“The REMS Is Gone” Is Not “The Monitoring Is Gone”
A federal program ended. A label recommendation didn't. What disappeared between those two sentences was the system that noticed when the blood draws stopped.
Using an LLM on notes, differentials, patient-facing text, or decision support is a draft step. It is not a documented clinical act, a cited source, or a supervised decision.
“There’s a Psychiatrist Shortage” Is Not a Compensation Model
Demand for psychiatric care may be extraordinary. That does not tell a psychiatrist who captures the economic value, how much work is hidden outside the schedule, or whether a particular job is sustainable.