spending on older adults is automatic.

What changes

Add a child impact statement to the budget process. The Congressional Budget Office must report, for every bill, the effect on child poverty, child health coverage, and child housing stability over ten years. No committee votes without it.

This is the first change, because it costs almost nothing and it makes every later argument factual.

The honest cost

The statement will show that some popular programmes for adults are funded by leaving children poor. Nobody can un-see that.

Cash to families In 2021 the child poverty rate fell to 5.2 percent, the lowest ever recorded. One credit expired, and it returned to 13.4 percent.
5.2%Child poverty, 2021, with the expanded Child Tax Credit
13.4%Child poverty, 2024, after it expired

The expanded Child Tax Credit of 2021 paid families monthly and paid the poorest families in full. It cut child poverty by nearly half in one year. Estimates of the number of children lifted out of poverty range from 2.1 million to 3.7 million, depending on the measure. Families spent the money on food, rent, and school costs. Employment did not collapse.

Congress let it expire in December 2021. Child poverty then returned to its earlier level. This is the clearest natural experiment in modern American social policy, and it ran in both directions.

What changes

Make the credit fully refundable and pay it monthly. The 2021 design is the working model. A credit tied to a parent's earnings gives the least to the children who need the most.

The honest cost

About $100 billion a year. Some studies find a small reduction in work by second earners. The evidence for a large work effect is weak. The evidence for the poverty effect is strong and immediate.

A child cannot earn. A payment tied to a parent's earnings punishes the child for the parent's labour market. The rule forbids that.

The first five years The only public investment with a measured return of 13 percent a year. The United States is the only OECD country with no paid parental leave.
Care price
$13,184 per child per year, national average, 2025. Infant care is $14,802.
Federal standard
Affordable care costs 7 percent of household income or less.
States that meet it
None, for centre-based infant or toddler care.
Paid leave
The other 37 OECD countries all provide paid maternity leave. The United States provides none.

What changes

Leave

Paid parental leave of at least 12 weeks, paid by social insurance, available to both parents.

Care

Public funding of care from birth to age five, with the family payment capped at 7 percent of income.

Staff

Pay early years staff at parity with primary school teachers. Low pay is the reason places are scarce.

The evidence

High quality programmes from birth to five return about 13 percent a year for each child. The return appears in education, health, adult earnings, and reduced crime. That figure comes from long follow-up of the Abecedarian and CARE trials. Programmes that start at age three or four return 7 to 10 percent. Earlier is worth more.

The honest cost

This is the most expensive item on this page. It is also the only item with a measured return that beats the stock market.

Schools Fund the child, not the address. Two neighbouring Pennsylvania districts spend near $30,000 and under $15,000 for each student.

Local property tax funds schools. Districts with expensive houses have well funded schools. Districts serving the most students of colour receive about $1,800 less for each student. Along the 100 most segregating district boundaries, the gap in local revenue averages $4,119 for each student.

Lower Merion in Pennsylvania spends near $30,000 for each student. Philadelphia, next door, spends under $15,000.

What changes

Fund schools per child, and weight the funding by need. The state becomes the funder of first resort. Local money may add to the state amount only if the state matches the same addition for the poorest districts.

The evidence

An increase of $1,000 for each student, held for four years, raises college attendance by about 2.8 percentage points.

The honest cost

This is the hardest political fight on this page. House prices in well funded districts already include the value of the school. Changing the funding rule transfers that value. Homeowners will resist, and homeowners vote.

A child does not choose an address. Funding education by address makes the accident of birth the main fact about a child's schooling. The rule forbids that.

Health Enrol every child at birth and never ask again. Paperwork, not policy, removes most children who lose cover.

The United States infant mortality rate was 5.1 deaths for every 1,000 live births in 2024. That is 71 percent higher than the average of comparable countries. Sweden is 2.3. Japan is 1.9.

The One Big Beautiful Bill Act of 2025 cut close to $1 trillion from Medicaid. The Congressional Budget Office estimates that 11.8 million people lose coverage by 2034. Child enrolment in Medicaid and CHIP fell by at least 2.1 million between January 2025 and May 2026. Several causes contributed, and new paperwork rules are one of them.

What changes

Make coverage automatic and continuous from birth to age 19. Enrol at birth with the birth certificate. No renewal forms. No waiting periods. No work test applied to a parent that removes a child's cover.

The honest cost

Automatic enrolment costs money, and it removes a control that some states use to limit spending. It also removes the main mechanism by which eligible children lose cover, which is paperwork.

