In this episode of the Disambiguation podcast, host Michael Fauscette talks with Eva Minkoff, Founder of Bold Being, about why AI adoption failures are not technology problems but identity threats, and why organizations cannot train or explain their way through them. Eva spent two decades in healthcare across clinical research, bedside care, media, marketing, and startups as both a co-founder and early employee. She gave a TEDx talk called "Five Minutes to Fix Our Broken Healthcare System" about the patient-doctor relationship and the collapse of self-trust under relentless pressure. That same pattern of pressure-driven identity loss is now playing out across every industry as AI reaches professionals whose authority and sense of legitimacy are built on a specific kind of expertise. The conversation covers why AI adoption is an identity threat rather than a change management problem, why employee sabotage of AI initiatives (30 to 70 percent in some studies) is survival behavior rather than insubordination, the Luddite parallel (skilled workers whose livelihoods were being erased, not irrational resisters), why you cannot explain someone out of an identity threat, compliance theater (employees using AI to produce outputs and then quietly redoing the work themselves), decision latency in leaders who were previously decisive, leadership brittleness (senior leaders going rigid or withdrawing under AI pressure), Eva's three-stage framework (instability, autopilot, durable agency), sustainable adaptability versus just staying current, regulated empathy in healthcare and its parallel in every industry, a client transformation story (Chief Patient Safety Officer who eliminated ED wait times and saved $50 million after doing identity work rather than operational work and was promoted to CMO), and three practical steps leaders should take right now: name the instability out loud, audit your own autopilot, and change the metric from adoption speed to adaptive capacity.