This perspective piece argues that physicians are not at fault for inadequate dementia care in hospitals; rather, the systemic lack of training and support is to blame. The author, a person living with dementia, describes his own hospital experiences and those of others, and presents a proposal for a national hospital designation program to improve dementia care. The paper includes reflections from multiple physicians and dementia experts, highlighting the need for systemic change and evidence-based training programs such as the Cognibility Hospital Dementia Accreditation.