Are things getting better or worse? What if your a career in medicine, the collapse of civilization, and the maternal mortality crisis all shared one uncomfortable truth–progress doesn’t guarantee clarity, balance, or justice? In this episode, M3 Zay Edgren confesses he’s feeling a bit doomy about humanity’s chances, and M2 Taryn O’Brian feels frustrated with medicine’s successes with acute care while primary care languishes. But M3 Jeff Goddard (and Dave) are more optimistic, at least on the grand scale. What every future healthcare worker needs to ask is, “What does helping actually mean when the system is stacked with trade-offs? You’ll get insight into how real medical students think through messy, high-stakes issues—like why we’re amazing at keeping preemies alive but failing mothers, or why primary care is where the real impact happens but nobody wants to do it.

We explore what career indecision really looks like when you’re smart, driven, and yet unsure. You’ll also hear honest takes on burnout, idealism, and what med students actually think about the world they’re about to inherit—and remake.

If you’re staring down the med school track wondering what’s waiting for you on the other side, this episode hands you the context no class will. You’ll leave smarter, more grounded—and possibly nervous, but in a productive way.