My patients bear a greater burden from the health harms of climate change and air pollution. Climate change and air pollution disproportionately impact my patients. As a primary care provider working in low-income neighborhoods, many of my patients have health conditions and live in unsafe housing conditions with no air conditioning. They cannot escape bad air quality or extreme weather by going inside. Primary care providers must be leaders in advocating for carbon mitigation policies and safe housing conditions, as well as community adaptation solutions to climate stress.