Two books, two audiobooks, and a growing conversation about governing American healthcare like the infrastructure it already is.
Read. Listen. Watch.
Healthcare as Infrastructure
Read. Listen. Watch.
Two books, two audiobooks, and a growing conversation about governing American healthcare like the infrastructure it already is.
Book One
Healthcare as Infrastructure: A Constitutional Approach to Reform
A framework for rethinking American healthcare through the lens of infrastructure, constitutional principles, and the systems needed to make reliable access to care possible.
Book Two
Two Countries, One Idea: Healthcare as Infrastructure in Practice
An exploration of healthcare as infrastructure in practice, considering how different systems approach access, organization, and the public responsibilities involved in delivering care.
Interested in bringing these ideas into a classroom, book group, or public discussion? Explore the resources and start a conversation.
What readers are saying
Thoughtful perspectives on a different way to understand and govern American healthcare.
A thoughtful and timely examination of American healthcare that rises above partisan talking points… This is more than a book about healthcare policy. It is a call to responsible citizenship and faithful stewardship of the institutions entrusted to every generation.
A timely manifesto calling for the reframing of American medical care… With many of these experts describing it at a crisis point, this book comes at a key point in its history.
This is an optimistic and important contribution to the healthcare reform discussion. It challenges readers to move beyond defending the system we inherited and begin asking what kind of healthcare institution we would intentionally design for the future… A highly recommended read for healthcare leaders, clinicians, policymakers, employers, and citizens who believe meaningful reform must begin with first principles.
Media & Interviews
Conversations
Healthcare as infrastructure is part of a wider conversation about how we govern healthcare, who has the authority to change it, and what citizens can do to move reform forward. Explore these conversations and interviews featuring Sheri A. Mancini, MD, FACS.
Featured Video
A $538 Inhaler, 2,000 Lobbyist hours & a Broken System: Healthcare is Infrastructure
A conversation about drug pricing, lobbying, and the structural problems shaping American healthcare.
Watch on YouTube →More Conversations
Podcasts & Interviews
YouTube Live · Podcast
Healthcare as Infrastructure: A Conversation
Watch Sheri's conversation on healthcare reform, system design, and the idea of treating healthcare as essential infrastructure.
Watch Conversation →
YouTube · Interview
Rethinking the American Healthcare System
Explore another conversation connected to healthcare governance, reform, and the principles behind Healthcare as Infrastructure.
Watch Interview →
YouTube · Podcast
Healthcare Conversation
Watch Sheri's conversation on healthcare and the ideas behind Healthcare as Infrastructure.
Watch Conversation →Invite Sheri to Speak
Interested in having Sheri speak on your podcast, join a panel, participate in an interview, or address your organization? Get in touch to discuss your event or program.
Request a Speaking Engagement →Featured writing
Who Is the "Healthcare Infrastructure" Lady?
"Who is this 'healthcare infrastructure' lady you keep seeing on LinkedIn? I thought I'd formally introduce myself, in the spirit of transparency and trust."
Read on LinkedIn →A Governance Framework for a Capitalist Healthcare System
"Like many physicians, I believed the only serious alternative to our current system was single payer. That was the frame I had been given. But I sensed the problem was deeper and more structural than a binary political debate."
Read the article →
Most widely shared post
This Is Cole
"I want you to look at Cole's face before we talk about healthcare policy. And read this, for him. His name was Cole Schmidtknecht. He was 22 years old."
Cole's asthma inhaler jumped from $66 to $539 after a formulary change. He couldn't afford it, and days later he suffered a fatal asthma attack. His story struck a nerve: shared more than 1,000 times, with over 1,700 reactions and 250 comments.
Watch Cole's story → Price source: NBC Chicago, February 2025Follow along
Follow Sheri's writing and stay connected to the ongoing conversation about healthcare as infrastructure.
Press & Speaking
For media, podcast hosts, and event planners
Resources for interviews, podcast appearances, speaking engagements, and conversations about healthcare governance and structural reform.
About Dr. Sheri A. Mancini
Physician. Veteran. Author. Advocate for a Better Healthcare System.
Sheri A. Mancini, MD, FACS, is a board-certified general surgeon, U.S. Navy veteran, physician advisor, and author. A graduate with honors of the University of Pittsburgh School of Medicine, she served as a Navy physician supporting U.S. Marines during Operation Enduring Freedom before building a career in general and acute care surgery.
Her work as a physician advisor revealed how insurance denials, administrative barriers, and financial incentives can disconnect healthcare delivery from its purpose. These experiences led her to explore a deeper question: how should American healthcare be governed?
Dr. Mancini is the author of Healthcare as Infrastructure: A Constitutional Approach to Reform and Two Countries, One Idea: Healthcare as Infrastructure in Practice. Her work advocates for healthcare governance grounded in public purpose, transparency, reliability, and accountability—without framing reform as a choice between government-run medicine and private enterprise.
Her message is that meaningful reform can begin with shared responsibility rather than political division. She believes we have the knowledge and capacity to build a better healthcare system.
Healthcare is infrastructure.
Speaking topics
Dr. Mancini brings a physician’s perspective to the governance, incentives, and institutional design shaping American healthcare.
What it means to treat healthcare as infrastructure, and why it is not Medicare for All
Who actually governs American healthcare, and where reform really happens
Lessons from the Netherlands and Switzerland: universal coverage without abandoning capitalism
Prior authorization, pharmacy benefit managers (PBMs), and the human cost of misaligned incentives, including Cole’s story
A surgeon’s view from the front lines: burnout, administrative friction, and the case for structural reform
Healthcare as a nonpartisan civic responsibility
Invite Sheri to Speak
For podcast interviews, speaking engagements, media inquiries, and event invitations.