Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already cover the safety profile (readOnly, idempotent, non-destructive, closed-world), so the bar is lower. The description adds real value beyond that: vintage/coverage figures (36/41 for doctors-nurses, 31 for beds), source attribution per row, the rule that older figures are omitted rather than served as current, default sort direction, and a disclaimer that every response carries. That is unusually rich behavioral disclosure.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.