Social capital's popularity is due to its commensurability with community-centered strategies on the one hand, and neoliberalist state retraction on the other. But, as scathing critiques have asserted, expanding trust and reciprocity cannot overcome social inequality and health disparities. This paper addresses these critiques by proposing a disruptive social capital framework. Disruptive social capital highlights the simultaneous advantages and disadvantages embedded in social capital that result in enhanced health, but also illness, injury, or death. An analysis of interviews with 52 Filipino men living with HIV/AIDS in Los Angeles shows the inextricable nature of these (dis)advantages.