The Heidi account is worth examining not because it is exceptional but because it is ordinary. A frontline worker at an emergency department reported that an AI triage tool had been running without documentation, without formal policy announcement, and without any friction that would signal institutional deliberation . When they raised concerns, they were told the trial period had generated zero pushback — which the institution appeared to interpret as approval . The distinction between 'no one objected' and 'no one had a functional channel through which to object' did…