Social determinants of health (SDOH) affect quality-of-life outcomes and risks.  In underserved populations, health care access and quality are often poor.  Mainstream bioethics has highlighted the importance of equity in the delivery of healthcare with a focus on the community's health disparities and inadequate access to quality healthcare. Diabetes is one of the top ten causes of death according to the World Health Organization (WHO, 2020).  Many underserved populations in the U.S. including the city of Philadelphia have a high probability of developing diabetes due to their poor diets, obesity, and sedentary lifestyle. Often it is difficult to reach the underserved population that need education and healthcare screening. After a review of the history of the prevalence of diabetes in the U.S., I discuss and analyze the development and implementation of a mobile health vehicle (MHV) World Diabetes Day event in Philadelphia. / Urban Bioethics