During a time when literally hundreds of studies have documented racial disparities in the medical care of blacks, from care for tooth loss to lung cancer treatment, how do we operationalize the findings of Coogan et al6 in a reasoned, actionable manner? First, we now have evidence that beyond the hurt and social stigma, racism is a public health issue. As such, given the high cost of asthma care, we should consider public health/disease prevention interventions. An example would be the incorporation of evidence-based elements of antiracism training programs into early education curricula with an eye toward the long-term attenuation of racism at all ages. Facing the problem of racism head on not only makes social sense, but, at a relatively modest cost, the prevention of asthma and other racism-associated adverse health effects would likely provide a strong return on investment in an era of diminishing health-care resources.