Insights

Thinking out loud about what healthcare could be.


Commentary on rural health, EMS and the systems we’ve inherited — written by people who work inside them.

Coming Soon

On the desk.

Rural EMS · Forthcoming

You Can’t Grow a Paramedic Where There Are No Calls

Why low call volume makes “grow your own” a trap for frontier EMS — and what to do instead.

Workforce · Forthcoming

The Volunteer Model Isn’t a Plan Anymore

What happens when a community’s emergency response depends on goodwill that is running out.

Governance · Forthcoming

Regionalize or Struggle Alone

The economics of scale, call volume and shared training for small EMS systems.

Workforce · Forthcoming

Housing Is Healthcare Workforce Policy

Rural clinicians can’t serve a community they can’t afford to live in.

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Question Everything. Build What Matters.