In this episode, Ruth Katz hosts Dr. Helena Hansen, professor, and chair of the research theme in translational social science and health equity at the University of California, Los Angeles, and Joy Rucker, the former executive director of the Texas Harm Reduction Alliance, to discuss the role of racism in America’s opioid epidemic. They explore the societal, health, and policy systems that contribute to disparities in care for people of color with opioid use disorder (OUD) and offer solutions to ensure better outcomes for Black and brown communities in the opioid epidemic. Joy breaks down how policy and public perceptions further inequitable systems within the opioid epidemic and the direct consequences those systems have on people of color. Helena offers insight into the two pathways of care divided along racial lines that we see available to those with OUD. One focuses on criminal-justice solutions and the other on public health. Listen to learn more about how we can reform systems of inequity in the opioid epidemic to increase access to treatment and provide better outcomes for Black and brown communities.