Love. This is so good! And honestly, it puts words to what a lot of us feel but don’t always say: the system doesn’t just “break,” it literally bleeds folks out through friction, confusion, and delay… until the ER becomes the only door that reliably opens. Totally agree that “DPC is the foundation” but it can’t carry the whole replacement model by itself. That navigation layer is the piece I see patients missing constantly—people don’t necessarily need more care, they need someone to help them use the care without getting burned by surprise bills, unclear benefits, or getting ping-ponged between offices. Even in my own mother’s recent care journey, I recognized my professional privilege in assisting her, while worrying about the general public’s experience and how fragmented it is known to be. And I really appreciate you calling out the unsexy but critical parts (admin + data). That’s the difference between “a great clinic” and “a model employers wish to emulate. And if I’m being honest, it’s the part I struggle with the most. I’ve personally been burnt so badly by “metrics-heavy” organizations, that I want to be sure I’m using metrics that make sense-not that create chaos. The direct contract with Ascension is the part I’m most curious about (because like you said… lots of folks talk about it, few execute it). When you were moving toward that, what were the biggest hurdles in real life—getting the system to the table, agreeing on rates, operational workflow, etc.? I’ll be honest-contracting with an entire hospital is intimidating!! Also, when you drop the “how smaller DPC practices can participate” piece, I am all ears. 👏🏽👏🏽👏🏽