Michelle Phoenix, Associate Professor at McMaster University and KidsAbility’s first Adjunct Scientist, delivered a keynote presentation that challenged us to rethink equity at the intersections of clinical care, research, and policy development. Her talk emphasized shifting from asking “Who is a hard-to-reach family?” to “What makes services hard to access?” This mindset change opens the door to co-designing solutions with families, ensuring that services are not only available but truly accessible. Michelle’s insights underscored the importance of embedding equity into every layer of care and research.