BUILD 073 — Access for Whom? SCENE 1 BUILD 073. ACCESS FOR WHOM? Reform does not guarantee usability. SCENE 2 CONSTRAINTS. COST. PLACE. ELIGIBILITY. RISK. Keep every practical barrier visible. SCENE 3 EXCLUSION. DISABILITY. LANGUAGE. CULTURE. WORKFORCE. One favorable signal cannot erase another. SCENE 4 METHOD. NO COMPOSITE SCORE. Preserve separate signals and unknowns. SCENE 5 BOUNDARY. A MAP CANNOT DETERMINE EQUITY. Synthetic contexts only. SCENE 6 SAVE. WHO CAN ACTUALLY USE IT? Begin there. FINAL PROPOSITION Ask who can actually use the service.