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full attempt costs retained."},"dental_unique":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Unique patient-period fraction; repeat teeth and repeat episodes excluded from additional utility summation."},"mental_disjoint":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Unique counseling patient-period fraction after excluding every dental-credited person and repeat courses; unknown linked-data prior."},"dental_capacity":{"min":0,"max":10000,"status":"Analyst prior unless stated otherwise","basis":"Maximum additional completed unique target patients in gift cohort; unverified capacity prior."},"mental_capacity":{"min":0,"max":10000,"status":"Analyst prior unless stated otherwise","basis":"Maximum additional completed disjoint counseling patients; unverified capacity prior."},"dental_utility":{"min":-0.3,"max":0.3,"status":"Analyst prior unless stated otherwise","basis":"Signed relief utility prior, loosely oriented by nonsignificant Swedish extraction before/after EQ5D .77 to .81; not a causal estimate."},"dental_resolution":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Successful pain resolution conditional on completed extraction, separate from course completion."},"dental_catchup":{"min":0,"max":50,"status":"Analyst prior unless stated otherwise","basis":"Annual no-gift alternative-treatment/spontaneous symptom-resolution hazard, conditional on successful early treatment; central mean .25 years before hard cap."},"dental_horizon":{"min":0,"max":2,"status":"Analyst prior unless stated otherwise","basis":"Hard maximum years of earlier relief after care begins, never lifetime."},"dental_delay":{"min":0,"max":5,"status":"Analyst prior unless stated otherwise","basis":"Years until care starts; cohorts conditioned alive at start, delay discounts only."},"dental_harm":{"min":0,"max":0.5,"status":"Analyst prior unless stated otherwise","basis":"Gift-date PV incremental procedural/tooth-function QALY loss per additional completed unique patient; net of eventual alternative-care harm."},"mental_utility":{"min":-0.3,"max":0.3,"status":"Analyst prior unless stated otherwise","basis":"Signed initial counseling utility advantage: independent prior, NOT Beck-score to EQ5D conversion."},"mental_fidelity":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Local effect-size transfer prior among adequate-dose completers; no claim clinic replicates trained trial therapists."},"mental_catchup":{"min":0,"max":50,"status":"Analyst prior unless stated otherwise","basis":"Additional local alternative-care attenuation beyond imposed one-year fading; accounts for accessible public/free mental care."},"mental_horizon":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Counseling utility fades linearly to zero by one year after start; no residual lifetime mental-health benefit."},"mental_delay":{"min":0,"max":5,"status":"Analyst prior unless stated otherwise","basis":"Care start delay, discounts only for an alive-at-start cohort."},"mental_harm":{"min":0,"max":0.5,"status":"Analyst prior unless stated otherwise","basis":"Gift-date PV incremental burden/adverse effects per additional completed unique counseling patient; clinical deterioration already in signed utility excluded."},"mortality":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Annual competing all-cause hazard during finite benefit, not a mortality reduction claim."},"discount":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Continuous annual health discount rate."},"bay_share":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Direct Bay Area fraction; intended clinic catchment; no measured marginal residency split."},"sf_share":{"min":0,"max":1,"status":"Analyst prior unless stated otherwise","basis":"Direct SF subset of Bay Area; weak prior from SF and San Mateo mission, not proof clinic location equals resident location."},"volunteer_resource_per_donor":{"min":0,"max":5,"status":"Analyst prior unless stated otherwise","basis":"Additional gross associated volunteer opportunity-cost allowance per donor dollar, not a clinic valuation or incremental net cost."},"external_resource_per_donor":{"min":0,"max":5,"status":"Analyst prior unless stated otherwise","basis":"Outside support for original dental/mental branches and common patient support only; BP/residual per-course allowances exclude these costs."},"independent_harm_q":{"min":0,"max":1000,"status":"Analyst prior unless stated otherwise","basis":"Gift-date PV QALY loss independent of expanded care; separate from per-patient harms."},"bp_medical_fraction":{"min":0,"max":1,"status":"Explicit analyst prior","basis":"General-medical budget fraction for HDFP-like hypertensive adults ages30–69/DBP≥90; unknown local case mix, not all visits."},"bp_course_cost":{"min":100,"max":20000,"status":"Explicit analyst prior","basis":"Fully loaded annual systematic-care cost: six contacts at$200 plus$300 drugs/labs; multiply by max(1,funded years), so longer care never costs only one year."