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Written for the people inside the machine.

  • Clinicians who can see the problem

    You already know where the friction is. This gives you language for the structures creating it.

  • Operators and administrators

    If your days are spent trying to work around computer systems that are more difficult than doing the work manually, this book names why those workarounds became necessary.

  • Builders, funders, and policy leaders

    For people deciding what gets designed, funded, implemented, and scaled who are tired of watching well-funded “fixes” fail to solve the persistent problems.

  • Patients and caregivers

    The technology and processes your care team depend on produce conflicting answers, invisible rules, delays, and reversals that leave everyone trying to explain a system that often cannot explain itself.