We need to output JSON with fields: seo_title, summary, key_entities, expert_faq, internal_link_anchor, primary_keyword, secondary_keywords, content_type.

We must produce a summary of 180-250 words, split into 3-4 paragraphs, each paragraph 45-65 words, separated by double newline \n\n inside the summary string.

We must bold some key details using double asterisks, 3-5 bolded terms total across entire summary. Must be selective. Must not bold generic words. Must bold key entity, critical dollar figure, or most important fact.

We must not use banned vocabulary or filler. Must not use banned closers. Must not start sentences with "The" or "This" too often; vary sentence starters. Must avoid passive voice, etc.

We must keep summary within 180-250 words total. Count words across all paragraphs. Paragraphs each 45-65 words, 3-4 paragraphs. Let's aim for 4 paragraphs of about 50 words each => total ~200 words.

We must bold 3-5 terms across the entire summary. Let's pick bolded terms: $22,000 per hour, surprise medical billing, surgical assistants. That's three bolded terms. Ensure they are bolded with double asterisks.

We must not bold generic words. So we will bold those three.

We need to produce JSON with fields:

- seo_title: unique title under 60 chars, different from original headline. Must be rephrased, include main keyword. Must be under 60 characters. Let's craft: "High Pay for Surgical Assistants Exploits Billing Loophole". Count characters: Let's count: "High Pay for Surgical Assistants Exploits Billing Loophole" length: H(1) i2 g3 h4 (space5) P6 a7 y8 (space9) f10 o11 r12 (space13) S14 u15 r16 g17 i18 c19 a20 l21 (space22) A23 s24 s25 i26 s27 t28 a29 n30 t31 s32 (space33) E34 x35 p36 l37 o38 i39 t40 s41 (space42) B43 i44 l45 l46 i47 n48 g49 (space50) L51 o52 o53 p54 h55 o56 l57 e58. That's 58 characters? Let's recount precisely: "High Pay for Surgical Assistants Exploits Billing Loophole". Count characters including spaces:

High(4) + spa