After reading Professor Parra-Medina’s paper, I was upset for three days. Why? It is because her account left me with a profound feeling of hopelessness. Hispanic women not only face the normal roadblocks to an active lifestyle that all human beings in North America encounter, and they not only have to deal with those problems that are more or less unique to women, but they add the difficulties that are associated with the Hispanic mores, a lack of American enculturation related appearance and health, and even, in some cases, an inability to speak the English language. If we are unable get individuals who face far fewer activity barriers to move, what chance in the world do we have to get Hispanic women to exercise? These reflections raise important triage kinds of questions. Why not spend our scarce health resources on individuals with whom we have a reasonable chance of being successful? Why frustrate or even create feelings of guilt among individuals who are unlikely to change their ways? Why not save those who can be saved? Perhaps the odds of movement conversions would be better with Hispanic youth or young girls rather than their mothers. I have strong ethical feelings against such triage logic. Given the fact that each individual life is precious, we dare not play god and ration our life-saving exercise interventions. And given our good old-fashioned American stubbornness, I am not sure we should throw in the towel quite yet, not even with this highly challenged and challenging population. Still we need to admit that we have limited energies to effect change, and the issue of durably modifying behavior in the face of such monumental problems is more than daunting. I applaud Parra-Medina and fellow researchers for their courage and determination in attempting to solve this important social problem. However, given our poor success rate with populations that face far fewer hurdles, I have to say that I am skeptical that this will come out well. Faced with this uphill battle, I wonder what conversion rate would count as a success? Would it be ten percent, thirty percent, fifty percent? Given the barriers that need to be faced, a