Consensus
Validators are people. Names. Licenses. Liabilities.
Identified
Every validator is a licensed clinician or healthcare-credentialed entity. State license verified. NPI checked. No anonymous validators by protocol.
Quorum
A two-thirds super-majority of active validators must sign each block. Failure to sign within window costs reputation, not money.
Slashing
Validators with confirmed bad acts (verified-but-fraudulent attestations) face license-board referral plus on-chain reputation loss.