Nonfiction Book in Progress

BOOK IN PROGRESS

Martyr for Hire

Weaponized Altruism and the Hidden Costs of Caring in Modern Medicine

Central inquiry

What happens to a profession when the willingness of its members to sacrifice becomes an operating assumption of the institutions that employ them?

Overview

A book about what modern healthcare has learned to extract from the people inside it. Not a wellness argument, and not a burnout memoir: an examination of incentives, obligation, and the way institutional need reshapes professional identity from the inside.

The book draws on more than two decades of clinical work across military and civilian medicine — emergency departments, wards, trauma, orthopedics, urgent care — and on the literature of professional ethics, moral injury, and institutional power.

Questions

  • Why do explanations of clinician distress so often stop at the individual?
  • What does bureaucracy do to the moral vocabulary of a profession?
  • Who benefits when caring is treated as inexhaustible?

Themes

  • professional altruism
  • clinician identity
  • institutional incentives
  • healthcare bureaucracy
  • moral injury
  • institutional power

Working notes

Notes tied to this project will appear here as they are written. Broader working notes live in the Notebook.