"This year, I also find myself reflecting on privileges that I, as a white individual, raised in an upper, middle class family, and educated in an affluent school district, experience.  Privilege that surely contributes to my perception of the winter holidays as a season of effortless joy, indulgent eating, time off work, gift exchanges, and peaceful rest with my family...Many of the students we care for in school-based health centers are not privy to this level of societal privilege.  Understanding the painful realities, inequities, and stacked disadvantages our patients face is essential to providing them with competent health services."