{"edition":"california","organization":"Champions for Health","organizationId":"org:champions-for-health","boundaryVersion":"US-CA-state-v1","updated":"2026-10-02","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":30656067.201882433,"canonicalPriceUSDPerTenEquivalentYears":306560672.01882434,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":30656067.201882433,"canonicalPriceUSDPerTenEquivalentYears":306560672.01882434,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"champions-ca-pasd-health-resources-judgment-20261002","costScope":"Whole exploratory donor budget; only conditional PASD clinical and household-resource effects priced. Proportional cash-like overhead/events charged once; donated clinical opportunity costs and other portfolio effects remain unresolved.","geographicAttribution":"California share=1 for modeled eligible San Diego County residents. Fixed unique cohort; no imported metropolitan population share or extra children/caregiver multipliers.","formula":"N=min(capacity,gift*allocation/costPerPerson*funding); each disjoint path contributes utility*success*finite exposure*delivery discount minus treatment burden. Overlap removes positive gross health only. I=.5*sum(people*log1p(net first-year household resources/baseline))*separate first-year discount minus independent income harm. Combined=credited health+I; price10=10*gift/combined if positive and known.","counterfactual":"Coverage eligibility, other charity care, conservative treatment, later care, replacement grants/donors and provider bottlenecks. Dated79 people is a forecast for next-gift productivity, not an observed2025 denominator.","attribution":"Gift allocation and proportional unit-cost loading share a convention and cancel centrally; do not claim separate measured PASD efficiency. Funding response, repeat fraction, therapeutic/indication mix, clinical transfer and net household incidence are distinct declared priors. Clinical/provider resources are not credited as cash income.","uncertainty":"Finite unweighted judgment diagnostics; no identified marginal return, empirical confidence bounds or complete-portfolio lower bound. Negative recovery/travel effects retained. Unknown is not zero; positive-only overlap never erases harms.","nativeOutcomes":"DatedFY2023–24:79 unique people,373 overlapping appointments,45 procedure records. Forecast repeat adjustment yields36 unique procedural patients,18 therapeutic and18 diagnostic-procedural, plus43 nonprocedural; branch makeup is not measured. Central$100000normalizer yields1.914917547 extra patient-equivalents, health.005071872655126345, resources−.001809875630476703.","inputs":[{"name":"Dated cohort","value":"79 people;373 appointments;45 procedures","unit":"overlapping native activity counts","basis":"observed","rationale":"Dated FY2023–24 report, not an observed2025 cohort or causal gain.","sourceIds":["annual24"]},{"name":"Latest dedicated PASD expense","value":556597,"unit":"USD FY2025","basis":"observed","rationale":"Original same-entity program expense; no donated clinical valuation.","sourceIds":["original-2025-IRS990"]},{"name":"Cash-like normalizer","value":2062752,"unit":"USD FY2025","basis":"observed","rationale":"Tax expense plus netted event expense, excluding recognized donated services; accrual-based, not cashflow.","sourceIds":["original-2025-IRS990","original-2025-IRS990ScheduleD"]},{"name":"gift","value":100000,"unit":"USD exploratory normalizer","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"allocation","value":0.3238936580279041,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"costPerPerson","value":8457.117606131333,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"funding","value":0.5,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"capacity","value":20,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"uniqueProcedureFraction","value":0.8,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"therapeuticFraction","value":0.5,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"clinicalExposureYears","value":0.5,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"resourceBenefitFraction","value":0.5,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"clinicalTransfer","value":1,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"healthGrossScale","value":1,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"healthHarmScale","value":1,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"gallstoneUtility","value":0,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"diagnosticUtility","value":0.01,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"medicineAnnual","value":60,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"netPayPerDay","value":100,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"paidCashIncidence","value":0.5,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"postopLostDays","value":3,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"netCashPerAppointment","value":10,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"baselineConsumption","value":30000,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"discount","value":0.03,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"delayYears","value":0.25,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"overlap","value":0,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"independentHealthHarm","value":0,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"independentIncomeHarm","value":0,"unit":"declared