From the publishers: The Last Straw! is a fun and exciting teaching tool on the social determinants of health. The game has three objectives: * to promote discussion about the social determinants of health; * to help players build empathy with marginalized people and gain an awareness of players' own social location; * to encourage learning in a fun and supportive environment. In keeping with current research on the social determinants of health, socioeconomic status is a primary determinant of health in this game, as are race, gender, sexual orientation and other factors. Feedback consistently demonstrates that players gain a better understanding of the social determinants of health and the interplay between forces at individual and community levels. Both players and facilitators ("Game Masters") report having a great time playing the game.