In the current era of massive deficits, federal, state and local government agencies are seeking ways to lower expenditures and still maintain essential services. Child welfare programs represent an area where significant savings could be achieved while actually improving the life circumstances of the young people affected. The way this could be accomplished is by increasing the number of children and youth who are adopted out of foster care. Findings from a recent national survey of child health provide new evidence that adoption can save the public money while improving the life prospects of youngsters who have been maltreated in their early years.