Burning coal, oil, and natural gas has serious and long-standing negative impacts on public health, local communities and ecosystems, and the global climate. Yet the majority of fossil fuel impacts are far removed from the fuels and electricity we purchase, hidden within public and private health expenditures, military budgets, emergency relief funds, and the degradation of sensitive ecosystems. We don’t pay for the cost of cancer, or the loss of fragile wetlands, when we pay our electricity bill—but the costs are real.