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I don't know how it is in all states, but my wife works in this field in Kansas. In her experience, children have never been taken away from even borderline fit parents. And the ones that have been were after repeated attempts to make the situation at home better. She has however told me more stories than I care to recall of children who have not only died at the hands of mom, dad, grandma, grandpa, or mom or dad's latest boyfriend or girlfriend.
Many states require people in certain positions such as teachers, child care providers, health care workers, etc. to be mandated reporters. Could some of the people be overzealous? Sure. Are most of them likely doing a good job? I'd bet yes.
The problem with neglect and abuse and children in this country is a bigger problem IMHO than someone having to answer some questions when they take their kid to an emergency room. And I also believe the action of a parent that would hesitate to get their child the care they need because they are afraid of answering these questions is neglect.
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Don't always trust the opinions of experts.
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