The impacts of climate change are already creating new barriers to health equity and strenghtening old ones. People who experience structural marginalization, including anti-Black racism, colonial oppression, and material deprivation are disproportionately affected by extreme weather events, loss of access to land, food insecurity, chronic stress, and other direct impacts of climate change. Those impacts also deepen existing inequities. Because of this, antiopressive approaches to individual and community health should include mitigating and building resilience to climate change.