Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint, idempotentHint, destructiveHint=false and openWorldHint, so safety and idempotency are covered structurally. The description adds real value by disclosing the response payload — question, balance-of-evidence line, MeSH terms, area, citation string, and nested card fields — which is otherwise absent since there is no output schema. It stops short of covering failure behavior for an invalid number.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.