Freshmen in a two-credit biomedical engineering course were given the World Health Organization (WHO) definition of health inequity on their first day of class. Guided by an upper classmen lab manager, students worked together in teams of five on a semester-long Health Inequity Design Challenge. Freshmen had a combination of individual and team assignments to gain knowledge in both health inequity and the design process. Throughout the semester, students heard lectures from guest speakers and clinicians on a variety of topics relating to health inequity and/or the design process including: Health Inequity in the Emergency Room, the Design Process, Empathy in Design, Ethics in Engineering Design, Ensuring Diversity in Clinical Trials, Social Justice, and Entrepreneurship. The course also included discussions on case studies in ethics with faculty mentors and a design project utilizing send-home Arduino kits to build biosensors. Freshmen had periodic individual and team deliverables, finishing with a prototype and oral presentation. Upperclassmen mentoring was an essential component of the course, with at least one lab manager assigned to each freshmen team of five students. Anonymous end-of-semester surveys indicate that 98% of students strongly agree (60%) or agree (38%) that: "The Health Inequity project helped me to understand both an injustice within our society and how to apply the design process to solve a need." Our results, derived from both survey data and students' comments, indicated that the course raised students' consciousness of the issue of health inequity. The team aspect of the project, especially in an online freshmen class taught during a pandemic, made students feel engaged with their classmates by discussing and developing solutions for an issue they felt passionate about improving. Emphasizing the importance of ethics in an introductory freshmen engineering course provides a foundation for designing with empathy.