<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[               Paragon Health | First Principles : Current Foundation Essay & Series ]]></title><description><![CDATA[The most recent Foundational Essay and its Series of follow-up writings]]></description><link>https://fp.paragonhealthsystems.com/s/current-foundation-essay-and-series</link><image><url>https://fp.paragonhealthsystems.com/img/substack.png</url><title>               Paragon Health | First Principles : Current Foundation Essay &amp; Series </title><link>https://fp.paragonhealthsystems.com/s/current-foundation-essay-and-series</link></image><generator>Substack</generator><lastBuildDate>Wed, 10 Jun 2026 18:56:56 GMT</lastBuildDate><atom:link href="https://fp.paragonhealthsystems.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Paragon Health]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[paragonfirstprinciples@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[paragonfirstprinciples@substack.com]]></itunes:email><itunes:name><![CDATA[Paragon Health]]></itunes:name></itunes:owner><itunes:author><![CDATA[Paragon Health]]></itunes:author><googleplay:owner><![CDATA[paragonfirstprinciples@substack.com]]></googleplay:owner><googleplay:email><![CDATA[paragonfirstprinciples@substack.com]]></googleplay:email><googleplay:author><![CDATA[Paragon Health]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Practice That Does Not Scale]]></title><description><![CDATA[Spirituality Without Performance]]></description><link>https://fp.paragonhealthsystems.com/p/practice-that-does-not-scale</link><guid isPermaLink="false">https://fp.paragonhealthsystems.com/p/practice-that-does-not-scale</guid><dc:creator><![CDATA[Paragon Health]]></dc:creator><pubDate>Wed, 11 Mar 2026 03:21:37 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!z4tE!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!z4tE!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!z4tE!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 424w, https://substackcdn.com/image/fetch/$s_!z4tE!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 848w, https://substackcdn.com/image/fetch/$s_!z4tE!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 1272w, https://substackcdn.com/image/fetch/$s_!z4tE!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!z4tE!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png" width="1456" height="883" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:883,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:961190,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://paragonfirstprinciples.substack.com/i/186704985?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!z4tE!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 424w, https://substackcdn.com/image/fetch/$s_!z4tE!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 848w, https://substackcdn.com/image/fetch/$s_!z4tE!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 1272w, https://substackcdn.com/image/fetch/$s_!z4tE!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73d5f55-8edc-471f-b848-3a4ba3293180_1600x970.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption"><em><strong>The practices that change a life most deeply are rarely the ones that can be expanded, standardised, or repeated at volume.</strong></em><strong>...</strong></figcaption></figure></div><div><hr></div><p>While this essay could belong anywhere, this is a year marked by beginnings that carry an initiating quality.  Energy moves toward direction rather than accumulation, toward setting orientation rather than expanding output.  Actions taken early have outsized influence because they establish the tone, posture and expectation for what follows this year and for years to come. </p><div><hr></div><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!J4WA!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!J4WA!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 424w, https://substackcdn.com/image/fetch/$s_!J4WA!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 848w, https://substackcdn.com/image/fetch/$s_!J4WA!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 1272w, https://substackcdn.com/image/fetch/$s_!J4WA!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!J4WA!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic" width="40" height="40" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:40,&quot;width&quot;:40,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:4087,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://paragonfirstprinciples.substack.com/i/186704985?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!J4WA!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 424w, https://substackcdn.com/image/fetch/$s_!J4WA!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 848w, https://substackcdn.com/image/fetch/$s_!J4WA!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 1272w, https://substackcdn.com/image/fetch/$s_!J4WA!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F439fac29-8527-4d18-8b46-dad35cacdda7_40x40.heic 1456w" sizes="100vw"></picture><div></div></div></a></figure></div><p><strong>The practices that most profoundly reshape a life are seldom the ones that lend themselves to expansion, standardisation, or mass repetition.</strong></p><p>Our contemporary world operates on the assumption that value grows in proportion to reach:  what benefits one ought to benefit many; what proves effective should be packaged into a system; what carries meaning should be made widely available, easily copied, and efficiently delivered.  By this measure, spiritual practice is frequently judged using the same yardsticks we apply to digital platforms, consumer products, or therapeutic interventions.</p><p>Living contemplative traditions, however, tell a quieter, more grounded story.</p><p>Across centuries and lineages, the most enduring transformations arise from practices that actively resist scaling.  They depend on precise timing rather than sheer intensity; on sustained attention rather than codified instruction; on delicate inner shifts that refuse to be hurried or duplicated.  