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So many things in healthcare and policy are like this chicken coop: surely it can't matter if the siding ends an inch too high? Yet the details matter in the long run, and that missing inch of siding costs an entire coop years later.

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How will you know without expertise? As we rush to deconstruct systems that have long functioned, we should be thoughtful about not causing unintended harms along with the significant potential benefits. Move fast and break things has its place, but in healthcare the "things" are humans.