{"edition":"usa","organization":"Center for Science in the Public Interest","organizationId":"org:center-for-science-in-the-public-interest","boundaryVersion":"USA-50-states-DC-v1","updated":"2026-10-02","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":112539.5001315707,"canonicalPriceUSDPerTenEquivalentYears":1125395.001315707,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":112539.5001315707,"canonicalPriceUSDPerTenEquivalentYears":1125395.001315707,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"cspi-usa-sodium-health-resources-judgment-20261002","costScope":"One full annual charitable-recipient portfolio cost; only the sodium-accountability pathway quantified. Illustrative500K module is not a quote or extra allocation multiplier.","geographicAttribution":"USA share .99 is a declared resident/coverage prior; original clinical reference is adults30–84, not all ages.","formula":"Work fraction=min(one-year capacity,gift/annual recipient expense). Probability delta=work fraction*(with−without opportunity probability). Apply a lasting-versus-complete finite shifted-stream mixture separately to discounted clinical health and cash ledgers. Price=10*gift/(net health+net resources) only when known and positive.","counterfactual":"FDA guidance/monitoring, manufacturers, other advocates and reserves/replacement continue; direct joint contrast includes these once. Existing outcomes receive no retroactive credit.","attribution":"Judged .005 response per additional charitable work-year; preferred25% lasting extra reform/75%two-year acceleration, not observed causal estimates.","uncertainty":"Partial conditional forecast; clinical endpoint interpolation, policy response, mix, incidence, pass-through and timing are explicit priors. Full donor and social returns unidentified.","nativeOutcomes":"Technical submissions, sales-weighted monitoring and public compliance reporting are native activities. 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Direct annual-work probability contrast; finite existing clinical scale, complete shifted counterfactual streams and independent once-only net household resources."},{"id":"lowBaseline","label":"low Baseline","costUSD":10000,"allPopulationQalys":0.09149462556827334,"editionQalys":0.09149462556827334,"incomeUnknown":false,"incomePathways":[{"people":0.002885667000268764,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":1999.9999999999995,"years":1,"delayYears":15.010011784987189,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of nonfatal medical and unreplaced net pay savings. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. 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Negative policy contrasts are opposite-state expected cohorts, not negative real households."},{"people":105.1970668351946,"annualIncomeBeforeUSD":30000,"annualIncomeGainUSD":-3,"years":1,"delayYears":5.5,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of population-wide one-off food-price burden. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. Effective case receipt timing is algebraic, not observed.","counterfactual":"Actual net household cash after payer/employer/public offsets; national societal savings and saved-life baseline earnings excluded. Negative policy contrasts are opposite-state expected cohorts, not negative real households."}],"costPer10Qalys":1148121.114802212,"assumptions":"Declared unweighted diagnostic; overrides {\"baselineConsumption\":30000}. Direct annual-work probability contrast; finite existing clinical scale, complete shifted counterfactual streams and independent once-only net household resources."},{"id":"highBaseline","label":"high Baseline","costUSD":10000,"allPopulationQalys":0.09149462556827334,"editionQalys":0.09149462556827334,"incomeUnknown":false,"incomePathways":[{"people":0.002885667000268764,"annualIncomeBeforeUSD":80000,"annualIncomeGainUSD":2000,"years":1,"delayYears":15.010011784987189,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of nonfatal medical and unreplaced net pay savings. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. 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Negative policy contrasts are opposite-state expected cohorts, not negative real households."},{"people":105.1970668351946,"annualIncomeBeforeUSD":80000,"annualIncomeGainUSD":-2.9999999999999996,"years":1,"delayYears":5.5,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of population-wide one-off food-price burden. