In 2026, IWC via the MSIW FAN co-sponsored a summit with Mayo Clinic Military Medicine (MCMM), the National Institute for Defense Health Cooperation (NIDHC), and Destination Medical Center (DMC) on Medical Strategies for Modern Conflict Summit in Rochester, Minnesota. The summit convened experts from military medicine, civilian healthcare, government, academia, private industry, and international partners to examine how medicine must adapt to the realities of modern conflict. Participants examined conflict topics and scenarios characterized by the convergence of conventional and irregular warfare (IW). A consistent conclusion emerged: modern conflict blurs the distinction between the battlefield and civilian society, placing civilian healthcare at risk, including in the U.S. homeland. As a result, neither military nor civilian healthcare systems can independently meet the scale, complexity, or duration of medical demands imposed by future conflict. Medical resilience is a national security imperative that adversaries are actively targeting and require defending on par with other critical national infrastructure.