This course draws on a multitude of interdisciplinary scholarly resources to investigate the ways in which domestic and global economic inequality places significant numbers of people at high risk for health crises at the same time that it undermines access to care. It builds upon “social determinants of health” frameworks that understand disparities in health and access to care within the context of broader inequities and forms of oppression based on gender, sexuality, class, race, ethnicity, and nationality. In addition, the course seeks to examine the influence of “structural determinants” on such social determinants of health, including macro-economic policies, global economic restructuring, political ideologies, geopolitical conflicts, etc. By the end of the semester, students will have developed a level of “structural competency” that will allow them to explain how economic, social, political, and cultural sources of inequality intersect in global systems of structural violence, articulate how they contribute to both worsening individual health indicators and increased rates of social problems, and give an epidemiological account of the unequal global distribution of inequality and its effects. Most importantly, students will learn to envision care practices that will allow them, whether as clinicians or as citizens, to begin to reduce inequality and remedy its health and social consequences.