At the same time, ensuring the same access to care for everyone assumes that everyone has similar health status and similar health care needs. We know this is not the case. Some people, like the runners in the outside lanes of the track, live with social, political and economic disadvantages that contribute to poor health. For instance, women and men, boys and girls who live in poverty are frequently less healthy than those with more resources. As a result, they may need additional services and programs – rather than just the standard ones – to offset the impact of substandard housing, limited access to fresh, nutritious foods, and exposure to unsafe environments. This is equity : making sure that have what they need to achieve and maintain health and well-being.