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resolveBearerToken took an optional permission, and an unset one admitted any valid token. 324 of the 330 route files pass no permission, so a token minted with a narrow scope reached the full-backup export, the labs and measurement surfaces, the coach, and the bulk deletes — the settings copy tells users to hand exactly that token to third-party automations. Invert the default. The scope argument becomes a required ScopeRequirement union: a route that names no scope now accepts cookie sessions and cookie-equivalent ["*"] tokens only, and refuses a narrow token with 403 and an undeclared_scope audit row. A route that means to accept a narrow token names it, as the FHIR routes already do. No route file changes. The absence of an argument becomes a positive statement rather than an omission, so a newly added route denies a newly minted narrow scope by default — the safe outcome is the one you get by doing nothing. /mcp keeps its own posture through an explicit any-valid-token requirement: it authenticates here and authorises downstream on audience and write scope. That is the single deliberate fail-open call site in the tree, and making the parameter required is what keeps it greppable. An MCP-audience token loses its REST read leg as a result, narrowing it to /mcp only. The isMcpAudienceToken guard stays as defence in depth.