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Medicine is hard.
The system that pays for care makes it harder.
The denied claim. The prior authorization. The bill no one can explain. We've been told this is simply the price of modern medicine, that healthcare is too complex to fix.
It isn't.
Illness is unpredictable. The systems that determine payment and patient financial responsibility don't have to be.
The Healthcare Reboot separates the real risks of medicine from the artificial risks of bureaucracy. It explains how vague contracts, tangled processes, and layers of administration created a system that spends more and more managing healthcare while making care harder to deliver.
Then it lays out a working blueprint for something different: a healthcare system built around care, using technology and standards that already exist, without waiting for Congress or another round of regulatory reform.
Print and e-book editions available October 2nd!
Wondering if this book is for you?
Read the first chapter and decide for yourself
Who This Is For
Written for the people inside the machine.
A working explanation of why healthcare’s administrative systems behave the way they do — and what becomes possible once the structure is visible.
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Clinicians who can see the problem
You already know where the friction is. This gives you language for the structures creating it.
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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.
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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.
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Patients and caregivers
Yes, you are being gaslit. 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.
Why The Healthcare Reboot Exists
For decades, healthcare has treated administrative dysfunction as something people simply have to work around.
Patients chase answers. Physicians and staff compensate for systems that do not reliably support the work of delivering patient care. Organizations add people, processes, technology, and regulation to manage failures without changing the structure producing them.
The authors came to this from different directions, but reached the same conclusion. Healthcare is full of smart people, commitment, technology, and investment. The problem is that too much of the administrative architecture was built in ways that preserve ambiguity rather than make clear commitments, move reliable information, or support the work people are actually trying to do.
The Healthcare Reboot was written to make that structure visible — and to show that it can be redesigned.
The book is the beginning of a community of people who refuse to let “it’s complicated” remain the reason healthcare struggles under awful technology and brutally unfair processes.
The industry has built an enormous administrative apparatus in the name of protecting the money while wasting roughly 25% of healthcare spending every year.
The systemic dysfunction is not normal. It’s time for those of us who know better to come together and build better. Healthcare systems and processes should stop requiring people to compensate for avoidable dysfunction.
Meet the Authors
Laura Landry and S. Bre Jackson came to healthcare from different professional paths, but both spent decades working inside the systems, operations, technology, and improvement efforts that shape how care is delivered.
Laura Landry
Systems Architect & Healthcare Strategist
Laura is a systems architect and healthcare strategist whose work has spanned health information exchange, healthcare data infrastructure, payer-provider operations, technology implementation, and large-scale system design. Her career has centered on identifying structural problems that organizations only experience as operational friction, and designing ways to make those systems work differently.
S. Bre Jackson
Healthcare Operations & Clinical Improvement Leader
Bre is a healthcare operations and clinical improvement leader whose career has included military medicine, physician practice operations, quality improvement, electronic health record implementation, and healthcare technology transformation. Her work has focused on how poorly designed systems shift operational burden onto physicians, staff, patients, and families.
They wrote The Healthcare Reboot together to connect those perspectives and make the administrative architecture that healthcare has learned to work around rather than redesign.
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© 2026 Laura Landry, S. Bre Jackson, and Reboot Healthcare PBC. All Rights Reserved.