Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint, idempotentHint, and non-destructive behavior, so the bar is lower. The description adds meaningful behavioral context beyond annotations: pagination is stable, results are public-only, and diagnosis/private lab results are excluded. This gives an agent important expectations about data scope and response behavior.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.