When I was in Kansas City last week one of my sessions was geared toward emerging issues in forensic healthcare. I was asked to speak on the topic, and while I understand that the request was geared more towards a “specific populations and circumstances” kind of talk, I decided to take it in a slightly different direction. Instead we talked about some of the Big “C” Conversations I have been having with people in my travels. The kinds of conversation topics that are almost universally applicable no matter where people are practicing, whether it’s North America or Australia, rural or urban. That’s not to say that the conversations about specific populations and circumstances aren’t also universal–they absolutely are. But they aren’t emerging issues. They have been an important part of our clinical knowledge base from the very beginning. Some of the issues I’ve noted below have been, too–but we haven’t necessarily explored them as much as a collective of healthcare providers as I’d like to see.