In this reaction article to the Major Contribution, the merits and challenges of implementing patient-centered culturally sensitive health care, or cultural competence plus, are explicated. Three themes are addressed: separate but equal?, factoring in mental health, and sharing the load. The need to refine the conceptualization of the two distinct, yet converging, components of patient-centered culturally sensitive health care is stressed to assure appropriate implementation, evaluation, and acceptance of this innovative system of care. More focus on mental, rather than physical, health is advocated. Multidisciplinary collaboration is accented, as counseling psychologists contemplate engaging in the implementation of patient-centered culturally sensitive health care. The value of patient-centered culturally sensitive health care for the reduction of health disparities is underscored.