Wealth‐based disparities in health care wherein the poor receive undertreatment in painful conditions are a prominent issue that requires immediate attention. Research with adults suggests that these disparities are partly rooted in stereotypes associating poor individuals with pain insensitivity. However, whether and how children consider a sufferer's wealth status in their pain perceptions remains unknown. The present work addressed this question by testing 4‐ to 9‐year‐olds from the US and China. In Study 1 (
Four studies examined whether 4‐ to 9‐year‐old children's pain perceptions were influenced by sufferers’ wealth status. US children attributed more pain to White individuals of low wealth status than those of high wealth status by age seven. Chinese children demonstrated an earlier tendency to attribute more pain to the poor (versus the rich) compared to US children. Children's wealth‐based pain judgments underlied their tendency to provide healthcare resources to people of low wealth status.