We are living in an era of institutional betrayal. Trusted medical institutions tasked with training our healers have failed to protect their own students, staff—and patients. When our clinics and hospitals so deeply contradict what is expected, health professionals block their trauma to maintain attachment with their profession—betrayal blindness—a state of denial in which we don’t allow ourselves to see what is happening because the information would threaten our professional standing and world view. Physicians blind themselves to betrayal to survive in a career they believe they can’t escape. Betrayal among medical professionals can be fueled by jealousy, power-seeking, and fear that may push student doctors, resident physicians, attendings, even close friends and family to act against each other for personal gain. Despite well-meaning professors and new crops of idealistic med students year after year, medicine’s culture of betrayal is self-perpetuating and intergenerational. Here’s how patients and health professionals can break the cycle and heal from the trauma.