Futures, by their very nature, are inevitable. Managing how our own future may unfold takes some thought, and how naturopathic and Western herbal medicine projects its existence into a changing global healthcare context is relatively unexplored. As we are a philosophically rich healthcare service, it is inevitable that this will require a presence within this future. So how may this manifest, and where might we ground our knowledge when technoscientific advances and artificial intelligence increasingly challenge what it is to be human? Where may our holism and engagement with a purposeful nature lie? This commentary explores such questions through a discussion on philosophical rigour and some suggestions on how we may strengthen, assess, test and articulate this through reasoned action in the future world.