The rules for how the world is supposed to work are being rewritten. Nowhere is this more apparent than in emergency rooms across the country and around the world. This is a video recording of the live dialogue that took place on Monday, June 15 with frontline emergency medicine practitioners Gina Siddiqui, MD, N. Stuart Harris, MD, Wendy Dean, MD, and Stacey Springs, PhD. Moderated by CfC Executive Director Justin W. Cook and Sahib Singh, CfC Strategic Design Lead, the panel discusses the published writings on 21st Century Structures of Care. Through unpacking decision making under extreme conditions of uncertainty and complexity, the dialogue identifies, imagines and proposes projects that can lead towards structural changes in emergency medicine.