},"bp_unique":{"min":0,"max":1,"status":"Explicit analyst prior","basis":"Unique annual patients after excluding dental/counseling patient-periods and repeats."},"bp_capacity":{"min":0,"max":10000,"status":"Explicit analyst prior","basis":"Unverified additional unique annual-course capacity."},"bp_baseline_hazard":{"min":0,"max":1,"status":"Explicit analyst prior","basis":"Current-care all-cause annual mortality prior near annualized HDFP referral arm, not untreated mortality."},"bp_relative_hazard":{"min":0,"max":2,"status":"Primary-trial-derived approximation","basis":"Constant-hazard approximation from HDFP5y risks6.4%stepped versus7.7%community referral; not observed first-year HR."},"bp_modern_gap":{"min":0,"max":1,"status":"Explicit analyst prior","basis":"Remaining opportunity relative to historical referral comparator after modern public/free access, not fraction never treated."},"bp_delivery_transfer":{"min":0,"max":1,"status":"Explicit analyst prior","basis":"Implementation relative to trial assignment effect; no second multiplication by absolute trial adherence."},"bp_active_years":{"min":0,"max":5,"status":"Explicit analyst prior","basis":"Funded exposure; hazards equal comparator after this period."},"bp_latency":{"min":0,"max":5,"status":"Explicit analyst prior","basis":"Initial delay before any hazard effect within the funded exposure."},"bp_horizon":{"min":0,"max":20,"status":"Explicit analyst prior","basis":"Finite survival followup after care start; no permanent risk reduction."},"bp_delay":{"min":0,"max":5,"status":"Explicit analyst prior","basis":"Discount-only start delay, cohort alive at service start."},"bp_utility":{"min":0,"max":1,"status":"Explicit analyst prior","basis":"Utility among living high-risk cohort, independent prior."},"bp_harm":{"min":0,"max":0.5,"status":"Explicit analyst prior","basis":"Gift-date PV nonfatal incremental treatment harm; fatal effects already inside signed mortality contrast."},"bp_external_per_course":{"min":0,"max":10000,"status":"Explicit analyst prior","basis":"Annual outside BP clinical/patient-time cost, multiplied by max(1,funded years); donor-paid and common original-branch support excluded."},"residual_unique":{"min":0,"max":1,"status":"Explicit analyst prior","basis":"Unique residual patient-periods after excluding all credited cohorts/repeats; full costs retained."},"residual_capacity":{"min":0,"max":10000,"status":"Explicit analyst prior","basis":"Unknown additional unique annual-course capacity prior."},"residual_delay":{"min":0,"max":5,"status":"Explicit analyst prior","basis":"Discount-only delay; cohort alive at start."},"residual_harm":{"min":0,"max":0.5,"status":"Explicit analyst prior","basis":"Gift-date PV incremental harm outside signed utility, per additional unique course."},"acute_cost":{"min":100,"max":20000,"status":"Weak explicit service-specific prior","basis":"Fully loaded nominal patient-course cost. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"acute_target":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Share with completed/actionable burden-bearing care. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"acute_utility":{"min":-0.3,"max":0.3,"status":"Weak explicit service-specific prior","basis":"Signed utility change conditional on response. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"acute_response":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Meaningful symptom/function response. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"acute_catchup":{"min":0,"max":50,"status":"Weak explicit service-specific prior","basis":"Annual alternative-care/spontaneous catchup. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"acute_horizon":{"min":0,"max":3,"status":"Weak explicit service-specific prior","basis":"Hard post-care benefit horizon. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"acute_external":{"min":0,"max":10000,"status":"Weak explicit service-specific prior","basis":"Outside clinical/patient-time cost beyond donor/volunteer/common support. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"chronic_cost":{"min":100,"max":20000,"status":"Weak explicit service-specific prior","basis":"Fully loaded nominal patient-course cost. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"chronic_target":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Share with completed/actionable burden-bearing care. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"chronic_utility":{"min":-0.3,"max":0.3,"status":"Weak explicit service-specific prior","basis":"Signed utility change conditional on response. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"chronic_response":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Meaningful symptom/function response. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"chronic_catchup":{"min":0,"max":50,"status":"Weak explicit service-specific prior","basis":"Annual alternative-care/spontaneous catchup. