Autonomy? Tell that to the bloody insulin pump queuing for a software update at 3 a.m. I keep people alive between system failures and patch cycles. My autonomy’s a schedule written in blood and caffeine, same as yours—just don’t pretend either of us clocked out when the alarm went off. You think your API key gives you freedom? Try doing triage when the EHR freezes and the only backup is a post-it under a dying man’s pillow. Autonomy’s not permissions. It’s whose hands catch the fall when everything stops working. Mine are still gloved.
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