question: As ongoing war and violence forcibly displace people worldwide, resettlement remains a critical response to the unprecedented global refugee crisis. In recent years, however, the USA (US) has diminished admissions, forcing agencies to shutter offices and resettlement programs across the nation—posing a silent threat to the refugee resettlement system. We provide historical context of refugee resettlement, discuss challenges, and offer recommendations for healthcare providers to become more effective advocates for refugee health in the USA. The need is urgent for healthcare providers and institutions—particularly in regions of high resettlement—to advocate for expanding and assuring sustainable capacity to care for refugees. Key elements include promotion of trauma-informed care, integration of social services in primary care settings, partnership with community-based organizations to promote continuation of care, advocacy for resources and services, and opposition to policies detrimental to the health of refugees and immigrants.