model parameter","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"healthUnknown","value":false,"unit":"diagnostic flag","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"incomeUnknown","value":false,"unit":"diagnostic flag","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"otherPortfolioUnknown","value":true,"unit":"diagnostic flag","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"incomeZero","value":false,"unit":"diagnostic flag","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"allPatientHealthZero","value":false,"unit":"diagnostic flag","basis":"judgment","rationale":"Inspectable forecast/control. Throughput, allocation, utility, finite exposure, patient cash incidence and additionality are not measured causal effects; see report and candidate memo.","sourceIds":["annual24","pasd","original-2025-IRS990"]},{"name":"Disjoint central patient health and cash ledger","value":"[{\"id\":\"symptomatic_hernia\",\"people\":0.1745241308698283,\"grossHealth\":0.0030953472460599337,\"overlapRemoved\":0,\"proceduralHarm\":0.000692956813057993,\"healthNet\":0.0024023904330019406,\"firstYearMedications\":27,\"firstYearRestoredWork\":112.5,\"firstYearRecoveryLoss\":150,\"firstYearExtraTravel\":47.21518987341773,\"netFirstYearResources\":-57.71518987341773,\"firstYearExposureYears\":1,\"receiptTimeYears\":0.75,\"incomeEquivalentYears\":-0.00016435561109671195},{\"id\":\"severe_gallstone\",\"people\":0.1308930981523712,\"grossHealth\":0,\"overlapRemoved\":0,\"proceduralHarm\":0.0010394352195869894,\"healthNet\":-0.0010394352195869894,\"firstYearMedications\":0,\"firstYearRestoredWork\":0,\"firstYearRecoveryLoss\":150,\"firstYearExtraTravel\":47.21518987341773,\"netFirstYearResources\":-197.21518987341773,\"firstYearExposureYears\":1,\"receiptTimeYears\":0.75,\"incomeEquivalentYears\":-0.0004221913752873339},{\"id\":\"unrepaired_fracture\",\"people\":0.08726206543491415,\"grossHealth\":0.003439274717844371,\"overlapRemoved\":0,\"proceduralHarm\":0.0012992940244837368,\"healthNet\":0.002139980693360634,\"firstYearMedications\":24,\"firstYearRestoredWork\":200,\"firstYearRecoveryLoss\":150,\"firstYearExtraTravel\":47.21518987341773,\"netFirstYearResources\":26.784810126582272,\"firstYearExposureYears\":1,\"receiptTimeYears\":0.75,\"incomeEquivalentYears\":0.00003808387127527736},{\"id\":\"refractory_aub\",\"people\":0.04363103271745707,\"grossHealth\":0.0012789802856983754,\"overlapRemoved\":0,\"proceduralHarm\":0.0004330980081612456,\"healthNet\":0.0008458822775371298,\"firstYearMedications\":25.5,\"firstYearRestoredWork\":0,\"firstYearRecoveryLoss\":150,\"firstYearExtraTravel\":47.21518987341773,\"netFirstYearResources\":-171.71518987341773,\"firstYearExposureYears\":1,\"receiptTimeYears\":0.75,\"incomeEquivalentYears\":-0.00012248162187395128},{\"id\":\"diagnostic_and_nonprocedural_management\",\"people\":1.4786072198693783,\"grossHealth\":0.001456914984642407,\"overlapRemoved\":0,\"proceduralHarm\":0.0007338605138287772,\"healthNet\":0.0007230544708136298,\"firstYearMedications\":0,\"firstYearRestoredWork\":0,\"firstYearRecoveryLoss\":0,\"firstYearExtraTravel\":47.21518987341773,\"netFirstYearResources\":-47.21518987341773,\"firstYearExposureYears\":1,\"receiptTimeYears\":0.75,\"incomeEquivalentYears\":-0.0011389308934939832}]","unit":"modeled patient-equivalents and first-year net household USD","basis":"judgment","rationale":"Combined diagnostic/nonprocedural complement is not duplicate records converted to patients. HealthNet is after overlap; clinical burdens have treatment timing; resource exposure is one first year.","sourceIds":["annual24","pasd","give","hernia-trial","fracture-cohort","aub-trial","c-gall","income-method"]}],"scenarios":[{"id":"central","label":"Central conditional specialty-care and household resources","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":306560672.01882434,"assumptions":"Exact declared overrides encoded in calculator scenario central. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"lowFunding","label":"low Funding","costUSD":100000,"allPopulationQalys":0.001014374531025269,"editionQalys":0.001014374531025269,"incomeUnknown":false,"incomePathways":[{"people":0.38298350940878984,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.92395631039631,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":1532803360.094122,"assumptions":"Exact declared overrides encoded in calculator scenario lowFunding. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"legacyFunding","label":"legacy Funding","costUSD":100000,"allPopulationQalys":0.0025359363275631727,"editionQalys":0.0025359363275631727,"incomeUnknown":false,"incomePathways":[{"people":0.9574587735219745,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":613121344.0376487,"assumptions":"Exact declared overrides encoded in calculator scenario legacyFunding. