Lecture, four hours. Examination of systematic barriers within healthcare settings that limit access to those in greatest need of culturally appropriate interventions. Unmet healthcare needs often result in health disparities and compromised quality of life among underserved, low income, uninsured, marginalized populations. Analysis of current evidence-based strategies and interventions designed to address these clinical problems and improve outcomes in culturally competent manner. Presentation of context of healthcare financing, limited access, and public policy. Letter grading.