realization: good healthcare for autistic folks requires not just accommodations, but actual cultural competency.

it requires hiring and training (and fairly compensating!) *other autistic people* who understand patients' confusion, know how the system works, and can help them navigate it.

it requires a commitment to making *all* interactions -- *especially* appointment scheduling -- accessible via text, and ensuring textual interactions receive the same attention from folks at the same level of the org chart as phone, video, or in-person ones.