Parental conduct or home conditions that appear innocent when the parents are affluent are often considered to be neglectful when the parents are poor. A whole host of common circumstances can trigger an investigation of poor parents. As a former caseworker in New York City’s Administration for Children’s Services (ACS) described her clients, ‘If you are poor and if you have ever had problems with the law, if you have ever been involved in a domestic violence dispute, if you took your child to the emergency room after an accident, if you have ever used drugs, if your children have problems in school, if you have ever been homeless, ACS has been a part of your life.’ Several studies have found that poor children are more likely to be labeled ‘abused’ than children from more affluent homes with similar injuries. For example, an investigation of suspected cases of child abuse referred by Boston hospitals discovered that ‘the best predictor of removal of the child from the family was not severity of abuse, but Medicaid eligibility.’