Chapter 3 examines structural forces generating health disparities and ableist maldistributions of care in the United States, particularly for Black disabled people. It attends to Black disability justice activists’ demands for improved health policy, facilities access, and economic protections for care workers. In doing so, it elevates corrective research methods that stratification economics can embrace to better understand intersecting effects of race, disability, and gender on health outcomes. Chapter 3 considers proposals for a federal job guarantee and elevates ways that a federal health insurance program associated with it can meet the needs of Black disabled workers and their families.