7Health care regulatory agencies demand that patients receive efficient, competent, compassionate care; however, because of caregivers' own unhealed issues along with other factors, care often falls short of those goals. Melanie Sears, RN, MBA, PhD, leverages more than thirty years of nursing experience to look at what really prevents patients from getting the care they need and health care workers from getting the support needed to thrive in the stressful environment of health care. From domination-style management, fear and judgment-based practitioner relationships, and a poignant separation between physical, mental, and emotional care, the costs of these factors are enormous. Sears argues that the most effective way to evolve this problematic culture is to shift the language used by those providing care.