These cuts come at a time when there is a growing mountain of evidence that the seeds for our health are sown in the first years of life. Dr. Neal Halfon at UCLA and others have compiled this evidence into a Life Course Health Development model that shows many of the determinants of health and disease are programmed in the first years of life. Fascinating evidence, like the Fetal Origins of Adult Disease epidemiology, have shown how relative fetal malnutrition and low birth weight lead to adult hypertension, coronary artery disease and diabetes. Other studies have shown how early stress is linked to adult depression. And early poverty has been shown to be one of the greatest determinants to later diminished health. This points to a model of health as a integrated developmental progression with sensitive and vulnerable periods, not just cumulative risk. These periods represent opportunities for early intervention that can improve the health of the whole life-span. Risk factors such as poor nutrition, poverty, and less cognitively stimulating environments push the health trajectory downward, while protective factors such as parental bonding, good nutrition and full access to health care push the trajectory upward.