Addressing health care disparity and working toward a culturally sensitive and competent health care delivery system is a monumental task that calls for social and cultural change. As Herman and colleagues note in this issue, counseling psychologists have contributed greatly to the area of cultural competence and may be capable of taking on a number of roles that can lead to these changes. However, if counseling psychologists are to be part of the solution, they face a number of challenges. In this reaction article, the authors identify a number of issues related to the creation of a culturally sensitive health care system, including the definition of cultural competence, access to health care, the context of health care delivery, and reactions to the model of patient-centered cultural sensitive health care proposed by Tucker and colleagues in this issue.
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