{"edition":"california","organization":"Operation Access","organizationId":"ein:94-3180356","boundaryVersion":"US-CA-state-v1","updated":"2026-10-02","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":331699.6335873858,"canonicalPriceUSDPerTenEquivalentYears":3316996.335873858,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":331699.6335873858,"canonicalPriceUSDPerTenEquivalentYears":3316996.335873858,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"oa-ca-donor-health-resources-judgment-20261002","costScope":"2025 total same-entity tax expense/service forecasts next-year coordination costs, including support and fundraising; donated clinical opportunity costs excluded. Donation paid at time zero.","geographicAttribution":"Direct California residents; share1 is assumed retained through the finite modeled effects.","formula":"10 × donor cost / (credited California clinical health years + net first-year household-consumption-equivalent years). Funding scales added encounters once; overlap excludes only positive individual clinical credits, not signed harms.","counterfactual":"Already funded activity and alternative public/charity care; each clinical diagnosis has finite catch-up, treatment failure, mortality and procedure risk.","attribution":"Funding response0.3 and cap100 are declared judgments; annual count and dated reserves do not identify new donor-sensitive slots. One unique patient/household assumed; specialty diagnosis shares remain priors.","uncertainty":"Conditional central, not empirical expected value; no scenario weights. Net household incidence, clinical transport, case selection and marginal capacity unresolved. Unknown components are not zero.","nativeOutcomes":"1529 specialty encounters /1130 reported unduplicated people in2025 across ten specialties. Services are not unique surgeries; observed mix informs a partial health/resource portfolio.","inputs":[{"name":"Matched2025 expenses","value":2261505,"unit":"USD","basis":"observed","rationale":"Original same-entity total expense, not waived hospital charges","sourceIds":["990-2025"]},{"name":"Observed specialty counts","value":"{\"gi\":575,\"general\":201,\"gyne\":168,\"ortho\":158,\"head_neck\":127,\"urology\":101,\"derm\":80,\"vascular\":58,\"eye\":45,\"other\":16}","unit":"service encounters","basis":"observed","rationale":"Native2025 chart; counts sum1529, not diagnoses","sourceIds":["report"]},{"name":"Observed unduplicated patients","value":1130,"unit":"people","basis":"observed","rationale":"Organizational reported count; marginal within-path ratio remains judgment","sourceIds":["990-2025"]},{"name":"Funding additionality","value":0.3,"unit":"fraction","basis":"judgment","rationale":"Dated reserves and replacement fundraising inform a subjective prior, not a measured marginal effect","sourceIds":["audit","budget","report"]},{"name":"Household resource parameters","value":"{\"gift\":100000,\"funding\":0.3,\"cap\":100,\"costPerService\":1479.0745585349903,\"baselineConsumption\":30000,\"medicationAnnual\":60,\"cystNetRecoveredPaidDays\":5,\"netPayPerRecoveredDay\":100,\"paidWorkShare\":0.5,\"ctsExtraLostPaidDays\":0.3,\"patientNetCashPerService\":25,\"overlap\":0,\"resourcesScale\":1,\"healthIndependentHarm\":0,\"incomeIndependentHarm\":0,\"healthNull\":false,\"incomeNull\":false,\"healthZero\":false,\"incomeZero\":false}","unit":"conditional first-year inputs","basis":"judgment","rationale":"Net amounts after alternativecare/payer offsets, not observed household incomes; independent harm inputs are gift-date equivalent-year diagnostics","sourceIds":["report","cts-econ","budget","income-method"]},{"name":"Foundation clinical