All clinicians should provide high-quality, safe, and equitable care to every patient and community. Yet, in practice, health care delivery systems are designed and organized to exacerbate inequity in access and outcomes, and clinicians are incentivized to deliver unequal and inequitable care in deeply segregated academic health centers that are structured to reify white supremacy. This article investigates the nature and scope of health professions educators' obligations to acknowledge harms of segregation in health care as widespread, unjust, iatrogenic, and preventable.Causes of Segregated Care Physicians and, indeed, all health professionals should provide high-quality, safe, and equitable care to every single patient and community. Health care systems should commit to antiracist practices and processes to ensure that physicians and other health care professionals are in fact able to provide equitable care. 1 In practice, however, medicine and health care have been designed, organized, and incentivized to deliver highly unequal and inequitable care, which has contributed to widespread, unjust, and preventable harm to and outcomes for individuals and communities that have been historically marginalized. 2 These far-reaching and persistent manifestations of white supremacy-the false hierarchy of human value based on the color of one's skininspired one graduating class at the University of Pittsburgh School of Medicine to create a modern-day Hippocratic Oath. Their oath acknowledges the "fundamental failings of our health care and political systems" in caring for historically marginalized communities and communities excluded from Western health systems and calls for an "enduring commitment to repairing the injustices against those historically ignored and abused in medicine: Black patients, Indigenous patients, Patients of Color and all marginalized populations who have received substandard care as a result of their identity and limited resources." 3 Data indicate that the US health care system is highly segregated and inequitable. 4,5,6 The root causes of these health inequities include, but are not limited to, a pervasive culture of white supremacy in academic health care and research, 7,8 clinicians' and Citation