A child cannot complete a renewal form. Losing cover because a parent missed a deadline is a penalty on the wrong person.

Safety Since 2020, firearms have killed more American children and teenagers than anything else.

Firearms became the leading cause of death for people aged 1 to 19 in 2020, and have stayed there. Nearly 22,000 people aged 17 and under died by firearm between 2014 and 2024. The rate reached its peak in 2022 and fell from 3.5 to 3.0 for every 100,000 children between 2023 and 2024. Most child firearm deaths involve a gun kept in a home.

What changes

Two measures have the clearest evidence for children. Require secure storage, and make the adult owner liable if a child gains access. Fund enforcement of child access prevention laws and extreme risk protection orders.

The honest cost

This is the sharpest collision on this page between an adult constitutional interest and a child's life. The rule does not remove the adult right. It places the storage duty on the adult who chose to bring the weapon into the child's home.

The cheap laws Child marriage is legal in 34 states. Schools may hit children in 18. Neither costs money to fix.

These three items survive because of inertia, not because anyone defends them with evidence. They are the cheapest changes available.

Child marriage

Child marriage is legal in 34 states as of May 2026. Seventeen states and the District of Columbia have banned it completely. Four states set no minimum age at all when a waiver is granted. Change: set 18 as the minimum age of marriage, with no exception, in every state.

Physical punishment

Public schools may hit children in 18 states. Private schools may do so in 45. Use is concentrated in the Deep South. The research finds that physical punishment does not improve behaviour and does increase aggression. Change: prohibit physical punishment of a child in any school that receives public money.

Child labour

At least 16 states have introduced bills to weaken child labour protection since 2023. Iowa expanded hazardous work for children as young as 14. Indiana let 16- and 17-year-olds work adult hours from January 2025. West Virginia removed youth work permits, then weakened its hazardous work rules. Kentucky allowed some employers to hire children at age 12. Federal child labour violations in fiscal year 2025 were the highest since the Great Recession.

Change: set a federal floor that states cannot go below. Restore hour limits during school terms. Raise penalties above the value of the labour saved. Fund inspection.

The honest cost

Almost none for the first two. Some employers in agriculture, meat processing, and food service depend on young labour, so a few prices rise. Nobody has produced a child-first argument for a 14-year-old on a roof.

Children and the state Thirteen states set no minimum age for adult prosecution. Immigration detention has separated about 60,000 citizen children from a parent.

Justice

Thirteen states set no minimum age at which a child can be prosecuted as an adult. Georgia, Texas, and Wisconsin routinely charge 17-year-olds as adults. The most common minimum age of criminal responsibility worldwide is 14.

Change: set a minimum age of criminal responsibility at 14. End adult prosecution and adult confinement for anyone under 18. Keep serious offences in a juvenile system that has the power to hold a young person and the duty to educate them.

The honest cost: serious violent crimes by 16- and 17-year-olds will carry shorter maximum sentences. Victims and their families will object, and their objection is real. The counter-argument is that adult prison raises the chance that the same young person offends again.

Immigration

An estimated 400,000 interior immigration detentions between January 2025 and April 2026 affected about 205,000 children. About 145,000 of those children are United States citizens. About 60,000 citizen children had a parent detained. Arrests have taken place near schools and bus stops.

Change: make schools, clinics, shelters, and courts protected places, with no enforcement action inside them or next to them. Require a review of the effect on children before any detention of a primary carer. Prefer alternatives to detention when a child depends on that adult.

The honest cost: enforcement becomes slower and more expensive. The rule does not decide the immigration question. It decides who pays for it. A citizen child is not an instrument of enforcement against a parent.

Housing Schools identified 1,548,191 students without stable housing in 2023-24. That is the highest number on record.

The count rose 12.6 percent in one year and 28.5 percent in two. In New York City, more than 154,000 public school students had no permanent home in 2024-25. That is nearly one child in seven. Housing assistance is not an entitlement, and most eligible families receive nothing.

What changes

Give a household with a child priority for housing assistance. Make assistance an entitlement for households with children below a set income. Give a family with a school-age child a right to counsel in eviction proceedings.

The honest cost

High, and it competes directly with early years funding. Housing instability damages school results, physical health, and mental health at the same time. The return therefore appears in other budgets rather than in this one, which is why no single department will pay for it.

Online Regulate the design, not the speech. Courts have blocked the state laws that regulate speech.

The Kids Online Safety Act passed the Senate 91 votes to 3 in July 2024 and then stalled in the House. The House passed the Kids Internet and Digital Safety Act in July 2026. States moved first. Virginia has required age assurance at 16 and limited users under 16 to one hour a day since January 2026. Courts have blocked several state laws on First Amendment grounds.

