The changing nature of childhood morbidity has been addressed by a number of pediatricians.1-3 The "new morbidity" heralds an era of pediatrics characterized by prevention and early intervention strategies in the care of young children. In 1987, Surgeon General C. Everett Koop, MD, established a national agenda to promote optimal services for children with special health care needs.4 He issued a call to action for professionals to develop and provide services that are family centered, community based and coordinated. Richard M. Narkewicz, MD, immediate past president of the American Academy of Pediatrics (AAP), called this "a timely and commendable goal that the AAP shares" and advocated for pediatricians to provide a medical home for all children.5