vector","value":"{\"gift_usd\":100000,\"funding_additionality\":0.3,\"max_additional_services\":100,\"discount\":0.03,\"bay_share\":0.6,\"sf_share\":0.08,\"independent_harm_q\":0,\"outside_support_per_service\":60,\"patient_time_per_service\":100,\"crc_treatment_cost_per_selected\":1500,\"gi_allocation\":0.3760627861347286,\"gi_cash_per_service\":1479.0745585349903,\"gi_clinical_resource_per_service\":2500,\"general_allocation\":0.131458469587966,\"general_cash_per_service\":1479.0745585349903,\"general_clinical_resource_per_service\":5500,\"gyne_allocation\":0.10987573577501634,\"gyne_cash_per_service\":1479.0745585349903,\"gyne_clinical_resource_per_service\":4500,\"ortho_allocation\":0.10333551340745585,\"ortho_cash_per_service\":1479.0745585349903,\"ortho_clinical_resource_per_service\":5000,\"head_neck_allocation\":0.08306082406801832,\"head_neck_cash_per_service\":1479.0745585349903,\"head_neck_clinical_resource_per_service\":3500,\"urology_allocation\":0.06605624591236102,\"urology_cash_per_service\":1479.0745585349903,\"urology_clinical_resource_per_service\":4000,\"derm_allocation\":0.052321778940483975,\"derm_cash_per_service\":1479.0745585349903,\"derm_clinical_resource_per_service\":1800,\"vascular_allocation\":0.03793328973185088,\"vascular_cash_per_service\":1479.0745585349903,\"vascular_clinical_resource_per_service\":4500,\"eye_allocation\":0.029431000654022238,\"eye_cash_per_service\":1479.0745585349903,\"eye_clinical_resource_per_service\":2500,\"other_allocation\":0.010464355788096796,\"other_cash_per_service\":1479.0745585349903,\"other_clinical_resource_per_service\":3000,\"eye_selected_fraction\":0.65,\"eye_services_per_person\":1.3530973451327433,\"eye_disjoint_fraction\":1,\"eye_treatment_success\":1,\"eye_utility_gain\":0.04369288612091463,\"eye_catchup_hazard\":0,\"eye_loss_hazard\":0.03,\"eye_mortality_hazard\":0.02,\"eye_horizon_years\":1,\"eye_delay_years\":0.25,\"eye_harm_q_per_person\":0.002,\"hernia_selected_fraction\":0.45,\"hernia_services_per_person\":1.3530973451327433,\"hernia_disjoint_fraction\":1,\"hernia_treatment_success\":0.85,\"hernia_utility_gain\":0.04,\"hernia_catchup_hazard\":0.7,\"hernia_loss_hazard\":0.08,\"hernia_mortality_hazard\":0.02,\"hernia_horizon_years\":3,\"hernia_delay_years\":0.25,\"hernia_harm_q_per_person\":0.004,\"crc_selected_fraction\":0.5,\"crc_services_per_person\":1.3530973451327433,\"crc_disjoint_fraction\":1,\"crc_treatment_linkage\":0.7,\"crc_annual_fatal_hazard_reduction\":0.0006,\"crc_baseline_total_mortality_hazard\":0.025,\"crc_catchup_hazard\":0.5,\"crc_latency_years\":2,\"crc_active_years\":5,\"crc_horizon_years\":10,\"crc_delay_years\":0.25,\"crc_surviving_utility\":0.75,\"crc_harm_q_per_person\":0.001}","unit":"finite clinical inputs","basis":"judgment","rationale":"Cataract integrated first-year gain with0.75transport; observed specialty allocations and matched cost replace prior spending mix","sourceIds":["cataract","report","990-2025"]},{"name":"Pathway gi_symptom_diagnosis (gi)","value":"{\"id\":\"gi_symptom_diagnosis\",\"category\":\"gi\",\"share\":0.5,\"name\":\"Non-FIT GI investigation → benign treatable dyspepsia/dysphagia management\",\"utility_gain\":0.03,\"treatment_success\":0.4,\"harm_q_per_person\":0.001,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Diagnostic procedure alone earns no cure; treatment linkage is a prior, alternative primary-care therapy remains baseline.\",\"downstream_resource_per_nominal_service\":200}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway general_cyst (general)","value":"{\"id\":\"general_cyst\",\"category\":\"general\",\"share\":0.225,\"name\":\"Painful cyst/lipoma excision\",\"utility_gain\":0.025,\"treatment_success\":0.85,\"harm_q_per_person\":0.002,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Current OA procedure explicitly listed; utility and symptom-limiting fraction are priors, not cosmetic benefit.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway anorectal (general)","value":"{\"id\":\"anorectal\",\"category\":\"general\",\"share\":0.12,\"name\":\"Symptomatic haemorrhoid/fissure treatment\",\"utility_gain\":0.05,\"treatment_success\":0.8,\"harm_q_per_person\":0.004,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Historical minor anorectal mix only; assume persistent symptoms despite medical management.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway gallstone (general)","value":"{\"id\":\"gallstone\",\"category\":\"general\",\"share\":0.065,\"name\":\"Uncomplicated symptomatic gallstone surgery\",\"utility_gain\":0,\"treatment_success\":0.7,\"harm_q_per_person\":0.005,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"C-GALL control includes later surgery; nonsignificant small integrated QALY difference; conservative care may suffice.