What changes

Place the duty on the platform, not on the parent. Prohibit engagement-optimised feeds, streak mechanics, and behavioural advertising for accounts that belong, or probably belong, to a minor. Set every default to the most private setting.

The honest cost

Age assurance creates a privacy problem for adults. Design rules are the narrower path, because they restrict what a company may do to a child rather than what a child may read. That distinction is also why design rules survive in court.

What it costs Six real losses. Any advocate who says this change is free is not to be trusted.

Money

The full package costs several hundred billion dollars a year. It comes from taxes, from borrowing, or from spending on adults. There is no fourth source.

Autonomy

Storage duties, a ban on physical punishment, and a minimum marriage age all limit what an adult may do to a child or near a child.

House prices

Funding by child rather than by address reduces the price of some houses.

Simplicity

A child impact statement adds a step to every bill.

Speed

Protected places and carer reviews slow immigration enforcement.

Flexibility

Child labour floors and paid leave raise labour costs in low margin sectors.

The argument is that the return is larger than the cost. The argument is not that there is no cost.

The world 4.9 million children died before their fifth birthday in 2024. The cheapest life to save is not an American one.

Ratify the treaty

Ratification of the Convention on the Rights of the Child converts the domestic rule into a global position. It costs no money. It commits the country to report on children and to treat their best interest as a primary consideration.

Ratification also removes the standing objection that the United States asks of others what it will not accept itself. Opponents cite sovereignty, parental authority, and home schooling. Other federal states met the same objections with reservations. The choice is political, not technical.

Aid

The United States cut foreign assistance by about 83 percent and dismantled USAID during 2025. A modelling study in The Lancet estimated 14 million additional deaths by 2030, including more than 4.5 million children under five. A follow-up study published in February 2026 projected at least 9.4 million additional deaths by 2030 at current funding levels. The same research associated USAID funding with 91 million deaths prevented between 2001 and 2021, and with a 32 percent fall in child mortality in the countries that received it.

Change: restore child survival funding as a separate multi-year line that does not move with each administration. The core items are vaccination, malaria control, nutrition, maternal and newborn care, and clean water.

A child in a low-income country is the cheapest life to save that exists. No domestic programme comes close to that ratio.

Child survival

4.9 million children died before their fifth birthday in 2024. In 1990, one child in 11 died before age five. In 2024 it was one in 27. That is the largest improvement in human welfare of the last 35 years, and it is slowing. The annual rate of reduction fell from 3.9 percent in 2000-2015 to 1.5 percent in 2015-2024. Pneumonia, diarrhoea, malaria, premature birth, and complications during birth cause most of the remaining deaths. All five are treatable with known methods.

Conflict

The United Nations verified 38,558 grave violations against children in armed conflict in 2025. They affected 24,174 children. That is the highest number in the 30 years of the mandate. Killings rose 34 percent against 2024. For the first time, government forces were the largest single category of perpetrator.

Change: apply the rule to arms transfers. Make verified grave violations against children a bar to transfer, with no waiver for allies. Fund the monitoring work that produces the verified numbers.

The honest cost: this constrains the relationship with several partners, including close ones. It is the point at which the rule is most expensive in diplomatic terms, and the point at which an exception is most likely to be demanded.

Trade

Apply the same test to imports. A product made with child labour fails the test regardless of price. Enforcement needs supply chain evidence and a customs mechanism that can act on it. Prices rise a little, and demand moves away from the worst producers only if the major buyers act together.

Order of work Do the cheap and irreversible items first. Items one to five fit inside one session of Congress.
  • 1Ratify the Convention on the Rights of the Child. No cost.
  • 2Set 18 as the minimum marriage age everywhere. Near zero cost.
  • 3Ban physical punishment in publicly funded schools. Near zero cost.
  • 4Set a federal child labour floor and fund inspection. Low cost.
  • 5Add the child impact statement to the budget process. Low cost.
  • 6Make child health coverage automatic and continuous. Medium cost.
  • 7Restore the fully refundable monthly Child Tax Credit. High cost, fastest measurable effect.
  • 8Fund care and paid leave from birth to five. Highest cost, highest return.
  • 9Move school funding from the address to the child. Highest political cost.
  • 10Restore and protect child survival aid. Medium cost, most lives for each dollar.

Sequence matters more than ambition. Items one to five establish the principle at almost no cost. That makes items six to ten arguable on evidence instead of on sentiment.

Sources Every number on this page, with its origin.