Physicians—like educators, attorneys, clergy, and other professionals—face the dilemma that providing charity care for those in greatest need may perpetuate the social conditions that created the need. Contributors to the August issue explore possible resolutions to that dilemma, ranging from social-justice advocacy at the individual and collective levels to changing incentives within the profession to reward those who practice primary care in underserved regions. The authors agree that, even as longer-term solutions are undertaken, charity care cannot be abandoned.