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. Effective case receipt timing is algebraic, not observed.","counterfactual":"Actual net household cash after payer/employer/public offsets; national societal savings and saved-life baseline earnings excluded. Negative policy contrasts are opposite-state expected cohorts, not negative real households."}],"costPer10Qalys":1113006.478443383,"assumptions":"Declared unweighted diagnostic; overrides {\"baselineConsumption\":80000}. Direct annual-work probability contrast; finite existing clinical scale, complete shifted counterfactual streams and independent once-only net household resources."},{"id":"policyHarmZero","label":"policy Harm Zero","costUSD":10000,"allPopulationQalys":0.09219265567553094,"editionQalys":0.09219265567553094,"incomeUnknown":false,"incomePathways":[{"people":0.002885667000268764,"annualIncomeBeforeUSD":50000,"annualIncomeGainUSD":2000,"years":1,"delayYears":15.010011784987189,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of nonfatal medical and unreplaced net pay savings. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. Effective case receipt timing is algebraic, not observed.","counterfactual":"Actual net household cash after payer/employer/public offsets; national societal savings and saved-life baseline earnings excluded. Negative policy contrasts are opposite-state expected cohorts, not negative real households."},{"people":0.002885667000268764,"annualIncomeBeforeUSD":50000,"annualIncomeGainUSD":500,"years":1,"delayYears":15.010011784987189,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of nonfatal medical-only savings. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. Effective case receipt timing is algebraic, not observed.","counterfactual":"Actual net household cash after payer/employer/public offsets; national societal savings and saved-life baseline earnings excluded. Negative policy contrasts are opposite-state expected cohorts, not negative real households."},{"people":105.1970668351946,"annualIncomeBeforeUSD":50000,"annualIncomeGainUSD":-3,"years":1,"delayYears":5.5,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of population-wide one-off food-price burden. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. Effective case receipt timing is algebraic, not observed.","counterfactual":"Actual net household cash after payer/employer/public offsets; national societal savings and saved-life baseline earnings excluded. Negative policy contrasts are opposite-state expected cohorts, not negative real households."}],"costPer10Qalys":1116623.260172443,"assumptions":"Declared unweighted diagnostic; overrides {\"policyHealthHarmSuccess\":0}. Direct annual-work probability contrast; finite existing clinical scale, complete shifted counterfactual streams and independent once-only net household resources."},{"id":"consumedSodiumZero","label":"consumed Sodium Zero","costUSD":10000,"allPopulationQalys":-0.0006980301072575912,"editionQalys":-0.0006980301072575912,"incomeUnknown":false,"incomePathways":[{"people":105.1970668351946,"annualIncomeBeforeUSD":50000,"annualIncomeGainUSD":-3,"years":1,"delayYears":5.5,"discountRate":0.03,"causalShare":1,"editionShare":1,"independentShare":1,"sourceIds":["sodium-us-model","income-method"],"rationale":"Exact discounted log-resource serialization of population-wide one-off food-price burden. Transformed one-year equivalent cash preserves the original independent consumption window, not recurring wages. Effective case receipt timing is algebraic, not observed.","counterfactual":"Actual net household cash after payer/employer/public offsets; national societal savings and saved-life baseline earnings excluded. Negative policy contrasts are opposite-state expected cohorts, not negative real households."}],"costPer10Qalys":null,"assumptions":"Declared unweighted diagnostic; overrides {\"consumedSodium\":0}. Direct annual-work probability contrast; finite existing clinical scale, complete shifted counterfactual streams and independent once-only net household resources."},{"id":"historical-alpha-central","label":"Initial five-year partial-health estimate","costUSD":10000,"allPopulationQalys":0.20866053659437464,"editionQalys":0.2065739312284309,"assumptions":"Judgment scenario, not a confidence bound or restricted purchase. Inputs {\"C\":17926322,\"dm\":250,\"e\":0.5,\"t\":0.7,\"L\":5,\"p\":0.2,\"a\":0.1,\"b\":0.5,\"h\":0,\"g\":0.99,\"f\":1,\"accel\":3}; H=187025.79838417712; timing multiplier=1. G=$10,000 and Y=5. Price=484088.1877269368. h is not multiplied by policy-success probability."