• •
A Friday in April. A new CMS rule had dropped overnight, 1,590 pages of it, and I was reading the summary on my phone between cases. By lunchtime I had five tabs open: the Federal Register PDF, a KFF explainer, two Health Affairs pieces, and a Substack hot take. I needed to understand the model structure well enough to brief a health system CEO the following week. The tabs would stay open for days. I would read, close, reopen, half remember, go back to page forty seven, lose my place, try again.