As usual, this issue of the journal delivers reports on a broad range of topics that can inform clinical practice. Several articles address equity, or the lack thereof, in health care. This includes research on the social determinants of health and how family medicine can contribute to redressing inequity. Another set of articles report on the ongoing wave of substance abuse. Additional training in addiction medicine for family physicians is 1 strategy for the United States to address this crisis. One of the most intriguing articles looks at the relationship between eating breakfast, amount of dietary fiber intake, and mortality. Several articles discuss ongoing changes or changes to family medicine on the horizon. Readers will find some well-written clinical reviews and an in-depth review of international practice-based research networks. Lastly, 2 great reads will remind readers how it feels to practice family medicine.