As a physician, his current focus is cultural medicine, researching the intersection of health and culture. As a futurist, his emphasis is fourfold: the future of the world system, western culture, faith, and healthcare. His emphasis in medicine and futurism is both global and broadly integrative. He has presented widely, including national and international settings, to a wide variety of career, professional, educational, medical, governmental, and management groups, most major church denominations, members of the United Nations, NASA, Congress, and the Pentagon.