We are encouraged that other researchers have been investigating the health impacts associated with the availability of food stores. It is unfortunate, although not surprising, that the absence of commercial food institutions in low-income, minority neighborhoods is an international concern. Documenting the structural effects of racial segregation on the well-being of residents is paramount in determining the extent to which racial isolation of Black Americans over the past decades constrains individual change. Understanding the mechanisms involved in dietary choices requires theory and analysis that address the interactions of cultural factors, food costs, individual income and education, dietary habits, and availability of foods. Factors influencing diet, from agriculture to advertising, from the local food environment to choices at the shelf, are historical, not fixed. Certainly, further quantitative research is needed to better understand the ways in which environmental contexts affect health, and the approaches Cummins suggests will be key in this regard. However, at a time when expanding economic inequalities and residential segregation threaten to further degrade the “foodscape” of low-income, minority communities, there are already strong theoretical and empirical grounds to expect that food environments offering both affordable and healthy choices are increasingly critical to these communities.