The research timeline

Every study was conducted by our team — first at Vanderbilt, now at the Emory Center for Child Health Policy.

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
A national survey at the moment of crisis

We fielded a nationally representative survey as COVID-19 emerged. 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 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 rural counties alike, the findings are consistent.

91%
of Georgia parents support free school meals
1 in 3
Georgia families food insecure
Georgia Child Health Poll · 2025

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 issue, Same Sky asks: what do families say they need — and what are systems actually providing? The distance between those two numbers is a claim on policymakers.

The gap is largest in rural communities and for children without a consistent advocate — children in foster care, children with special health care needs.

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. The first national report publishes Summer 2026. The Same Sky Index — with full annual tracking — launches in 2027.

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 NeedsAccess to CareChild 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.

03
Voices

Community listening sessions across the country. 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.

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. UrbanIncomeRace & EthnicityAppalachian CommunitiesGeographyPolitical AffiliationSpecial Health Care NeedsFoster and Kinship Families

Seven years of evidence. One consistent finding.

Parents agree on what children need. The agenda should reflect it.