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Whether you’re a bedside clinician, a healthcare leader, a student, or a patient seeking to understand the complexities of American healthcare, this book is designed for you. It addresses the pressing need for healthcare reform and explores the concept of moral injury that many face in the system.


Every purchase and honest Amazon review contributes to building a coalition of voices that helps this bedside perspective reach more individuals searching for answers yet lacking the language to articulate their experiences.


Read the stories, name the harm, and discover a map of hope that guides you toward a better future at hopeassessment.org.


Buy The Book

Amazon Book PageSigned Autographed Copies

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“Take the Hope Assessment: see how close your unit, hospital, or community is dealing with moral injury—and where hope can still grow.”

The Hope Assessment App
Book cover titled 'How Healthcare Dies' by Matthew Harless with a fiery phoenix and heartbeat line.

You Are Not The Problem

  • “This book identifies the moral injury you’ve been carrying and illustrates why the healthcare system—not you—is breaking.”


“Written for bedside nurses first, this work serves as a valuable resource for those in the nursing field.”


  • “If you’ve been unfairly blamed for staffing shortages, safety concerns, or burnout, this is the evidence that proves it was never your fault, highlighting the need for coalition and healthcare reform.”


“Connects your daily reality to the financial and policy decisions made by leaders above you, offering a glimpse of hope for change.”


“Turns your lived experience into language executives cannot ignore, empowering nurses to advocate for necessary reforms.”

Silhouette of a head with red cracks and dark branches, symbolizing moral injury.

This book will give you words

This book will help you change the system

This book will give you words

  • “Names moral injury so you can finally describe what’s happening to you—without blaming yourself.”


  • “Shows the difference between ‘burnout’ and moral injury, so you can explain your reality clearly to anyone.”


  • "Reminds you again, You are not the Problem, You never were."

Hands protecting a glowing egg in a nest, symbolizing protection.

This book will protect you

This book will help you change the system

This book will give you words

“Shows what truly safe staffing and care look like in the context of healthcare reform, allowing you to recognize when you’re being put at risk.” 


“Explains how moral injury can occur in profit-driven systems, so you can see the trap instead of blaming yourself; this insight brings hope to nurses navigating these challenges.”


 “Gives you th

“Shows what truly safe staffing and care look like in the context of healthcare reform, allowing you to recognize when you’re being put at risk.” 


“Explains how moral injury can occur in profit-driven systems, so you can see the trap instead of blaming yourself; this insight brings hope to nurses navigating these challenges.”


 “Gives you the language to document unsafe conditions within the coalition advocating for better practices and speak up without feeling like you’re the problem.”

Healthcare is Changing text on a puzzle heart.

This book will help you change the system

This book will help you change the system

This book will help you change the system

“Maps how decisions about money, ratios, and closures impact the bedside experience for nurses, allowing you to connect your story of healthcare reform to the bigger picture of hope.” 


“Offers frames and talking points that you can use with managers, executives, and policymakers to advocate for safer care within the coalition.” 


“Helps you 

“Maps how decisions about money, ratios, and closures impact the bedside experience for nurses, allowing you to connect your story of healthcare reform to the bigger picture of hope.” 


“Offers frames and talking points that you can use with managers, executives, and policymakers to advocate for safer care within the coalition.” 


“Helps you understand how bedside experience, data, and community pressure can collaborate to alleviate moral injury and push the healthcare system towards hope instead of collapse.”

Professional woman engaging with a tablet in a healthcare setting.

For Leaders Facing Liability, Staffing Crises, and Community Distrust

“This book identifies the moral injury you’ve been carrying and illustrates why the healthcare system—not you—is breaking.”


“Connects your daily reality to the financial and policy decisions made by leaders above you, offering a glimpse of hope for change.”


“Turns your lived experience into language executives cannot ignore, empowering nurses to advocate for necessary reforms.”

HopeAssessment.org scale for emotional or mental health states.

A Hope Road Map for Patients, Families, and Communities

“Shows what truly safe staffing and care look like in the context of healthcare reform, allowing you to recognize when you’re being put at risk.” 


“Explains how moral injury can occur in profit-driven systems, so you can see the trap instead of blaming yourself; this insight brings hope to nurses navigating these challenges.” 


“Gives you the language to document unsafe conditions within the coalition advocating for better practices and speak up without feeling like you’re the problem.”


Discover a map of hope through Operational Hope

OPERATIONAL HOPE

Events

07/15/2026

How Healthcare Dies In Real Life

7pm

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8pm

zoom

Event Details

07/15/2026

How Healthcare Dies In Real Life

Free Live Event – “How Healthcare Dies in Real Life”

How Healthcare Dies in Real Life (And Where Hope Still Lives) is free 45–60 minute live ...

Event Details

7pm

-

8pm

zoom

Media Inquiries


Get in Touch

Keynotes

Pricing is based on audience size. 

Podcast

Pricing is more complex, based on mission and value. 

Hope Informed Care

Bring the Business of Hope to Your Organization. Develop a common language for what is happening and create a plan of care for the future. Discover a map of hope through Operational Hope

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Copyright © 2026 Matt Harless - All Rights Reserved.

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