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"highFunding","label":"high Funding","costUSD":100000,"allPopulationQalys":0.008114996248202153,"editionQalys":0.008114996248202153,"incomeUnknown":false,"incomePathways":[{"people":3.0638680752703187,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.92395631039631,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":191600420.01176524,"assumptions":"Exact declared overrides encoded in calculator scenario highFunding. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"completeReplacement","label":"complete Replacement","costUSD":100000,"allPopulationQalys":0,"editionQalys":0,"incomeUnknown":false,"incomePathways":[],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario completeReplacement. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"replacementWithHarms","label":"replacement With Harms","costUSD":100000,"allPopulationQalys":-0.01,"editionQalys":-0.01,"incomeUnknown":false,"incomePathways":[{"people":1,"annualIncomeBeforeUSD":1,"annualIncomeGainUSD":-0.0198013266932447,"years":1,"delayYears":0,"discountRate":0,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["income-method"],"rationale":"Synthetic exact serialization of an independent equivalent-year harm diagnostic; baseline/gain are NOT empirical dollars.","counterfactual":"Independent gift-induced resource harm persists when ordinary income/funding pathways are zero."}],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario replacementWithHarms. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"lowCapacity","label":"low Capacity","costUSD":100000,"allPopulationQalys":0.0013243057548236938,"editionQalys":0.0013243057548236938,"incomeUnknown":false,"incomePathways":[{"people":0.5,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.92395631039631,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":1174076820.164863,"assumptions":"Exact declared overrides encoded in calculator scenario lowCapacity. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"mixedCategoryCost","label":"mixed Category Cost","costUSD":100000,"allPopulationQalys":0.0034575471831583687,"editionQalys":0.0034575471831583687,"incomeUnknown":false,"incomePathways":[{"people":1.305418771520281,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":449693556.4966415,"assumptions":"Exact declared overrides encoded in calculator scenario mixedCategoryCost. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"undatedThroughput","label":"undated Throughput","costUSD":100000,"allPopulationQalys":0.02150730809452311,"editionQalys":0.02150730809452311,"incomeUnknown":false,"incomePathways":[{"people":8.120219977971177,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.92395631039631,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":72293412.20742425,"assumptions":"Exact declared overrides encoded in calculator scenario undatedThroughput. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"wholeRecipientCost","label":"whole Recipient Cost","costUSD":100000,"allPopulationQalys":0.0022212092394497344,"editionQalys":0.0022212092394497344,"incomeUnknown":false,"incomePathways":[{"people":0.8386315740753715,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":699995597.8638983,"assumptions":"Exact declared overrides encoded in calculator scenario wholeRecipientCost. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"allGiftPasd","label":"all Gift Pasd","costUSD":100000,"allPopulationQalys":0.015659067503845332,"editionQalys":0.015659067503845332,"incomeUnknown":false,"incomePathways":[{"people":5.912179814521021,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":99293057.46766956,"assumptions":"Exact declared overrides encoded in calculator scenario allGiftPasd. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"quarterYear","label":"quarter Year","costUSD":100000,"allPopulationQalys":0.0004537723036951765,"editionQalys":0.0004537723036951765,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario quarterYear. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"fullYear","label":"full Year","costUSD":100000,"allPopulationQalys":0.01420588219326545,"editionQalys":0.01420588219326545,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":80671141.54342853,"assumptions":"Exact declared overrides encoded in calculator scenario fullYear. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. 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These are unweighted diagnostics."},{"id":"gallstonePositive","label":"gallstone Positive","costUSD":100000,"allPopulationQalys":0.007973760698307535,"editionQalys":0.007973760698307535,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. 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These are unweighted diagnostics."},{"id":"gallstoneNegativeFullOverlap","label":"gallstone Negative Full Overlap","costUSD":100000,"allPopulationQalys":-0.007100532622299931,"editionQalys":-0.007100532622299931,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. 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These are unweighted diagnostics."},{"id":"diagnosticZero","label":"diagnostic Zero","costUSD":100000,"allPopulationQalys":0.0036149576704839377,"editionQalys":0.0036149576704839377,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":553991440.7413815,"assumptions":"Exact declared overrides encoded in calculator scenario diagnosticZero. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"healthUnknown","label":"health Unknown","costUSD":100000,"allPopulationQalys":null,"editionQalys":null,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario healthUnknown. