When differences in health and health care are avoidable and unfair, they are labeled health inequities. In large part health inequities reflect social determinants of health, lack of access to care, and a health care system that does not allow sufficient time and resources so high-quality care may be provided to all patients. Programs aiming at reducing health disparities must include the provision of services as well as address access to care and socioeconomic barriers. This article focuses on health care disparities in dermatology, and invites providers to become agents of change.