Despite decades of effort, racial and ethnic disparities in healthcare remain a persistent challenge. This interactive workshop will explore the root causes of this stagnation, with a particular focus on the often-unacknowledged resistance to change that hinders progress towards health equity. Through examination of the ongoing disparities in healthcare outcomes, we will identify the individual and organizational behaviors that obstruct equitable practices. Participants will learn to recognize these "elephants in the room" within their own institutions and develop strategies to dismantle these barriers, fostering a more inclusive and equitable healthcare environment.