



One finding in this issue stopped us. Doctors who worked alongside an AI detection tool got measurably worse at spotting problems without it. Routine cases are where competence stays sharp, and the AI had taken the routine away. We kept running into that same gap in different forms. Agent memory drops provenance between sessions, so the system trusts recalled knowledge it can no longer trace. Approval gates land after the point where a person could still change the outcome. The checkpoints look right. Whether anyone behind them can still do the job is the question running through this whole issue.


