Healthcare as Infrastructure
A Constitutional Approach to ReformBy Sheri A. Mancini, MDRecorded TrackLength4h 52m
About this audiobook
What if the healthcare debate has been asking the wrong question all along?
For decades, Americans have argued over healthcare as though it were an ordinary market: more government, or less; public option, or private. Dr. Sheri Mancini, a general surgeon, physician advisor, and Navy veteran, argues that this framing has failed us because it starts in the wrong place.
Healthcare as Infrastructure applies the constitutional thinking behind American self-government to the institutions that shape our care. It asks what healthcare would look like if we treated it the way we treat roads, courts, and the electrical grid: as infrastructure essential to a functioning society, requiring stewardship rather than pure market logic.
Written for citizens, not policy experts, this is an invitation to think differently about the system we all depend on. Pair it with the companion volume, Two Countries, One Idea, which explores how the Netherlands and Switzerland put these principles into practice.
Audiobook details
GenrePolitics and Government
Length4 hrs 52 mins
Narrated byRecorded Track
FormatAudiobook
Publish dateAug 6, 2026
LanguageEnglish
Table of contents
1This book is an invitation.
2PREFACE.
3Part One: Understanding Why Institutions Exist.
4Chapter One: First Principles.
5Chapter Two: Institutional Humility.
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6Chapter Three: Classification Before Governance.
7Chapter Four: The Quiet Drift.
8Chapter Five: Mission Before Margin.
9Chapter Six: The Work of Citizens.
10Chapter Seven: The Discipline of Disagreement.
11Chapter Eight: Human Flourishing.
12Chapter Nine: Healthcare Through a Constitutional Lens.
13Chapter Ten: The Responsibility of Every Generation.
14Chapter Eleven: Trust.
15Chapter Twelve: Remember Why You Exist.
16Chapter Thirteen: Ideas Become Institutions.
17Chapter Fourteen: The Invitation.
18Part Two: Building Institutions Worth Trusting.
19Chapter One: The Quiet Architecture.
20Chapter Two: Purpose Before Structure.
21Chapter Three: Guardrails.
22Chapter Four: Markets Need Missions.
23Chapter Five: Competition Is Not Enough.
24Chapter Six: Reliability Is a Public Good.
25Chapter Seven: The Incentive Question.
26Chapter Eight: Transparency Before Trust.
27Chapter Nine: What Success Looks Like.
28Chapter Ten: Stewardship Never Ends.
29Part Three: Designing Institutions That Flourish.
30Chapter One: From Principles to Practice.
31Chapter Two: Designing for Human Nature.
32Chapter Three: Guardrails and Freedom.
33Chapter Four: Competition Within a Constitutional Framework.
34Chapter Five: Accountability Before Failure.
35Chapter Six: Measuring Success by Purpose.
36Chapter Seven: Applying the Framework to Healthcare.
37Chapter Eight: A Republic That Learns.
38Chapter Nine: The Questions That Preserve a Republic.
39Chapter Ten: Seeing Differently.
40Part Four: Designing Healthcare for Human Flourishing.
41Chapter One: Beginning with Purpose.
42Chapter Two: The Mission of Healthcare.
43Chapter Three: The Basic Architecture.
44Chapter Four: Healthcare Dollars Should Stay in Healthcare.
45Chapter Five: Aligning Incentives with the Mission.
46Chapter Six: Competition That Serves the Mission.
47Chapter Seven: Transparency as Infrastructure.
48Chapter Eight: Accountability Before Harm.
49Chapter Nine: Innovation Within Guardrails.
50Chapter Ten: The Role of Government.
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