In 2007, Hepatitis C (HCV) surpassed HIV in causing the more deaths in the United States. That same year, our first black president was in the making, and his chariots of hope were set loose. Unfortunately, many other people of color were languishing in our correctional facilities, with multiple co-occurring health conditions —king among them HCV. The fate of their health is yet a reminder of their disenfranchisement. For incarcerated people of color living with HCV any brush with the Department of Corrections is tantamount to a death sentence.