Rough Sleepers: Dr. Jim O'Connell's urgent mission to bring healing to homeless people

NEW YORK TIMES BESTSELLER • The powerful story of an inspiring doctor who made a difference, by helping to create a program to care for Boston’s homeless community—by the Pulitzer Prize–winning, New York Times bestselling author of Mountains Beyond Mountains

“I couldn’t put Rough Sleepers down. I am left in awe of the human spirit and inspired to do better.”—Abraham Verghese, author of Cutting for Stone

 
A BEST BOOK OF THE YEAR: NPR, BookPage, Chicago Public Library

Tracy Kidder has been described by The Baltimore Sun as “a master of the nonfiction narrative.” In Rough Sleepers, Kidder tells the story of Dr. Jim O’Connell, a gifted man who invented a community of care for a city’s unhoused population, including those who sleep on the streets—the “rough sleepers.”

After Jim O’Connell graduated from Harvard Medical School and was nearing the end of his residency at Massachusetts General, the hospital’s chief of medicine made a proposal: Would he defer a prestigious fellowship and spend a year helping to create an organization to bring health care to homeless citizens? That year turned into O’Connell’s life’s calling. Tracy Kidder spent five years following Dr. O’Connell and his colleagues as they work with thousands of homeless patients, some of whom we meet in this illuminating book. We travel with O’Connell as he navigates the city streets at night, offering medical care, socks, soup, empathy, humor, and friendship to some of the city’s most endangered citizens. He emphasizes a style of medicine in which patients come first, joined with their providers in what he calls “a system of friends.”

Much as he did with Paul Farmer in Mountains Beyond Mountains, Kidder explores how Jim O’Connell and a dedicated group of people have improved countless lives by facing and addressing one of American society’s most difficult problems, instead of looking away.

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Published Jan 16, 2024

320 pages

Average rating: 7.88

25 RATINGS

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Community Reviews

spoko
Feb 16, 2025
8/10 stars
I have to admit, I was a bit skeptical of this book going in. I had a feeling it would be preachy, extolling the praises of its subtitular hero. But that isn’t what I found it to be. It’s a compassionate, poignant look at the interaction between our healthcare system and people who live on our urban streets. There are occasional moments of broad analysis, but essentially it’s human-level, day-to-day reporting on one group of healthcare providers and the particular unhoused individuals they serve. It’s a powerful narrative, well executed.
AshleyBCreech
Nov 14, 2024
9/10 stars
Beautiful story and a powerful way to better understand the homeless population and open our hearts and minds to the constant challenges they are faced with. Changing the dynamics of this societal and governmental landscape for these individuals is dire and you’ll see that throughout this book when reading account after account that Dr. O’Connell and his team face.

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