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.
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.
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.
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.
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.
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.
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.
"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).
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.
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.
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.
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 →
Annual surveys of parents and children since 2019 — seven years of data. The finding is the same in every state, every year.
Food, mental health, safety, access to care. The same themes, year after year. Support held across race, income, region, and political affiliation.
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 · 2020A nationally representative voter survey confirmed what state polling showed. Majorities across party, geography, income, and race support federal action on children's health.
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.
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 →
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 thisMost 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.
A repeatable annual measure across three domains — basic needs, access to care, and child well-being — combining original polling, clinical data, and economic indicators.
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.
Community listening sessions in Appalachia, the South, and beyond. Numbers alone are not enough. Lived experience belongs alongside the data.
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.
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.
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.
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.
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.
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.
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."
Same Sky becomes a permanent part of the national policy landscape for children. The measurement system runs continuously, independent of who holds office.
Same Sky works because families, organizations, and communities show up. There are several ways to be part of what we are building.
We are looking for community organizations, schools, faith communities, and civic groups to partner with us in hosting listening sessions. You bring the families. We bring the questions, the methodology, and the commitment to make their voices count.
Contact us to host →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 →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 →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.orgWe are forming a founding advisory group and seeking organizational partners with bipartisan, cross-sector reach. Contact us
Same Sky's evidence base and measurement framework are available to Congressional offices and agency staff. Contact us
Our polling data, methodology, and published findings are available. We welcome collaboration and media inquiries. Contact us
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. Contact us