When the weight of choice teeters between life and death, how does one find grounding in their decisions? Dr. Sarah Archer's voice trembles with the raw emotion of her time in Rwanda, post-genocide, as she maps the treacherous terrain of moral injury for us. Her candid recollection of reverse triage, the emotional toll it exacted, and her quest for solace through faith and service reverberate through the episode, offering a stark, humane look at the cost of crisis. Our journey doesn't end there; we cross paths with a resilient 80-year-old former public health nurse who exemplifies the power of service and the potency of self-forgiveness. Her commitment to educating the next generation in public health, interwoven with personal redemption, unveils the silent battles many face as they transition from military to civilian life. As we dissect the complex web of social determinants of health and their role in moral injury, especially among veterans, we're reminded of the stark realities and the need for community and understanding. Finally, we extend an open-hearted invitation to the upcoming retreat centered on addressing moral injury, discussing the poignant insights from a seasoned special operator. The conversation beckons leaders and those in service to join in solidarity to forge pathways of healing and to better support those carrying the unseen wounds of their professions. This episode is a call to arms for empathy, collaboration, and shared learning in our collective quest to alleviate the burden of moral injury. Support the show