The document discusses health disparities and inequities that exist among different racial, ethnic, socioeconomic, sexual orientation, education, and other groups in America. It notes that large gaps in health among these groups have been known since at least 1985 when a government report detailed persistent health differences. The report led to the formation of Offices of Minority Health to address the problem, though health inequity remains an issue today. The document advocates for parks and recreation agencies to help combat health disparities in their communities.