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","c-gall-full"]},{"name":"Pathway breast_diagnostic (general)","value":"{\"id\":\"breast_diagnostic\",\"category\":\"general\",\"share\":0.14,\"name\":\"Breast lesion diagnostic assessment and linked benign symptom treatment\",\"utility_gain\":0.01,\"treatment_success\":0.25,\"harm_q_per_person\":0.001,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"No unverified cancer survival gain. Prior only for changed symptom management, not all negative tests.\",\"downstream_resource_per_nominal_service\":200}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway aub (gyne)","value":"{\"id\":\"aub\",\"category\":\"gyne\",\"share\":0.65,\"name\":\"Refractory abnormal uterine bleeding → definitive outpatient treatment\",\"utility_gain\":0.07,\"treatment_success\":0.8,\"harm_q_per_person\":0.015,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Ms trial supports surgery vs expanded medical care; no hysterectomy-vs-ablation transfer, fertility/recovery losses retained.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","aub"]},{"name":"Pathway pelvic (gyne)","value":"{\"id\":\"pelvic\",\"category\":\"gyne\",\"share\":0.25,\"name\":\"Symptomatic pelvic prolapse/incontinence treatment\",\"utility_gain\":0.07,\"treatment_success\":0.7,\"harm_q_per_person\":0.01,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Case-mix and utility priors, not confirmed OA frequency; pessary/conservative alternatives retained.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway gyne_diagnostic (gyne)","value":"{\"id\":\"gyne_diagnostic\",\"category\":\"gyne\",\"share\":0.1,\"name\":\"Gynaecologic diagnostic workup → nonmalignant symptom management\",\"utility_gain\":0.02,\"treatment_success\":0.3,\"harm_q_per_person\":0.002,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Diagnosis without management has zero benefit through linkage; no automatic cancer cure.\",\"downstream_resource_per_nominal_service\":200}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway cts (ortho)","value":"{\"id\":\"cts\",\"category\":\"ortho\",\"share\":0.35,\"name\":\"Carpal tunnel decompression for symptomatic confirmed CTS\",\"utility_gain\":0.03,\"treatment_success\":0.8,\"harm_q_per_person\":0.004,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Primary economic trial .04 at12months is nonsignificant point utility, not integrated QALY. .03 here is an independent transfer prior.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway foot_tendon (ortho)","value":"{\"id\":\"foot_tendon\",\"category\":\"ortho\",\"share\":0.45,\"name\":\"Painful foot deformity / tendon or trigger-finger intervention\",\"utility_gain\":0.06,\"treatment_success\":0.75,\"harm_q_per_person\":0.005,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Named mechanical function hypothesis; OA ortho/podiatry totals not diagnosis frequencies. Utilities are priors. Torkki hallux-valgus RCT11368700 supports the painful-bunion subset only; two-year catch-up12807332 rules out lifelong timing gain.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway degenerative_knee (ortho)","value":"{\"id\":\"degenerative_knee\",\"category\":\"ortho\",\"share\":0.2,\"name\":\"Degenerative knee arthroscopy without acute mechanical indication\",\"utility_gain\":0,\"treatment_success\":0.8,\"harm_q_per_person\":0.006,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Null benefit central, not assume all orthopaedic surgery is useful; harm retained.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway nasal (head_neck)","value":"{\"id\":\"nasal\",\"category\":\"head_neck\",\"share\":0.7,\"name\":\"Septal nasal obstruction surgery versus nasal medical therapy\",\"utility_gain\":0.04,\"treatment_success\":0.8,\"harm_q_per_person\":0.004,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"NAIROS validates symptom mechanism, not SNOT22-to-QALY conversion or universal ENT benefit.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway ear (head_neck)","value":"{\"id\":\"ear\",\"category\":\"head_neck\",\"share\":0.3,\"name\":\"Conductive ear disease treatment\",\"utility_gain\":0.03,\"treatment_success\":0.7,\"harm_q_per_person\":0.003,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Clinical indication and utility priors; no all-ENT survival credit.