Clinicians have an ethical obligation to promote health equity in their communities. This month, we discuss how clinicians worked to expose the water crisis in Flint, and explore ways that clinicians can combat systemic injustice and promote health equity.

Dr Laura Guidry-Grimes helps us consider whether and which decisions can be shared with people experiencing mental illnesses.

Author Ryan Sallans discusses his experience accessing health care and suggests how to take good gynecological care of transmen.

Ari Ne’eman joins Ethics Talk to discuss his article, When Disability is Defined by Behavior, Outcome Measures Should Not promote “Passing”.

In the September 2014 issue on physicians as agents of social change, Dr. Audiey Kao, editor-in-chief of Virtual Mentor interviewed Dr. Rajiv Shah, administrator of the United States Agency for International Development or USAID.

This month Virtual Mentor theme issue editor Elizabeth Miranda, a medical student at the Keck School of Medicine of the University of Southern California in Los Angeles, interviewed Dr. Elliott Fisher about the problem of unwarranted variation in health care services.

AMA Journal of Ethics theme editor James Aluri, a third-year medical student at Johns Hopkins University, interviewed Dr. Autumn Fiester, PhD, about strategies for defusing “difficult” patient-clinician relationships.

Harmful biases about people who are overweight persist even among professional care givers.

Dr Paris Adkins-Jackson proposes how to measure racism in academic health centers, as one responsibility of medicine is to rebuild trust with marginalized communities.