cover story one
An American Health Care Revolution
A proposal whose time has come
By David W. Allen, Jr.
A good health system would combine quality, accessibility and affordability. Today’s U.S. system fails to reach these standards. This article summarizes causes of this failure, why current proposals to repair these deficiencies would also fail, and suggests a solution that will achieve the goals of a good health system.
Cover story two
The Peptide Tsunami: What doctors should know
By David J. Holt, JD
The clinical landscape surrounding metabolic health and the rapidly growing field of restorative medicine is currently facing a fundamental transformation of an unprecedented scale. As of May 2026, the professional medical community is actively witnessing an undeniable, rapidly accelerating surge in patient demand specifically for various peptide-based therapies, a demand that has unequivocally moved far beyond the highly regulated, traditional clinical setting. This overwhelming phenomenon, which our legal firm has aptly and officially termed the Peptide Tsunami, fundamentally represents a massive cultural shift in modern medicine where patients are no longer acting as passive recipients of traditional medical care, but have rapidly become active and often aggressive consumers of complex biological interventions.
ADMINISTRATION
Health Care Workforce Integration: Staffing Growth Doesn’t Mean Stable Care Delivery
By Kenneth Botelho, DMSc, PA-C
Health care organizations across Minnesota and nationally have invested heavily in workforce expansion, transition-to-practice programs, advanced-practice clinician fellowships, telehealth infrastructure and value-based care initiatives. Yet despite these investments, health care delivery continues to face many basic and predictable operational realities: persistent turnover, unstable onboarding cycles, clinician burnout, fragmented continuity of care and difficulty sustaining long-term workforce stability..