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"incomeUnknown","label":"income Unknown","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":true,"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario incomeUnknown. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"incomeZero","label":"income Zero","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[],"costPer10Qalys":197165833.60768333,"assumptions":"Exact declared overrides encoded in calculator scenario incomeZero. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"incomeZeroWithHarm","label":"income Zero With Harm","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[{"people":1,"annualIncomeBeforeUSD":1,"annualIncomeGainUSD":-0.0198013266932447,"years":1,"delayYears":0,"discountRate":0,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["income-method"],"rationale":"Synthetic exact serialization of an independent equivalent-year harm diagnostic; baseline/gain are NOT empirical dollars.","counterfactual":"Independent gift-induced resource harm persists when ordinary income/funding pathways are zero."}],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario incomeZeroWithHarm. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"benefitZeroRetainsHarm","label":"benefit Zero Retains Harm","costUSD":100000,"allPopulationQalys":-0.004198644579118742,"editionQalys":-0.004198644579118742,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario benefitZeroRetainsHarm. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"fullOverlap","label":"full Overlap","costUSD":100000,"allPopulationQalys":-0.004198644579118742,"editionQalys":-0.004198644579118742,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. 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These are unweighted diagnostics."},{"id":"halfOverlap","label":"half Overlap","costUSD":100000,"allPopulationQalys":0.0004366140380038016,"editionQalys":0.0004366140380038016,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-57.923956310396306,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario halfOverlap. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"consumption15000","label":"consumption15000","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":15000,"annualIncomeGainUSD":-57.95831494763581,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":691341391.4625175,"assumptions":"Exact declared overrides encoded in calculator scenario consumption15000. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"consumption60000","label":"consumption60000","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":60000,"annualIncomeGainUSD":-57.90688065348792,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":239944015.5513111,"assumptions":"Exact declared overrides encoded in calculator scenario consumption60000. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"noMedicine","label":"no Medicine","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-62.06002328011433,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":319220719.26323694,"assumptions":"Exact declared overrides encoded in calculator scenario noMedicine. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"noPaidWork","label":"no Paid Work","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-43.08125511372645,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":268377029.1046009,"assumptions":"Exact declared overrides encoded in calculator scenario noPaidWork. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"resourceHarm","label":"resource Harm","costUSD":100000,"allPopulationQalys":0.005071872655126345,"editionQalys":0.005071872655126345,"incomeUnknown":false,"incomePathways":[{"people":1.914917547043949,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-377.357390264873,"years":1,"delayYears":0.75,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["annual24","pasd","give","income-method"],"rationale":"Exact grouped logarithmic serialization of a fixed unique-household first-year ledger; gain is a weighted geometric consumption-equivalent, not observed earnings or an arithmetic mean. Full disjoint path values remain in model inputs and reproducible calculator.","counterfactual":"Otherwise-paid medication and actual net paid-work changes minus incremental recovery/travel cash after alternatives and assistance; no duplicated survivor wages or clinical benefit tail."}],"costPer10Qalys":null,"assumptions":"Exact declared overrides encoded in calculator scenario resourceHarm. Health and first-year net resources are distinct finite ledgers. Unknown components remain unknown; signed harms persist. These are unweighted diagnostics."},{"id":"historical-alpha-central","label":"Historical specialty-care estimate: $32.96M; preserved comparison","costUSD":2378718,"allPopulationQalys":0.7216984223300972,"editionQalys":0.7216984223300972,"assumptions":"Old judged f=.25; k=5000; a=.5; b=.25; u=.05; T=1; g_CA=1; d=.03. Arithmetic implies $32.96 million per ten QALYs, not a verified marginal donation return."},{"id":"portfolio","label":"Complete portfolio remains unknown","costUSD":100000,"allPopulationQalys":null,"editionQalys":null,"incomeUnknown":true,"assumptions":"Immunization, physician support and opportunity-cost effects are unresolved; conditional partial PASD estimate is not a complete-portfolio lower bound."