Their power resides exactly in their unwillingness to function as distributable systems.</p><p>This resistance is frequently misread as elitism, as inefficiency, or as irrelevance in a democratised age.  In truth, it reflects a deeper recognition of how genuine perceptual refinement occurs:  certain changes demand conditions that cannot be generalised without losing their essence.</p><p>At its root, authentic spiritual practice is not an act of accumulation but one of subtraction.  It clears away the static, which is to say the habitual patterns of mind and attention that veil what is already here.  These clearances happen unevenly, shaped by each person&#8217;s unique history, nervous system, and tolerance for stillness. Efforts to speed them up or impose uniformity usually end up reinforcing a posture of performance rather than a deepening of perception.</p><p>Depth of this kind rarely advertises itself through obvious signs.  It does not consistently yield charisma, and nor does mean unshakeable confidence or social influence.  Instead, it cultivates clarity and restraint; and a growing sensitivity to what cannot be willed into being.  Such qualities evade measurement and they certainly do not map neatly onto dashboards or into testimonials.</p><p>Performance creeps in the moment practice turns outward and when the discipline is judged by its appearance, how it is received or its teachability.  Once the centre of gravity shifts to audience response, attention begins chasing feedback.  Subtlety yields to signal. The outer form of the practice may persist, but its inner purpose has quietly altered.</p><p>This drift seldom stems from chance, but more often accompanies success itself.  As a practice gains traction and spreads, it adjusts to the demands of scale:  language simplifies with softer expectations and wider accessibility.  The offering becomes gentler and more inclusive, and inevitably thinner.</p><p>Technique often persists, but the enabling conditions fade.  What remains are the results, removed from the circumstances that allowed them to emerge.</p><p>Practices that refuse to scale thrive only in protected atmospheres: spaces that honour slowness, privacy, and allow for erratic progress; stretches where no visible improvement occurs; and tolerance for long seasons of ambiguity.  These requirements stand in direct tension with modern imperatives of transparency, productivity, and constant responsiveness.  Small wonder they are so often sidelined or reshaped.</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!av6P!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!av6P!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 424w, https://substackcdn.com/image/fetch/$s_!av6P!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 848w, https://substackcdn.com/image/fetch/$s_!av6P!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 1272w, https://substackcdn.com/image/fetch/$s_!av6P!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!av6P!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic" width="40" height="40" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:40,&quot;width&quot;:40,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:4087,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://paragonfirstprinciples.substack.com/i/186704985?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!av6P!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 424w, https://substackcdn.com/image/fetch/$s_!av6P!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 848w, https://substackcdn.com/image/fetch/$s_!av6P!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 1272w, https://substackcdn.com/image/fetch/$s_!av6P!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7272418-e7ab-430d-8e41-48b8c4f45025_40x40.heic 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><div><hr></div><h3 style="text-align: center;">Paywall</h3><p><em>If you stop here, the orientation is sufficient.  The <strong>majority of this article and sections that follow beyond the paywall</strong> examine the precise conditions under which non-scalable practices actually take root, the subtle costs of recasting them as scalable systems, and the understated way spiritual authority emerges when it is not performed for an audience.  This is not a manual or a method.  It is an invitation to look closely at what is quietly at stake.</em></p><div><hr></div><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!5_WE!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!5_WE!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 424w, https://substackcdn.com/image/fetch/$s_!5_WE!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 848w, https://substackcdn.com/image/fetch/$s_!5_WE!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 1272w, https://substackcdn.com/image/fetch/$s_!5_WE!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!5_WE!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic" width="40" height="40" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:40,&quot;width&quot;:40,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:4087,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://paragonfirstprinciples.substack.com/i/186704985?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!5_WE!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 424w, https://substackcdn.com/image/fetch/$s_!5_WE!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 848w, https://substackcdn.com/image/fetch/$s_!5_WE!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 1272w, https://substackcdn.com/image/fetch/$s_!5_WE!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F25f1ea45-c690-46ea-99aa-a2c50a471a76_40x40.heic 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div>
      <p>
          <a href="https://fp.paragonhealthsystems.com/p/practice-that-does-not-scale">
              Read more
          </a>
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