This article discusses the concept of structural violence in clinical medicine and public health. Structural violence refers to social structures that prevent individuals and groups from reaching their full potential, often due to factors like poverty, racism, and inequality. The authors argue that these social forces significantly influence health outcomes and that medical professionals must address them to improve patient care. The article highlights the importance of integrating social analysis into clinical practice, as many diseases are influenced by social determinants. It emphasizes that while molecular-level research has been valuable, it has also contributed to the "desocialization" of scientific inquiry. The authors advocate for a biosocial approach that considers both biological and social factors in understanding and treating diseases. The article provides examples of how structural violence affects health outcomes, particularly in the context of HIV/AIDS. In the United States, disparities in HIV care are linked to race, poverty, and insurance status. In Rwanda, the authors describe how structural interventions, such as providing free HIV treatment and improving access to clean water, have helped reduce the impact of structural violence on health outcomes. The authors argue that structural interventions are essential for addressing health disparities and that medical professionals must work with public health officials to implement these interventions. They emphasize that structural violence is not just a social issue but a medical one that must be addressed through policy and practice. The article concludes by calling for a rethinking of how medicine and public health approach disease and health care. It stresses the importance of equity in health care and the need for structural interventions to ensure that all individuals have access to effective treatment and care. The authors argue that by addressing structural violence, medicine can move closer to its noblest goals of reducing premature death and disability.This article discusses the concept of structural violence in clinical medicine and public health. Structural violence refers to social structures that prevent individuals and groups from reaching their full potential, often due to factors like poverty, racism, and inequality. The authors argue that these social forces significantly influence health outcomes and that medical professionals must address them to improve patient care. The article highlights the importance of integrating social analysis into clinical practice, as many diseases are influenced by social determinants. It emphasizes that while molecular-level research has been valuable, it has also contributed to the "desocialization" of scientific inquiry. The authors advocate for a biosocial approach that considers both biological and social factors in understanding and treating diseases. The article provides examples of how structural violence affects health outcomes, particularly in the context of HIV/AIDS. In the United States, disparities in HIV care are linked to race, poverty, and insurance status. In Rwanda, the authors describe how structural interventions, such as providing free HIV treatment and improving access to clean water, have helped reduce the impact of structural violence on health outcomes. The authors argue that structural interventions are essential for addressing health disparities and that medical professionals must work with public health officials to implement these interventions. They emphasize that structural violence is not just a social issue but a medical one that must be addressed through policy and practice. The article concludes by calling for a rethinking of how medicine and public health approach disease and health care. It stresses the importance of equity in health care and the need for structural interventions to ensure that all individuals have access to effective treatment and care. The authors argue that by addressing structural violence, medicine can move closer to its noblest goals of reducing premature death and disability.