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  "title": "When the Patient Brings the Better System",
  "thesis": "Trust should move with demonstrated capability. Authority should move more carefully. Action should remain constrained by consequence, and escalation should be treated as part of competence.",
  "abstract": "A personal encounter with AI-assisted kidney-stone research opens a larger argument: the useful comparison is not human against machine but system against system, task against task, under defined conditions. The Work separates observation, inference, evidence, judgment, authority, action, accountability, and escalation, then asks how earned trust should move across them.",
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