Imran Khan’s vision loss matters because of what it implies about intent—not necessarily intent proven through a signed directive, but intent revealed through pattern. Complaints are acknowledged yet not meaningfully escalated. Examinations occur without credible diagnostic depth. Specialist access is filtered through institutional gatekeepers. Intervention arrives only after the window for reversibility has narrowed. Imran Khan’s vision loss matters because of what it implies about intent—not necessarily intent proven through a signed directive, but intent revealed through pattern. Complaints are acknowledged yet not meaningfully escalated. Examinations occur without credible diagnostic depth. Specialist access is filtered through institutional gatekeepers. Intervention arrives only after the window for reversibility has narrowed.