Medical care in conflict settings is complicated by the destruction of infrastructure and displacement of populations. In this episode, Dr. John Kahler, co-founder of MedGlobal (a non-profit organization that provides medical services to displaced people and communities affected by war and disaster), discusses hurdles of financing, access to care, healthcare worker safety, and sustainability. Agility, utilizing local networks, and training of local providers have fostered MedGlobal’s success while the organization navigates challenges of scaling, bureaucracy, and a landscape of changing government political will and funding for international development.