Ableism rates People with Disabilities as worth less than nondisabled people, even though they are the largest marginalized group, roughly 15% of the world's people. People learn it, often without seeing it, and it works through ableism built into institutions such as medicine and health policy, between people, and inside people who turn its messages on themselves. It shows up as hostility, as rescuing, and as a mix of both, and in health care it puts care out of reach and contributes to illness and deaths that never had to happen. Countering ableism means admitting the harm, hearing People with Disabilities, passing the mic, and pushing for access and representation. We should start with the next program, service, event, or communication in planning.