Between a pandemic, racial injustices, and ever worsening weather arriving at greater frequency, the worst outcomes disproportionately impact people of color and members of poor communities. Consequently: This greatly impacts how people cope (some via drug use) and how they access and utilize services. The historic disregard and misuse of Black and Brown bodies my medical systems negatively impacts the trust and engagement we strive to foster. It is Our Duty To promote racial equity in health care we must honor the historic, systemic, and institutional instances of marginalization and oppression that has caused those vulnerabilities. 1. To highlight how the field of medicine has earned the mistrust of Indigenous, Black, and Brown people. 2. To spotlight how this reality affects Substance Use and Prevention efforts. 3. To offer opportunity for reflection and strategies re: how to shift one’s practice as a provider to mitigate this phenomenon.