In this episode, Dr. Joy engages with Dr. James Howard, an emergency physician turned primary care doctor (and big wave chaser!) They explore the role of emergency medical services in health care delivery, and innovations that could leverage EMS to improve access. They discuss Dr. Howard's unique journey from emergency medicine to primary care, the ethical dilemmas faced by healthcare professionals, and the importance of person-centered care. The conversation highlights the need for more flexible reimbursement models to facilitate innovation. They also discuss precision medicine.