I’ve spent the last decade in the guts of healthcare interoperability, tuning Edifecs maps and wrestling X12 loops into submission — seriously, I still sometimes see 837 segments when I close my eyes at night. We’ve built pipelines that move trillions of dollars reliably. But recently, during yet another 2 AM session troubleshooting a 999 rejection storm (thanks, trading partner #47, for changing your format without telling anyone), it hit me hard: we’ve become absolute experts at maintaining a ceiling on what our organizations can achieve.