Nonpartisan  ·  Evidence-based  ·  Built on family voice

Every child deserves
the same sky
above them.

Same Sky is building a national policy agenda for children grounded in what parents and families actually say they need — across party lines, across geography, across every background.

Not Republican. Not Democrat. In our polling, most parents identify as political independents. Their priorities for their children — food, healthcare, mental health, safety — are consistent regardless of who they vote for. We start with what families tell us, not with what either party finds convenient.

Children together
Our Story

What Same Sky is building

90%
of Tennessee parents support free school meals — across party lines
79%
of voters support child firearm safe storage laws, including Republicans
66%
of voters support protecting Medicaid coverage for all children
7 yrs
of polling showing the same bipartisan consensus on children's priorities
What Parents Are Talking About

When we sit down with families, these are the issues around the table.

From seven years of annual polling in Tennessee and Georgia, and a nationally representative survey published in JAMA Health Forum, these are the issues parents identify most consistently — regardless of where they live or how they vote.

Children eating school lunch
Top issue  ·  Food Security
Is there enough food?

In Georgia, nearly one in three families report food insecurity. In Tennessee, we found similar rates — year after year. Parents describe adjusting meals, going without themselves so kids can eat, and navigating forms designed to screen people out.

91% of Georgia parents support free school meals · Georgia Child Health Poll, 2025
Child at a healthcare appointment
Top issue  ·  Healthcare Access
Can they see a doctor?

Parents describe long drives to find a provider, insurance coverage that vanishes without warning, and waiting months for specialist appointments. Rural families face the largest barriers.

66% support consistent Medicaid coverage for all children
Child looking thoughtful
Top issue  ·  Mental Health
Can they get help when they need it?

The mental health gap — between children who need care and those who receive it — is among the largest we measure. Wait times of months are common. In rural Appalachia, providers are often unavailable.

Children need care at nearly 2× the rate they receive it
Children at school
Top issue  ·  Firearm Safety
Are they safe?

Firearms are the leading cause of death among children and adolescents in the United States. This is not a partisan finding. Nearly 8 in 10 voters — across party — support child firearm safe storage laws.

79% of voters support child firearm safe storage, bipartisan
Family together
Top issue  ·  Child Welfare
Do families have support?

One in 100 infants in the US enters foster care. Parents who know families touched by the child welfare system — especially in Appalachian communities — describe a system that separates before it supports.

Majority support treatment over family separation for substance use
The consistent finding

"Parents across this country want the same things for their children, no matter where they live or who they vote for."

Seven years of polling. Tennessee. Georgia. Nationally. The finding does not change.

Data from the Tennessee Child Health Poll (2019–2024), Georgia Child Health Poll (2025), and Patrick et al., JAMA Health Forum (2024).

Children playing together
Eastern Kentucky
Mental health care: need outpaces delivery by nearly 2 to 1
Food bank volunteers, community food support
Rural Tennessee
40% of families report food insecurity. 90% support free school meals.
Child smiling
Across America
Parents want the same things. The data confirm it. The policy hasn't caught up.

Community listening sessions are underway in Atlanta, southern West Virginia, eastern Kentucky, and rural Tennessee. Real quotes will appear here as participants give consent to share their words.

Why Same Sky

Measurement before policy. Evidence before agenda.

Same Sky does not start with a position and find evidence to support it. We start with what families tell us, measure whether systems are delivering, and let the findings drive the agenda. That sequence is the integrity of the whole enterprise.

Children cannot vote. They have no lobby. The decisions that shape their lives are made by adults who are not always accountable to them. And yet: every poll we have conducted, in every state, in every demographic, shows that parents agree on what children need far more than our politics suggest.

The consensus exists. What has been missing is an organization willing to hold the federal government accountable to it — across administrations, across election cycles, without the scorecard resetting when a new party takes power.

Same Sky measures whether children and families have what they need. We identify where systems fall short. We name the gap publicly. We build a policy agenda from the findings — not the other way around. The ideology is simple: children come first.

A note on history

For much of the 20th century, the White House Conference on Children and Youth was the closest thing the United States had to a national agenda for kids — convened every decade from 1909 to 1970. Those conferences brought science, policy, and lived experience into the same room. After 1970, the tradition faded. Since then, the United States has not had a consistent, national process to set a shared agenda for children. Same Sky exists, in part, to answer that absence. Read the history →

Seven Years of Original Research

We did not borrow the evidence. We built it.

Annual surveys of parents and children since 2019 — seven years of data. The finding is the same in every state, every year.

2019–2024 — Tennessee
Seven years of annual polling establishes the foundation

Food, mental health, safety, access to care. The same themes, year after year. Support held across race, income, region, and political affiliation.

90%
support free school meals
37%
cite mental health as top concern
Annual Poll · 2019–2024
2020 — National
COVID-19: a national survey at the moment of crisis

We fielded a nationally representative survey as COVID-19 emerged. Our findings were cited in the U.S. Surgeon General's 2021 Advisory on Protecting Youth Mental Health.

Pediatrics · 2020
2024 — National Voters
The consensus is national and crosses every line

A nationally representative voter survey confirmed what state polling showed. Majorities across party, geography, income, and race support federal action on children's health.

79%
support child firearm safe storage
66%
support Medicaid for children
JAMA Health Forum · 2024
2025–Present — Georgia
The model moves south, the finding holds

Annual polling in Georgia since joining the Emory Center for Child Health Policy. In Atlanta and Valdosta, in rural counties and suburbs, the findings are the same.

91%
of Georgia parents support free school meals
Georgia Child Health Poll · 2025
Spring 2026 — First National Same Sky Survey
The measurement system launches

Nationally representative, with an intentional oversample of Appalachian communities. Analysis by geography, income, race, education, and political affiliation. Community listening sessions running simultaneously in four states. First national report: Summer 2026.

