If I Betray These Words: Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First

Through stories and solutions, leading physicians tackle the conundrum of how best to care for patients while being thwarted by the business side of healthcare

Offering examples of how to make medicine better for the healers and those they serve, If I Betray These Words profiles clinicians across the country who are tough, resourceful, and resilient, but feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system.

Doctors face real risks when they stand up for their patients and their oath; they may lose their license, their livelihood, and for some, even their lives.

There’s a growing sense, referred to as moral injury, that doctors have their hands tied – they know what patients need but can’t get it for them because of constraints imposed by healthcare systems run like big businesses.

Workforce distress in healthcare—moral injury—was a crisis long before the COVID-19 pandemic, but COVID highlighted the vulnerabilities in our healthcare systems and made it impossible to ignore the distress, with 1 in 5 American healthcare workers leaving the profession since 2020, and up to 47% of U.S. healthcare workers now planning to leave their positions by 2025.

If I Betray These Words confronts the threat and broken promises of moral injury – what it is; where it comes from; how it manifests; and who’s fighting back against it. We need better healthcare—for patients and for the workforce. It’s time to act.