This is a report from the Chicago Urban League that focuses on areas where blacks are been disproportionately affected by the opioid crisis, with a special emphasis on Chicago. A public health response, and how this is different than the policy response of the War on Drugs, is discussed as well as racial equity and justice. Blacks should not be excluded from narratives about the opioid crisis and should be included in the development and implementation of national and local public health initiatives.