The Silicon Protocol: The Rate Limiting Decision — When Cost Controls Cost $47K

The Silicon Protocol: The Rate Limiting Decision - When Your Cost Controls Become Your Attack Surface Three rate limiting patterns for healthcare LLM systems. Two create vulnerabilities. One actually works. Here’s how to tell the difference before your $47K surprise bill arrives. The Slack alert came through at AM: “Azure OpenAI spending: $47,832 in 72 hours.” The health system’s AI-powered clinical triage tool served 200 active users. Average monthly spend: $3,200. Something was very, very wrong. By AM, the security team confirmed it: credential stuffing attack.