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Nadine Burke Harris is the daughter of wealthy Jamaican immigrants raised in a well-off, mostly white neighborhood in San Francisco. Burke Harris became a pediatrician and opened a clinic in one of the poorest neighborhoods in San Francisco administering free immunizations. Although she enjoyed her work, Burke Harris was troubled by the number of traumatized children she saw in her clinic, and so she began work on ACE scores in the hopes of bettering the lifetime prospects of children in her neighborhood.