It is a well-established fact that food insecurity and hunger affect approximately 20% of children in this country. But it is less understood how diet quality and access to good nutrition are related to social factors such as race, income, and the neighborhood in which we live. We will explore how decades of systemic racism and classism have resulted in environmental changes such as neighborhood safety, low access to fresh fruits and vegetables, and poor social connectedness and how these factors are predictive of diet quality and child health. We will discuss how the well-intentioned but misunderstood difference between hunger and nutrition are contributing to a cycle of poor health in low SES communities and steps that we can take to improve these outcomes.