Everyone knows the doctor developers rarely show up, and the nurse developers end up doing all the work.

Doctor is a long-running process that requires a callback from nurse.

Whatever the "doctor" developers write to abstract away the nurses, it's still not going to be able to communicate with nontechnical managers. Or at least, once it can do that, the "doctor" developers will be obsolete soon anyway.

Until we have AGI that replaces all developers, someone will have to do the work of converting business requirements into LOB apps.