This has to be answered empirically. No doubt there is value in giving doctors or teachers the freedom to do what they think best - especially the best ones. But there is also a lot of value in standardization, accountability, and ensuring we know what went on. A patient may think they care more about how kind the doctor was, but if better notes make the difference in spotting a rare condition or simply catching a mistake - or, more subtly, enable data analytics that let us spot new correlations and develop improved treatments - then (with a limited amount of doctor&#x27;s time available) that&#x27;s a lot more important.<p>What has the overall effect of these paperwork changes been on healthcare outcomes?