From Artisan to Infrastructure

In this episode of The Evolution of Medicine , host James Maskell outlines a pivotal shift for functional medicine practitioners. He argues that the era of the "artisan" solo practitioner is ending—and that survival in 2026 and beyond requires building scalable clinical infrastructure. Maskell explains how AI-powered platforms, venture-backed telehealth companies, and direct-to-consumer lab brands are redefining patient expectations around speed, convenience, and affordability. To compete, functional medicine clinics must evolve into "full stack" models—combining objective data, team-based care, defined outcomes, and recurring membership structures. This episode also launches a new initiative designed to help clinics operationalize that shift. James Maskell is a healthcare entrepreneur and founder of The Evolution of Medicine. For over 20 years, he has worked to scale functional medicine through community-driven models, group visits, and practitioner infrastructure. His work focuses on moving medicine upstream—toward prevention, lifestyle intervention, and systems-based care. Website: Instagram: Facebook: LinkedIn: Thank you for listening. Please

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From Artisan to Infrastructure is an episode from Evolution of Medicine Podcast by James Maskell.

This episode is 31:57 long.

This episode was published on Feb 17, 2026.

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