There’s a particular discomfort in recognizing yourself inside a system being critiqued. Watching The Pitt made that unavoidable. Charting that creates harm, patients choosing between debt and care, executives showing up only to manage risk—I’ve lived inside these dynamics. Even with insurance, I delay care because a $4,000 deductible is real. This isn’t about villainizing administration. It’s about naming what gets lost when systems speak louder than people.