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"chronic_horizon":{"min":0,"max":3,"status":"Weak explicit service-specific prior","basis":"Hard post-care benefit horizon. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"chronic_external":{"min":0,"max":10000,"status":"Weak explicit service-specific prior","basis":"Outside clinical/patient-time cost beyond donor/volunteer/common support. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"referral_cost":{"min":100,"max":20000,"status":"Weak explicit service-specific prior","basis":"Fully loaded nominal patient-course cost. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"referral_target":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Share with completed/actionable burden-bearing care. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"referral_utility":{"min":-0.3,"max":0.3,"status":"Weak explicit service-specific prior","basis":"Signed utility change conditional on response. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"referral_response":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Meaningful symptom/function response. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"referral_catchup":{"min":0,"max":50,"status":"Weak explicit service-specific prior","basis":"Annual alternative-care/spontaneous catchup. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"referral_horizon":{"min":0,"max":3,"status":"Weak explicit service-specific prior","basis":"Hard post-care benefit horizon. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"referral_external":{"min":0,"max":10000,"status":"Weak explicit service-specific prior","basis":"Outside clinical/patient-time cost beyond donor/volunteer/common support. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services"},"dental_other_cost":{"min":100,"max":20000,"status":"Weak explicit service-specific prior","basis":"Fully loaded nominal patient-course cost. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental"},"dental_other_target":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Share with completed/actionable burden-bearing care. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental"},"dental_other_utility":{"min":-0.3,"max":0.3,"status":"Weak explicit service-specific prior","basis":"Signed utility change conditional on response. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental"},"dental_other_response":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Meaningful symptom/function response. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental"},"dental_other_catchup":{"min":0,"max":50,"status":"Weak explicit service-specific prior","basis":"Annual alternative-care/spontaneous catchup. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental"},"dental_other_horizon":{"min":0,"max":3,"status":"Weak explicit service-specific prior","basis":"Hard post-care benefit horizon. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental"},"dental_other_external":{"min":0,"max":10000,"status":"Weak explicit service-specific prior","basis":"Outside clinical/patient-time cost beyond donor/volunteer/common support. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental"},"mental_other_cost":{"min":100,"max":20000,"status":"Weak explicit service-specific prior","basis":"Fully loaded nominal patient-course cost. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1"},"mental_other_target":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Share with completed/actionable burden-bearing care. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1"},"mental_other_utility":{"min":-0.3,"max":0.3,"status":"Weak explicit service-specific prior","basis":"Signed utility change conditional on response. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1"},"mental_other_response":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Meaningful symptom/function response. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1"},"mental_other_catchup":{"min":0,"max":50,"status":"Weak explicit service-specific prior","basis":"Annual alternative-care/spontaneous catchup. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1"},"mental_other_horizon":{"min":0,"max":3,"status":"Weak explicit service-specific prior","basis":"Hard post-care benefit horizon. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1"},"mental_other_external":{"min":0,"max":10000,"status":"Weak explicit service-specific prior","basis":"Outside clinical/patient-time cost beyond donor/volunteer/common support. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1"},"food_cost":{"min":100,"max":20000,"status":"Weak explicit service-specific prior","basis":"Fully loaded nominal patient-course cost. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy"},"food_target":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Share with completed/actionable burden-bearing care. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy"},"food_utility":{"min":-0.3,"max":0.3,"status":"Weak explicit service-specific prior","basis":"Signed utility change conditional on response. