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The Healthcare Reboot

A new book by Laura Landry & S. Bre Jackson

Medicine is hard. The system that pays for care makes it harder. It was built this way.

The denied claim. The prior authorization. The bill no one can explain.

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The Healthcare Reboot: Why Billions of Dollars Couldn't Fix Healthcare and What Finally Will. By Laura Landry and S. Bre Jackson.

The denied claim

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 paperwork wrapped around it doesn't have to be.

The Healthcare Reboot separates the real risks of medicine from the artificial risks of bureaucracy.

The real risks of medicine

Illness is unpredictable.

The artificial risks of bureaucracy

  • Vague contracts
  • Tangled processes
  • Layers of administration

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:

  1. 01

    A healthcare system built around care

  2. 02

    Using technology and standards that already exist

  3. 03

    Without waiting for Congress or another round of regulatory reform

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.

  1. Clinicians who can see the problem

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

  2. 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.

  3. 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.

  4. 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
Patients chase answers.
Physicians and staff
Physicians and staff compensate for systems that do not reliably support the work of delivering patient care.
Organizations
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.

Roughly 25% of healthcare spending, wasted every year

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.

Each square is one percent of healthcare spending.

Meet the authors

Two paths.
One conclusion.

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, co-author of The Healthcare Reboot

Co-author

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.

Areas of work

  • Health information exchange
  • Data infrastructure
  • Payer-provider operations
  • Large-scale system design
S. Bre Jackson, co-author of The Healthcare Reboot

Co-author

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.

Areas of work

  • Military medicine
  • Physician practice operations
  • Quality improvement
  • EHR implementation

They wrote The Healthcare Reboot together to connect those perspectives and make visible the administrative architecture that healthcare has learned to work around rather than redesign.

Out now.

The Healthcare Rebootby Laura Landry and S. Bre Jackson

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If healthcare has never quite made sense to you, it's not you.

From the cover of The Healthcare Reboot
The Healthcare Reboot: Why Billions of Dollars Couldn't Fix Healthcare and What Finally Will. By Laura Landry and S. Bre Jackson.

The Healthcare Reboot

Why Billions of Dollars Couldn't Fix Healthcare and What Finally Will

By Laura Landry and S. Bre Jackson

Chapter 1, free

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answered.

Print and e-book editions are out now (released October 2, 2026). Get the eBook on Amazon.

It's time for those of us who know better to come together and build better.

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