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Current PHC project accounts unavailable. No general-gift restriction inferred."],["Cash unit","$150 / $1,500 / $1,500","Completed appropriate dispense/fitting/denture episode; includes all recruitment failures, examinations funded by PHC, follow-up, navigation, allocated sponsor fee/admin. Glasses/denture fundraising examples $50/$1,000 are incomplete-cost fundraising anchors, not proven lower bounds, not invoices; hearing cost is prior. Ranges$75–300/$750–3000/$1000–3000."],["Outside resources","$100 / $1,000 / $1,000 per nominal episode","Prior$0–300/$0–2000/$0–2000. Partner/insured clinical care, donated labor, devices and patient time not already donor-paid. Gross associated resource envelope, no public offsets."],["Funding and capacity","50% funding additionality; caps100/5/8 additional completed episodes in one year","Priors. Financial replacement separate from patient alternatives. Caps plausible bounded absorption, not a quoted offer or current queue. Actual verified room null; cap0 diagnostic."],["No overlapping people","Primary health ledger: glasses first, then hearing excluding glasses recipients, dentures excluding both","Shares1/.8/.8 are analyst fractions of completed episodes in disjoint patient-year cohorts. For discarded overlapping people, all costs and procedural harms remain; no second generic-utility credit. Actual identity linkage unavailable."],["Utility","Glasses .0375; hearing .02; dentures .03","Signed preference-utility priors while effectively corrected. External glasses before/after .075 in41/113 follow-ups, not causal full-cohort effect. Hearing and denture randomized symptom/oral results are not directly QALYs. Ranges-.02–.075 /-.02–.05 /-.02–.08. No separate social/mental-health score credit."],["Finite health","At most one benefit year after delayed care starts; effective use .75/.6/.7; delay .1/.25/.25 years","Priors for wear/fit/breakage within the year after care starts and delayed access, no multiyear extrapolation. Fraction without equivalent alternative correction during the year .7/.7/.6; remaining receive zero credit. Do not reapply referral-completion probability to completed-unit costs."],["Public baseline","Medi-Cal optical, hearing and dental services plus public/charity partners continue","Coverage/eligibility vary; not all PHC participants have accessible care. Dental changes across official pages have inconsistent dates; no unsupported eligibility-specific treatment effect is inferred."],["Harm","Per added completed episode .0002/.001/.002 QALY; independent0","Gift-date PV losses beyond signed durable utility. Charged on every additional completed episode before patient overlap/alternative filters; conservative since alternative-treatment harms not subtracted. Includes repeated fittings; no activity multiplier for independent harm."],["Geography","95%SF /98%Bay /100%US","Nested recipient-health residence priors, not observed addresses. Same denominators; never sum nested QALYs."],["Other portfolio outside resources","$10,000 per gift; range0–50,000","Explicit allowance for donated/partner inputs to otherwise unquantified activities, beyond donor-paid55% remainder. Not sponsor-wide accounts or a measured marginal external cost."]],"scenarios":[{"id":"central","overrides":{}},{"id":"favorable","overrides":{"all":{"financial_additionality":0.8,"alternative_free_share":0.9,"nonoverlap_share":1,"effective_use":0.9},"pathways":{"glasses":{"allocation":0.4,"cash_per_completed":75,"max_additional_completed":500,"utility":0.075},"hearing":{"allocation":0.15,"cash_per_completed":750,"max_additional_completed":30,"utility":0.05},"dentures":{"allocation":0.2,"cash_per_completed":1000,"max_additional_completed":25,"utility":0.08}}}},{"id":"cautious","overrides":{"all":{"financial_additionality":0.2,"alternative_free_share":0.3,"effective_use":0.3,"utility":0.01},"pathways":{"glasses":{"allocation":0.05,"cash_per_completed":300},"hearing":{"allocation":0.05,"cash_per_completed":3000},"dentures":{"allocation":0.05,"cash_per_completed":3000}}}},{"id":"low_allocation","overrides":{"pathways":{"glasses":{"allocation":0.05},"hearing":{"allocation":0.025},"dentures":{"allocation":0.0375}}}},{"id":"low_additionality","overrides":{"all":{"financial_additionality":0.1}}},{"id":"rapid_alternative_access","overrides":{"all":{"alternative_free_share":0.1}}},{"id":"source_attrition_glasses","overrides":{"pathways":{"glasses":{"utility":0.013606194690265486}}}},{"id":"glasses_only_health","overrides":{"pathways":{"hearing":{"utility":0},"dentures":{"utility":0}}}},{"id":"no_funding_additionality","overrides":{"all":{"financial_additionality":0}}},{"id":"no_capacity","overrides":{"all":{"max_additional_completed":0}}},{"id":"null_health","overrides":{"all":{"utility":0,"procedure_harm_q":0}}},{"id":"signed_harm","overrides":{"all":{"utility":-0.02}}},{"id":"independent_harm_zero_activity","overrides":{"all":{"financial_additionality":0},"independent_harm_us_q":1}},{"id":"limited_capacity","overrides":{"pathways":{"glasses":{"max_additional_completed":10},"hearing":{"max_additional_completed":1},"dentures":{"max_additional_completed":1}}}},{"id":"outside_resources_donor_paid","overrides":{"pathways":{"glasses":{"cash_per_completed":250,"external_per_nominal":0,"allocation":0.18},"hearing":{"cash_per_completed":2500,"external_per_nominal":0,"allocation":0.09},"dentures":{"cash_per_completed":2500,"external_per_nominal":0,"allocation":0.135}},"external_other_usd":0}}]},"historicalModelId":"phc-whole-portfolio-finite-health-v1"}