The three reviews of the Major Contribution in this issue of The Counseling Psychologist provide thought-provoking critiques of counseling psychology's role in patient-centered culturally sensitive health care. In this rejoinder, the authors situate these critiques within the historical context of enduring paradoxes and barriers confronting counseling psychologists' entry into health care settings. The primary themes of this discussion focus on the imprecision of health care terms, the paradox of empowerment, and the challenges of overcoming the status quo.