This episode drops into the exam room and clinic to explore what happens when Black veterans describe pain, trauma, or chronic illness—and aren’t believed. Drawing on studies of pain management, PTSD care, and chronic disease outcomes, the episode shows how disrespect, bias, and dismissive communication lead to under-treatment, disengagement, and worse health over time. Listeners hear how “climate” shows up in very concrete ways: tone of voice, body language, rushed visits, or assumptions about substance use and “non-compliance.” The episode closes with a three-level set of ideas, veteran, clinician, and leadership, for rebuilding trust as something that is measurable and structural, not just about having a “nice” provider.