Intergenerational trauma has deep roots, which require clinicians to understand historical and cultural context when working with vulnerable children.

This article considers 3 works by artists who were directly or indirectly affected by this type of childhood abuse.

This narrative illuminates need for students and clinicians to be well prepared to face ethically and structurally complex realities of identifying and responding to children.

How society and medicine discussed and responded to child abuse changed dramatically in 1962. Since that time, the problem’s fuller scope has been revealed.

Clinicians using governing authority to make public health policy are ethically obliged to draw upon scientific and clinical information that accords professional standards.

These key steps are ones health sector stakeholders should take to help patients and clinicians use pricing information to inform health decision making.

For dying patients and their loved ones to make informed decisions, physicians must share adequate information about prognoses, prospective benefits and harms of specific interventions, and costs.

Online tools intended to make health care purchasing resemble “consumerism” have had little effect on improving transparency for patients.

Negative health consequences from costly care are referred to as financial toxicity and should be included in informed consent discussions.

Fragmentation in US health care delivery streams and shortcomings in formal quality measures mean that transparency could be more useful to policymakers and regulators than patients.