Dr. Debra Jensen emerged as a key figure in child abuse pediatrics after high-profile cases like Elisa Isquierdo’s death reshaped child welfare systems. While she gained prominence, her aggressive diagnoses—such as shaken baby syndrome and Munchausen by proxy—sparked legal battles, family separations, and professional backlash. Families like Jesse Santiago’s were torn apart by disputed medical conclusions, and frontline workers reported fear and dysfunction under her leadership. Despite court rejections of her testimony and multiple malpractice lawsuits, Jensen continued to practice, eventually moving to Pennsylvania just as new child abuse laws expanded reporting requirements. There, she assumed a leadership role amid ongoing litigation, raising urgent questions about accountability, scientific rigor, and the balance of power in child protection medicine.