Racism is evident across many dimensions of the US food system, from low pay and poor working conditions for farm and food workers to unjust racial and ethnic disparities in rates of hunger, food insecurity, and diet-related diseases. This report outlines considerations to advance food justice, health justice, and racial justice and options for changemakers. Best practices include eased insurance requirements for urban farmers, overtime pay for agricultural workers, expanding zoning for food production, and government offices of food policy and racial equity.