The Silicon Protocol: The Model Hosting Decision — When Azure OpenAI Isn’t Enough (And When It’s…

The Silicon Protocol: The Model Hosting Decision - When Azure OpenAI Isn’t Enough (And When It’s Overkill) The $187K infrastructure decision every healthcare CTO makes is wrong. Here’s the actual math on self-hosted vs. API vs. hybrid LLM deployment. The three hosting patterns healthcare organizations choose - and what each actually costs at scale. Most start left (API), graduate to center (Hybrid), few need right (Self-hosted). The compliance officer approved your de-identification pipeline. Legal signed off on the BAA. Security validated your OAuth tokens are governed by proper Passports.