Global health initiatives and mission work revealed a simple truth: many healthcare challenges are not failures of medicine, but challenges of coordination. Working across diverse clinical environments exposed the complex interplay between access, infrastructure, communication, trust, and resource allocation—reinforcing a systems-first approach to improving care. Having served on ophthalmology missions across Africa, Latin America, and Asia, I witnessed firsthand how cultural differences, logistical constraints, and fragmented systems can shape patient outcomes as profoundly as clinical interventions themselves. These experiences continue to inform KATRX and the exploration of more accessible, coordinated, and human-centered healthcare systems.