In this op-ed, Trina Johnson PhD, MSc, postdoctoral fellow with the Benioff Homelessness and Housing Initiative, highlights how the overdose death rates for white people had fallen dramatically by but it isn't the same for Black people. These disparities have been attributed to structural determinants including inadequate access to harm reduction services, as well as a treatment system that is not designed to meet the needs of all communities. "We can create a model for equity and antiracism in addiction treatment that can inform all areas of medicine, so all patients and communities can thrive." Dr. Johnson writes.