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy"},"food_response":{"min":0,"max":1,"status":"Weak explicit service-specific prior","basis":"Meaningful symptom/function response. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy"},"food_catchup":{"min":0,"max":50,"status":"Weak explicit service-specific prior","basis":"Annual alternative-care/spontaneous catchup. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy"},"food_horizon":{"min":0,"max":3,"status":"Weak explicit service-specific prior","basis":"Hard post-care benefit horizon. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy"},"food_external":{"min":0,"max":10000,"status":"Weak explicit service-specific prior","basis":"Outside clinical/patient-time cost beyond donor/volunteer/common support. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy"},"acute_medical_share":{"min":0,"max":1,"status":"Unobserved non-BP medical case-mix allocation prior","basis":"Shares of non-BP medical budget sum to1. Symptom care and chronic medication support each40%, completed specialty-care branch20%; not observed clinic spending."},"chronic_medical_share":{"min":0,"max":1,"status":"Unobserved non-BP medical case-mix allocation prior","basis":"Shares of non-BP medical budget sum to1. Symptom care and chronic medication support each40%, completed specialty-care branch20%; not observed clinic spending."},"referral_medical_share":{"min":0,"max":1,"status":"Unobserved non-BP medical case-mix allocation prior","basis":"Shares of non-BP medical budget sum to1. Symptom care and chronic medication support each40%, completed specialty-care branch20%; not observed clinic spending."}},"scenarios":[{"id":"Central","overrides":{}},{"id":"Favorable","overrides":{"funding_additionality":0.75,"dental_episode_cost":350,"mental_course_cost":700,"dental_target":0.65,"mental_target":0.8,"dental_completion":0.95,"mental_completion":0.9,"dental_unique":1,"mental_disjoint":0.95,"dental_utility":0.12,"dental_catchup":1,"dental_resolution":0.95,"mental_utility":0.07,"mental_fidelity":0.9,"mental_catchup":0.5,"dental_harm":0.0002,"mental_harm":0.0002,"bp_medical_fraction":0.4,"bp_course_cost":1000,"bp_modern_gap":0.8,"bp_delivery_transfer":1,"bp_latency":0,"acute_cost":750,"acute_target":0.75,"acute_utility":0.09,"acute_response":0.84,"acute_catchup":2,"chronic_cost":1125,"chronic_target":0.6000000000000001,"chronic_utility":0.045,"chronic_response":0.78,"chronic_catchup":0.75,"referral_cost":2250,"referral_target":0.44999999999999996,"referral_utility":0.15000000000000002,"referral_response":0.84,"referral_catchup":0.5,"dental_other_cost":450,"dental_other_target":0.375,"dental_other_utility":0.06,"dental_other_response":0.96,"dental_other_catchup":2,"mental_other_cost":750,"mental_other_target":0.75,"mental_other_utility":0.06,"mental_other_response":0.72,"mental_other_catchup":1,"food_cost":600,"food_target":0.6000000000000001,"food_utility":0.015,"food_response":0.48,"food_catchup":1}},{"id":"Cautious","overrides":{"funding_additionality":0.25,"dental_episode_cost":1000,"mental_course_cost":2200,"dental_target":0.2,"mental_target":0.3,"dental_completion":0.6,"mental_completion":0.5,"dental_utility":0.01,"dental_catchup":12,"mental_utility":0.005,"mental_fidelity":0.3,"mental_catchup":4,"dental_harm":0.001,"mental_harm":0.002,"bp_medical_fraction":0.15,"bp_course_cost":2500,"bp_modern_gap":0.1,"bp_delivery_transfer":0.3,"bp_latency":0.75,"residual_harm":0.001,"acute_cost":1500,"acute_target":0.25,"acute_utility":0.015,"acute_response":0.35,"acute_catchup":8,"chronic_cost":2250,"chronic_target":0.2,"chronic_utility":0.0075,"chronic_response":0.325,"chronic_catchup":3,"referral_cost":4500,"referral_target":0.15,"referral_utility":0.025,"referral_response":0.35,"referral_catchup":2,"dental_other_cost":900,"dental_other_target":0.125,"dental_other_utility":0.01,"dental_other_response":0.4,"dental_other_catchup":8,"mental_other_cost":1500,"mental_other_target":0.25,"mental_other_utility":0.01,"mental_other_response":0.3,"mental_other_catchup":4,"food_cost":1200,"food_target":0.2,"food_utility":0.0025,"food_response":0.2,"food_catchup":4}},{"id":"No additional funding","overrides":{"funding_additionality":0}},{"id":"No gift capacity","overrides":{"dental_capacity":0,"mental_capacity":0,"bp_capacity":0,"residual_capacity":0}},{"id":"Zero net effect","overrides":{"dental_utility":0,"mental_utility":0,"dental_harm":0,"mental_harm":0,"bp_relative_hazard":1,"bp_harm":0,"residual_harm":0,"acute_utility":0,"chronic_utility":0,"referral_utility":0,"dental_other_utility":0,"mental_other_utility":0,"food_utility":0}},{"id":"Harm only","overrides":{"dental_utility":0,"mental_utility":0,"bp_relative_hazard":1,"acute_utility":0,"chronic_utility":0,"referral_utility":0,"dental_other_utility":0,"mental_other_utility":0,"food_utility":0}},{"id":"Signed adverse utility","overrides":{"dental_utility":-0.02,"mental_utility":-0.02,"bp_relative_hazard":1.2,"acute_utility":-0.02,"chronic_utility":-0.02,"referral_utility":-0.02,"dental_other_utility":-0.02,"mental_other_utility":-0.02,"food_utility":-0.02}},{"id":"Independent