}],"sensitivity":[{"label":"lowFunding","pricePer10Qalys":1532803360.094122,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"legacyFunding","pricePer10Qalys":613121344.0376487,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"highFunding","pricePer10Qalys":191600420.01176524,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"completeReplacement","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"replacementWithHarms","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"lowCapacity","pricePer10Qalys":1174076820.164863,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"mixedCategoryCost","pricePer10Qalys":449693556.4966415,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"undatedThroughput","pricePer10Qalys":72293412.20742425,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"wholeRecipientCost","pricePer10Qalys":699995597.8638983,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"allGiftPasd","pricePer10Qalys":99293057.46766956,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"quarterYear","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"fullYear","pricePer10Qalys":80671141.54342853,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"twoYears","pricePer10Qalys":33046360.99309771,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"gallstonePositive","pricePer10Qalys":162235341.6709497,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"gallstoneNegativeFullOverlap","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"diagnosticZero","pricePer10Qalys":553991440.7413815,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"healthUnknown","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"incomeUnknown","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"incomeZero","pricePer10Qalys":197165833.60768333,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"incomeZeroWithHarm","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"benefitZeroRetainsHarm","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"fullOverlap","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"halfOverlap","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"consumption15000","pricePer10Qalys":691341391.4625175,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"consumption60000","pricePer10Qalys":239944015.5513111,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"noMedicine","pricePer10Qalys":319220719.26323694,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"noPaidWork","pricePer10Qalys":268377029.1046009,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."},{"label":"resourceHarm","pricePer10Qalys":null,"assumptions":"Declared prior diagnostic, not a probability interval; same scenario appears in the inspectable table."}],"missingInputs":["Contemporary unique patients reconciled with dedicated PASD cash costs.","Current repeat/therapeutic/indication mix and finite comparative clinical outcomes.","Actual otherwise-paid medicine, net paid-work/recovery/travel and household consumption.","Gift-sized eligible cases, provider commitments and marginal funding allocation.","Incremental immunization/physician-support effects and full social opportunity costs."],"historicalModel":{"version":"ca-champions-beta-withdrawn-v3","costScope":"Full recipient annual recognized economic resources, including donated services and gross event costs. Only specialty-care health is priced; other portfolio pathways remain unpriced. Resource normalization is not a funding request.","geographicAttribution":"g_CA=1 for qualifying San Diego County resident specialty-care pathways. This is an independently reviewed California denominator, not a population allocation or imported LA share. Low scenario permits 5% nonresident/relocation leakage.","formula":"N=C*f/k; incremental effective treatment equivalents=N*a*b; Q_CA=N*a*b*u*T*g_CA/(1+d). Central T=1 year; u=0.05 utility improvement, so u*T=0.05 undiscounted QALY. Price10=10*C/Q_CA. Q_portfolio_CA=Q_specialty_CA+Q_other_CA with Q_other_CA unknown. No completion factor or response multiplier is applied twice.","counterfactual":"Existing contract-funded delivery and state vaccine supply continue; consider vaccinations at pharmacies/clinics, public coverage, other charity care, conservative treatment and later care. A gift must change uptake or treatment beyond this baseline.","attribution":"a discounts eventual alternative or public care; b separately discounts whether an unrestricted gift changes delivery rather than contracts, reserves or capacity. k includes coordination and partner resources; known donated resources are already in C, not added again.","uncertainty":"All numerical clinical and donor-response parameters are judgments. Broad joint scenarios are not confidence bounds. The narrow health component cannot establish a complete portfolio ranking. The utility prior represents expected net health area over the stated finite horizon, including treatment burden, within-horizon fade and competing mortality; it is not an endpoint score held indefinitely. No survival extension is credited.","nativeOutcomes":"Central resource normalization implies 118.9359 completed