In this conversation, Dr. Joy Evers interviews her residency colleague, Dr. Sierra Bourne, board-certified emergency physician and Chief of Staff at her local hospital. They discuss the multifaceted challenges facing healthcare professionals, particularly in emergency medicine. They explore the burdens of administrative tasks, the impact of emergency medicine work on mental health, and the importance of primary care in the healthcare system. The discussion also highlights the struggles of balancing work and family life, the financial dynamics of healthcare, and the need for resilience and community support among health care workers. Ultimately, they call for a reimagining of how healthcare is delivered in the United States to better serve both patients and providers.