\",\"downstream_resource_per_nominal_service\":200}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway bph (urology)","value":"{\"id\":\"bph\",\"category\":\"urology\",\"share\":0.45,\"name\":\"Bothersome BPH/outlet obstruction treatment\",\"utility_gain\":0.06,\"treatment_success\":0.8,\"harm_q_per_person\":0.006,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"TURP vs watchful waiting trial supports symptom relief, not current OA frequency; modern medication baseline matters.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway stone (urology)","value":"{\"id\":\"stone\",\"category\":\"urology\",\"share\":0.35,\"name\":\"Symptomatic urinary stone treatment\",\"utility_gain\":0.05,\"treatment_success\":0.75,\"harm_q_per_person\":0.005,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"No prophylactic life-saving claim for asymptomatic stones; spontaneous passage and medical treatment in comparator.\",\"downstream_resource_per_nominal_service\":200}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway scrotal (urology)","value":"{\"id\":\"scrotal\",\"category\":\"urology\",\"share\":0.2,\"name\":\"Symptomatic benign scrotal/hydrocele treatment\",\"utility_gain\":0.025,\"treatment_success\":0.75,\"harm_q_per_person\":0.004,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Indication and finite utility priors; no infertility or cancer mortality award.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway derm_cyst (derm)","value":"{\"id\":\"derm_cyst\",\"category\":\"derm\",\"share\":0.8,\"name\":\"Symptomatic benign skin cyst/lesion treatment\",\"utility_gain\":0.02,\"treatment_success\":0.8,\"harm_q_per_person\":0.002,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Current OA cyst/lipoma service; disjoint allocation from general surgery required.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway skin_lesion (derm)","value":"{\"id\":\"skin_lesion\",\"category\":\"derm\",\"share\":0.2,\"name\":\"Localized skin lesion diagnosis and treatment\",\"utility_gain\":0.03,\"treatment_success\":0.6,\"harm_q_per_person\":0.003,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Symptom/functional relief only; no melanoma mortality extrapolation.\",\"downstream_resource_per_nominal_service\":200}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway veins (vascular)","value":"{\"id\":\"veins\",\"category\":\"vascular\",\"share\":1,\"name\":\"Symptomatic uncomplicated varicose vein treatment\",\"utility_gain\":0.04,\"treatment_success\":0.8,\"harm_q_per_person\":0.003,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"REACTIV randomized conservative comparator; integrated two-year .054Q not annual gain.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway pterygium (eye)","value":"{\"id\":\"pterygium\",\"category\":\"eye\",\"share\":0.35,\"name\":\"Symptomatic pterygium treatment\",\"utility_gain\":0.025,\"treatment_success\":0.8,\"harm_q_per_person\":0.003,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Current OA explicitly offered; first-eye cataract cohort excluded; finite symptom/vision utility prior.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Pathway other_assessment (other)","value":"{\"id\":\"other_assessment\",\"category\":\"other\",\"share\":1,\"name\":\"Specialty assessment without established diagnosis-changing intervention\",\"utility_gain\":0,\"treatment_success\":0,\"harm_q_per_person\":0.0005,\"services_per_person\":1.3530973451327433,\"disjoint_fraction\":1,\"catchup_hazard\":0.7,\"loss_hazard\":0.1,\"mortality_hazard\":0.02,\"horizon_years\":3,\"delay_years\":0.25,\"basis\":\"Only2%wholegift allocation; centralzero benefit explicitly due absent disease/intervention evidence, not blanket residual zero for major specialties.\",\"downstream_resource_per_nominal_service\":0}","unit":"finite diagnosis parameters","basis":"judgment","rationale":"Within-specialty allocation and utility/transport assumptions; AUB0.07; uncomplicated gallstone0 gross benefit; procedural harms retained","sourceIds":["report","historical"]},{"name":"Central net resource 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