Inspired by his grandfather’s service as a volunteer fire chief, Joshua Lynch joined the fire department at 18 and was soon patrolling the streets of Buffalo as an EMT. At the same time, he was pursuing a path to medical school as a psychology major at UB. That blend of frontline emergency response and human-centered health care became the hallmark of his career. Today, Lynch is a professor of emergency medicine at UB, a medical director for Mercy Flight and several volunteer fire departments, and the founder and chief medical officer of MATTERS—a multistate program that has transformed the delivery of care to people with opioid use disorder. In this episode, Lynch talks with host Laura Silverman about the personal losses that fueled his commitment to addiction medicine, why quick, barrier-free access to treatment is essential, and how MATTERS has grown from a Buffalo-based pilot into a national model for tackling the opioid epidemic.