Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
With annotations all false and no readOnly/destructive/idempotency hints, the description carries the transparency burden. It discloses non-obvious behavior: the patient receives a confirmation code by email, the request is not sent to the clinic yet, and the whole flow happens 'without leaving the conversation.' It does not discuss repeat-call effects or failure modes, but the core side effects are clear.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.