Fewer than one percent of architects in the latest survey of the American Institute of Architects (500 of 58,000 members) listed affordable housing as a primary interest. It takes vision, innovation, and dedication to reconcile good environmental practices with cost-consciousness. Knitting person-centered and earth-conscious values together with affordability and universal access is not unattainable or frivolous. Low-cost housing developers are beginning to accept the creative challenge of finding sustainable solutions to good design, good health, and affordability.