},{"id":"portfolio","label":"Complete portfolio unknown","costUSD":10000,"allPopulationQalys":null,"editionQalys":null,"incomeUnknown":true,"assumptions":"Other health-policy effects and full social resources are unpriced, not zero or a lower bound."}],"sensitivity":["Initial484088.19 to revised1125395.00 per10combined years; causal/dose/timing changes drive the revision.","All-durable329800.46 and timing-only5745243.12 are judgment alternatives, not confidence bounds.","Clinical-zero retains food/policy harms; no policy contrast retains independent harms.","Uniform physical-case cash timing is a proxy, not reconstructed original incidence; one-off food loss is never repeated20times."],"missingInputs":["Current uncovered charitable sodium workplan and priced incremental capacity","Empirical direct policy/compliance/timing probability response","Current consumed-sodium and finite clinical model with actual implementation ramps","Nonfatal severity, unique household paid-cost/pay incidence after offsets","Population-wide net food-price pass-through and distribution","Other portfolio effects and complete public/industry social resources"]},"sources":[{"id":"cspi-audit25","title":"FY2025 consolidated audit and recipient-level consolidating statements","publisher":"CSPI / Calibre CPA Group","url":"https://www.cspi.org/sites/default/files/2026-04/CSPI%20-%20FS%20FY25.pdf","published":null,"retrieved":"2026-10-02"},{"id":"cspi-99025","title":"Form 990, fiscal year ended June 30, 2025","publisher":"CSPI / Internal Revenue Service","url":"https://www.cspi.org/sites/default/files/2026-05/2025_Form%20990_TAX%20RETURN_PUBLIC%20DISCLOSURE.pdf","published":null,"retrieved":"2026-10-02"},{"id":"cspi-99024","title":"Form 990, fiscal year ended June 30, 2024","publisher":"CSPI / Internal Revenue Service via ProPublica","url":"https://projects.propublica.org/nonprofits/full_text/202501159349301860/IRS990","published":null,"retrieved":"2026-10-02"},{"id":"cspi-99023","title":"Form 990, fiscal year ended June 30, 2023","publisher":"CSPI / Internal Revenue Service via ProPublica","url":"https://projects.propublica.org/nonprofits/full_text/202411309349303056/IRS990","published":null,"retrieved":"2026-10-02"},{"id":"cspi-impact26","title":"2026 Impact Report","publisher":"CSPI","url":"https://www.cspi.org/sites/default/files/2026-05/CSPI_2026AnnualReport_online%20FINAL.pdf","published":null,"retrieved":"2026-09-14"},{"id":"cspi-sodium-comment","title":"Comments on FDA Phase II voluntary sodium targets","publisher":"CSPI","url":"https://www.cspi.org/sites/default/files/2025-07/CSPI%20FDA%20sodium%20reduction%20comment%20011325_final.pdf","published":"2025-01-13","retrieved":"2026-10-02"},{"id":"fda-sodium","title":"Sodium reduction in the food supply: Phase I and draft Phase II","publisher":"FDA","url":"https://www.fda.gov/food/nutrition-food-labeling-and-critical-foods/sodium-reduction-food-supply","published":null,"retrieved":"2026-10-02"},{"id":"fda-progress","title":"2010–2022 preliminary sodium assessment","publisher":"FDA","url":"https://www.fda.gov/food/nutrition-food-labeling-and-critical-foods/sodium-reduction-us-food-supply-2010-2022-preliminary-assessment-progress","published":null,"retrieved":"2026-09-14"},{"id":"fda-priorities26","title":"Human Foods Program 2026 priority deliverables","publisher":"FDA","url":"https://www.fda.gov/about-fda/human-foods-program/human-foods-program-2026-priority-deliverables","published":null,"retrieved":"2026-10-02"},{"id":"sodium-us-model","title":"US FDA voluntary sodium reformulation microsimulation","publisher":"Pearson-Stuttard, Kypridemos et al. / PLOS Medicine","url":"https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002551","published":"2018-04-10","retrieved":"2026-10-02"},{"id":"sodium-bp","title":"Randomized sodium-reduction meta-analysis: primary indexed abstract, not refreshed full text","publisher":"Huang et al. / BMJ","url":"https://pubmed.ncbi.nlm.nih.gov/32094151/","published":"2020-02-25","retrieved":"2026-10-02"},{"id":"ssass","title":"Effect of salt substitution on cardiovascular events and death","publisher":"Neal et al. / New England Journal of Medicine","url":"https://www.nejm.org/doi/full/10.1056/NEJMoa2105675","published":"2021-08-29","retrieved":"2026-09-14"},{"id":"cspi-litigation-history","title":"CSPI v. 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