When considering the health and flourishing of humans and human communities, we cannot ignore that we are constitutively bound to the health of ecosystems of which we are a part. As such, global climate change is a central concern for health care and bioethics. Addressing the complex and interrelated realities bound up with global climate change requires a multifaceted and integrated approach from diverse academic and professional disciplines and perspectives. This essay offers a brief conceptual framing of Vanderbilt University Medical Center's (VUMC) Center for Biomedical Ethics and Society's Rooted Community Health (RCH) programmatic initiative, with particular focus on how medical ethics provides necessary insight into the intersection of climate change and health and how RCH has turned these insights into actionable practices of care in the VUMC and Middle Tennessee Communities.