I am grateful to the legendary @Bob_Wachter of @UCSF for spending some time with an advance copy of “The Moral Alibi.” I appreciate his comments: “We have come to accept a healthcare system that underperforms with stunning regularity. Jain argues, persuasively, that this is less the product of bad people than of good people averting their eyes. In refusing to avert his own, he has produced a masterwork of moral courage.” Learn more about the book and preorder it at its website:

I’m thrilled to announce that Wiley is publishing my forthcoming new book, The Moral Alibi. For most of my career, I believed I have working to make American healthcare better. I worked in government, academia, pharma, care delivery, and health insurance. In every role, I saw good people working hard inside institutions that routinely failed the people they were supposed to serve. I also learned how easily we explain those failures away. The regulations made us do it. The economics and incentives have left us no choice. The system is too complicated. Someone else owns the problem. These explanations are often true. They are also alibis that absolve of us of our own responsibility to make things better. My new book, “The Moral Alibi: How Healthcare Learned to Look Away—and How We Learn to See Again,” is not just another critique of American healthcare. It is also a self-indictment and a confession. The book comes out February 16, 2027 Today, I’m launching the book’s website, where I’ll share more about the ideas behind it and the conversation I hope it provokes. I hope you’ll take a look and pre-order your copy today.