All polling was conducted by our team — first at Vanderbilt, now at the Emory Center for Child Health Policy, Department of Health Policy and Management, Rollins School of Public Health, Emory University. See press coverage →

The Same Sky Gap

The consensus exists.
The delivery does not.

Parents know what their children need. The data confirm it at scale. But knowing what families need and measuring whether systems are actually delivering it are two different things.

For every domain, Same Sky asks: what do families say they need — and what are systems actually providing? The distance between those two numbers is not a data point. It is a moral claim on policymakers.

The gap is larger in rural communities. Larger in Appalachia. Largest for children without a consistent advocate — children in foster and kinship care, children with special health care needs.

How we measure this
Illustrative gap estimates · Same Sky, 2026
Families reporting need
Families receiving care
Children's mental health care
Need
68%
Receiving
34%
Food security support
Need
40%
Enrolled
22%
Developmental services
Need
52%
Accessing
28%
Illustrative figures. Verified estimates in the first Same Sky report, Summer 2026.
The Same Sky Index

A measurement system built to see what national averages hide.

Most reports rely on data that is years old. Same Sky adds real-time family voice, links it to clinical and economic data, and asks whether systems are actually delivering. That connection is where accountability begins.

01
The Index

A repeatable annual measure across three domains — basic needs, access to care, and child well-being — combining original polling, clinical data, and economic indicators.

Basic Needs Access to Care Child Well-Being
02
The Gap

What families say children need compared to what systems actually deliver. Reported by geography, income, race, and Appalachian community status. The gap is the accountability.

03
Voices

Community listening sessions in Appalachia, the South, and beyond. Numbers alone are not enough. Lived experience belongs alongside the data.

How we hold policymakers accountable

Annual Survey and Scorecard

Every year we survey families and publish results publicly. When policy is not moving in the direction families demand, we say so. The scorecard does not reset between administrations.

Federal Policy Tracking

Every federal action — or failure to act — is documented across all five issue areas. The tracking continues across election cycles. There is no fresh start after an inauguration.

Clinical Data

Electronic health record data from a large national network tracks mental health treatment rates, preventive care, and birth outcomes — connecting policy to measurable impact on children's lives.

Rural vs. Urban Income Race & Ethnicity Appalachian Communities Geography Political Affiliation Special Health Care Needs Foster and Kinship Families
Our Plan

Building the agenda, year by year.

Same Sky is not a one-time poll. It is a sustained measurement system — designed to translate what families say they need into a durable, accountable national policy agenda for children.

Now underway
2026
Listen & Measure

We are conducting community listening sessions in partnership with local organizations, and fielding our inaugural national parent survey. The goal: understand what families say they need, in their own words, across every background and geography.

Community Listening Sessions National Parent Survey Family Voice
In development
2027
Translate & Publish

Parent concerns become a clearer, evidence-grounded policy agenda. We continue annual parent polling, launch a biannual national voter survey to track public support for the priorities families have identified, and publish the first Same Sky Index — a public scorecard measuring whether children's needs are being met and whether policy is moving in the direction families demand.

Annual Parent Polling Biannual Voter Survey Same Sky Index — Year 1 Policy Translation
The goal
Early 2028
A Clear Agenda

A durable, publicly accountable national policy agenda for children — grounded in two years of family voice, voter data, and evidence. This is not a report that sits on a shelf. It is a living document, updated as conditions change and policymakers respond.

"A rigorous, public, cross-partisan account of what children need, whether systems are delivering it, and who is responsible for the gap."

Sustained infrastructure
2028 & Beyond
Permanent Accountability

Same Sky becomes a permanent part of the national policy landscape for children. The measurement system runs continuously, independent of who holds office.

Annual Parent Survey
What families say they need, every year, without fail.
Biannual Voter Poll
Public support for children's priorities, tracked twice yearly.
Same Sky Index
Annual public scorecard. The scorecard does not reset between administrations.
Federal Policy Tracking
Every action — or failure to act — documented across all issue areas.
Get Involved

Help us build this.

Same Sky works because families, organizations, and communities show up. There are several ways to be part of what we are building.

Organizations & Funders

Partner with us

We are forming a founding advisory group and seeking organizational partners with bipartisan, cross-sector reach. If your mission aligns with children and families, we want to hear from you.

Get in touch →
Researchers & Journalists

Use our data

Our polling methodology, data, and published findings are available for research and media. We welcome collaboration, media inquiries, and requests for embargoed access to upcoming results.

Request access →
Get Involved

Join us in building this.

The evidence base is built. The framework is in place. The first national survey goes to field in spring 2026. We are looking for partners across every sector and every part of the political spectrum who share a commitment to children.

Same Sky is housed at the Emory Center for Child Health Policy, Department of Health Policy and Management, Rollins School of Public Health, Emory University. It is led by Stephen W. Patrick, MD, MPH — Chair of Health Policy and Management, practicing neonatologist, and former Senior Policy Advisor at the White House.

info@samesky.org
Emory Center for Child Health Policy
Department of Health Policy and Management
Rollins School of Public Health, Emory University

Organizations & Funders

We are forming a founding advisory group and seeking organizational partners with bipartisan, cross-sector reach.

Policymakers & Hill Staff

Same Sky's evidence base and measurement framework are available to Congressional offices and agency staff.

Researchers & Journalists

Our polling data, methodology, and published findings are available. We welcome collaboration and media inquiries.

Community Partners

We are conducting listening sessions in Appalachian communities and the American South. If you work with families in these regions, we want to hear from you.