Traditional STAMP analyses in healthcare focus on the bedside: the wrong dose, the missed interaction, the late intervention. Jan's Story extends the lens by one layer. It treats federal coverage policy, rural primary care, EMS, and community services as a single hierarchical control structure. It asks what happens when a policy-level controller (H.R.1) removes a stabilizing feedback loop from a vulnerable subsystem. The answer is a predictable, analyzable, and preventable accident. CarePath is presented here not as a clinical product but as a replacement control structure for the removed loop policy.