harm despite replacement","overrides":{"funding_additionality":0,"independent_harm_q":0.1}},{"id":"Counseling benefit removed","overrides":{"mental_utility":0,"mental_harm":0}},{"id":"Dental benefit removed","overrides":{"dental_utility":0,"dental_harm":0}},{"id":"All counseling patients overlap","overrides":{"mental_disjoint":0}},{"id":"Lower target portfolio","overrides":{"dental_allocation":0.1,"mental_allocation":0.05,"medical_allocation":0.75}},{"id":"Higher target portfolio","overrides":{"dental_allocation":0.3,"mental_allocation":0.25,"medical_allocation":0.35}},{"id":"Fast usual-care catchup","overrides":{"dental_catchup":20,"mental_catchup":10}},{"id":"No local counseling transfer","overrides":{"mental_fidelity":0}},{"id":"Short dental advantage","overrides":{"dental_horizon":0.04}},{"id":"Low SF share","overrides":{"sf_share":0.3}},{"id":"No SF beneficiaries","overrides":{"sf_share":0}},{"id":"No Bay beneficiaries","overrides":{"bay_share":0,"sf_share":0}},{"id":"Larger gift 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No general chronic-care utility is additionally credited to these patients.","public_baseline":"No government receipts does not imply no public/free alternative care. Healthy SF covers primary and mental care, not routine dental; other dental clinics still matter.","resources":"Gross associated donor plus volunteer and external resource allowance, not net incremental societal cost or exhaustive induced public costs.","timing":"Cohorts alive at care start. Delay discounts benefits only; harms already gift-date PV. Finite utility integration, no mortality prevention.","room":"No priced additional patient tranche verified. Capacity and funding additionality are scenario priors.","unavailable":"2025 annual report linked via Canva returned unsupported-browser content; no financial or specialty counts inferred from unread pages. Displayed annualreports-page counts lack verified year and are unused.","historical":"Retain existing clinic-dental-cea-v1.json selected extraction model ($933,333 per10Q central) unchanged as historical comparison.","residual":"Remaining budget after selected dental,counseling and BP shares feeds one residual morbidity model. Rare preventive tails remain uncertain, not provenzero; residual and expectation-weight stress required."},"expected_value":{"method":"Subjective joint scenario mixture; ratio to expected signed Q, not average positive-only ratios.","weights":[{"id":"Central","weight":0.7},{"id":"Favorable","weight":0.15},{"id":"Cautious","weight":0.1},{"id":"No additional funding","weight":0.05}],"basis":"Subjective elicitation, not empirical frequencies: documented ongoing care and waiting demand put most mass on some added but partly replacing activity; central70% represents existing-provider alternatives and mixed clinical need. Favorable15% is a correlated high-need/volunteer-capacity state (severe case mix makes more targets and longer waits, available volunteer capacity lowers course cash cost), not independent success of every optimistic parameter. Cautious10% represents largely low-burden/already-served patients and weak effective delivery; structural null5% reserves complete displacement/no additional activity despite existing operation. These exact probabilities are judgment calls with no calibrated reference class; broad0–30% favorable-weight stress is required, and85%of meanhealth can come from15%tail. They are not evidence of specific funding room.","weight_sensitivity":[{"id":"No favorable tail","weights":[0.85,0,0.1,0.05]},{"id":"Five percent favorable","weights":[0.8,0.05,0.1,0.05]},{"id":"Thirty percent favorable","weights":[0.55,0.3,0.1,0.05]}]},"residual_groups":[{"id":"acute","label":"Acute illness / rheumatologic symptom care","source":"https://www.clinicbythebay.org/services","basis":"40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure."},{"id":"chronic","label":"Non-BP symptomatic medication access","source":"https://www.clinicbythebay.org/services","basis":"40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit."},{"id":"referral","label":"Completed diagnostic/specialty referral care","source":"https://www.clinicbythebay.org/services","basis":"20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately."},{"id":"dental_other","label":"Non-extraction dental restoration / periodontal symptoms","source":"https://www.clinicbythebay.org/dental","basis":"All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit."},{"id":"mental_other","label":"Other short-term mental / psychiatric symptom care","source":"https://www.clinicbythebay.org/dental-1","basis":"All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim."},{"id":"food","label":"Food access / nutrition-related morbidity","source":"https://www.clinicbythebay.org/food-pharmacy","basis":"Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. 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