The last few decades of public health re search has transformed our understanding of the factors that prevent chronic diseases. Although health outcomes had been attributed to biological causes largely brought about by poor lifestyle choices evidence now that health cannot supports the conclusion be adequately explained as predominantly outcome of"wrong health behaviors." Public health researchers and practitioners are placing greater emphasis on the influence of social and physical environments on our health related decisions and behaviors. Case in point: Albain et al' conducted a study for the period 1974 to 2001 with nearly 20000 cancer patients nationwide. They found that the gap in survival between blacks and whites di peared for lung, colon, and several other cancers when both groups received identical care as part of federally funded clinical trials. How ever, disparities persisted for pros breast and ovarian cancers, suggesting that other factors play a role in the greater tendency of blacks having poorer health outcomes/