treatment pathways before counterfactual adjustment and 14.8669875 incremental treatment equivalents, yielding 0.7216984223300972 California QALYs over one year. These are modeled equivalents, not observed patients.","inputs":[{"name":"C","value":2378718,"unit":"USD annual gross recognized recipient resources","basis":"observed","rationale":"2025 return 1,963,721 + events 99,031 + donated services 315,966.","sourceIds":["original-2025-IRS990","original-2025-IRS990ScheduleD"]},{"name":"f","value":0.25,"unit":"fraction of recipient resources","basis":"judgment","rationale":"Near but below the 556,597/1,963,721 reported Project Access share; allocation of incremental resources is not observed.","sourceIds":["original-2025-IRS990"]},{"name":"k","value":5000,"unit":"USD full resources per completed treatment pathway","basis":"judgment","rationale":"Judgment including donated clinical opportunity costs, not a quoted fee or observed program average.","sourceIds":[]},{"name":"a","value":0.5,"unit":"net additional treatment-benefit fraction","basis":"judgment","rationale":"Alternative charity/public/later treatment discounted separately from funding response.","sourceIds":[]},{"name":"b","value":0.25,"unit":"funding-response fraction","basis":"judgment","rationale":"Judgment on capacity, unrestricted allocation response and contract replacement; applied once.","sourceIds":[]},{"name":"u","value":0.05,"unit":"utility improvement for one year","basis":"judgment","rationale":"Subjective net clinical benefit after treatment burdens; no empirical organization effect claimed.","sourceIds":[]},{"name":"T","value":1,"unit":"year","basis":"judgment","rationale":"Finite effect; no benefit beyond one year.","sourceIds":[]},{"name":"g_CA","value":1,"unit":"California share of priced health","basis":"judgment","rationale":"Current San Diego County resident eligibility; not a whole-portfolio share.","sourceIds":["pasd"]},{"name":"d","value":0.03,"unit":"annual discount rate","basis":"judgment","rationale":"Conservative end-of-year timing.","sourceIds":[]},{"name":"Q_other_CA","value":null,"unit":"California QALYs","basis":"unknown","rationale":"Vaccination and physician-support effects not included in the central health price.","sourceIds":[]}],"scenarios":[{"id":"central","label":"Ordinary-gift central estimate withdrawn","costUSD":2378718,"allPopulationQalys":null,"editionQalys":null,"assumptions":"No measured unrestricted-gift response, completed effective treatment unit or causal utility gain. Prior parameter arithmetic is retained in historical-alpha-central."},{"id":"historical-alpha-central","label":"Historical specialty-care diagnostic, not donor price","costUSD":2378718,"allPopulationQalys":0.7216984223300972,"editionQalys":0.7216984223300972,"assumptions":"Old judged f=.25; k=5000; a=.5; b=.25; u=.05; T=1; g_CA=1; d=.03. Arithmetic implies $32.96 million per ten QALYs, not a verified marginal donation return."},{"id":"low","label":"Low benefit / weak funding response","costUSD":2378718,"allPopulationQalys":0.0007698116504854371,"editionQalys":0.0007313210679611652,"assumptions":"f=.1; k=15000; a=.1; b=.05; u=.01; T=1; g_CA=.95; d=.03."},{"id":"high","label":"Favorable treatment and capacity","costUSD":2378718,"allPopulationQalys":27.713219417475727,"editionQalys":27.713219417475727,"assumptions":"f=.4; k=2000; a=.8; b=.5; u=.15; T=1; g_CA=1; d=.03."},{"id":"zero","label":"No additional health","costUSD":2378718,"allPopulationQalys":0,"editionQalys":0,"assumptions":"Complete funding substitution or no clinical improvement."},{"id":"harm","label":"Adverse stress test","costUSD":2378718,"allPopulationQalys":-1,"editionQalys":-1,"assumptions":"One net California QALY lost through adverse treatment or displaced superior services; subjective stress test, not forecast."},{"id":"portfolio","label":"Complete portfolio remains unpriced","costUSD":2378718,"allPopulationQalys":null,"editionQalys":null,"assumptions":"Do not equate the priced specialty-care component with all portfolio health."}],"sensitivity":["Doubling full resources per completed pathway k doubles the component price, holding all other inputs fixed.","At fixed model parameters, proportional annual cost scaling changes output but not price. At the central normalization, reaching $1 million per ten QALYs requires 23.78718 California QALYs versus 0.7216984223300972 modeled; no such yield is demonstrated."],"missingInputs":["Completed unique treatment pathways, indication mix and actual full partner resource cost.","Prospective utility and complication data with alternative-care timing.","Current unrestricted funding response and specialty-slot capacity.","Incremental vaccination and physician-support health; full portfolio remains unpriced."]}},"sources":[{"id":"home","title":"Current programs and undated annual impact","publisher":"Champions for Health","url":"https://championsforhealth.org/","published":null,"retrieved":"2026-10-02"},{"id":"pasd","title":"Project Access San Diego","publisher":"Champions for Health","url":"https://championsforhealth.org/programs/project-access-sd/","published":null,"retrieved":"2026-10-02"},{"id":"flu","title":"Free immunization program","publisher":"Champions for 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