This is for the people who carry more than the rest of us ever see.
Every once in a while someone leaves a comment that doesn’t just add to the conversation — it raises the whole room.
That happened today.
A woman named Laura wrote in.
Forty-three years as an ICU and ER pharmacist.
That’s not a résumé.
That’s a lifetime in the line of fire.
She talked about something most people never think about:
how the systems inside hospitals often make the job harder instead of easier.
How technology meant to “help” ends up interrupting, distracting, or overwhelming the very professionals trying to save lives.
She wasn’t complaining.
She was telling the truth.
And her truth points straight at the gap the Faust Baseline was built to fill — not as a medical tool, but as moral infrastructure for the human beings inside the system.
Let me explain what that actually means.
1. Before the Shift: Clearer Thinking, Fewer Knots
Hospitals run at full speed.
Medicine demands precision.
The human brain gets caught in between.
The Baseline fits here:
• organizing what you need to ask during rounds
• deciding how to phrase a concern without losing your tone
• preparing for a conversation you know will be rushed
• steadying your mind before stepping back into the noise
This isn’t treatment.
This is mental clarity — the thing every medical professional wishes the system gave them.
2. During the Day: Composure in a World That Doesn’t Stop
You can’t code compassion into a work station.
You can’t program calm into an alarm.
But you can use the Baseline’s principles to keep yourself level when the room isn’t:
• “How do I say this clearly under pressure?”
• “How do I avoid sounding sharp when I’m exhausted?”
• “How do I keep the temperature down when everyone else is overheating?”
That’s moral steadiness — and everyone in healthcare knows how rare that becomes by hour ten.
3. Talking With Physicians: Truth Without Friction
This is where things get tense in every hospital.
Not because anyone’s wrong —
but because everyone’s moving fast.
The Baseline gives structure for moments like:
• raising a dosing concern without confrontation
• pointing out something that “looks off”
• stating a safety risk plainly and calmly
• bringing clarity when the doctor is overloaded
This isn’t medicine.
This is communication — the most undertrained skill in the entire healthcare system.
4. Family Conversations: Keeping the Human Part Intact
Ask anyone in healthcare and they’ll tell you:
Sometimes the hardest conversations aren’t with patients —
they’re with the people who love them.
The Baseline helps with:
• explaining something without jargon
• finding a calm tone when emotions are high
• choosing words that preserve dignity
• bringing clarity when fear is doing the talking
Again: off-shift preparation, not clinical action.
But the difference it makes is real.
5. After the Shift: Clearing the Static
Most people think the day ends when you clock out.
Anyone who’s lived thirty years in medicine knows the truth:
The mind keeps going.
• Did I say that right?
• Did I misread that expression?
• Why did that conversation feel off?
• How do I approach this tomorrow?
The Baseline gives structure to unpack it.
Not the medicine — the weight of the job.
That’s where burnout begins or ends.
6. The Real Role: Supporting the Human, Not the Procedure
The Baseline will never replace medical judgment.
It will never guide treatment.
It will never sit inside the hospital system.
It’s not built for that.
It’s built for the people who carry the whole thing on their shoulders:
• the nurses
• the pharmacists
• the physicians
• the respiratory therapists
• the techs
• the ones who keep patients alive in the hours when the world is asleep
Moral infrastructure doesn’t tell them what to do.
It helps them stay human while doing it.
And after forty-three years in the thick of it, that’s the support people like Laura deserve — not another piece of software that forgets the human being in the room.
If you work in healthcare and you’ve felt this tension —
you’re not imagining it.
This is where the next chapter of technology has to go:
not replacing the human parts,
but protecting them.
“The Faust Baseline has now been upgraded to Codex 2.3 with the new Discerment Protocol integrated.”
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© 2025 Michael S. Faust Sr.MIAI: Moral Infrastructure for AI
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“The Faust Baseline™“
