GiveBetter x USA

Dental Lifeline Network

Coordinated donated dental treatment for financially vulnerable older, disabled and medically fragile adults

Research time: ~12 min on GPT-6 Astra Light + ~12 min on GPT-6 Astra Medium + ~9 min on GPT-6.1 Sol
  • Research — reviewed programs, finances and impact evidence.
  • Source audit — checked claims, assumptions and calculations.
  • Modeling — estimated costs, QALYs and uncertainty.

Updated: 2026-10-02

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Summary

What do they do? Dental Lifeline Network connects financially vulnerable older adults, people with disabilities and medically fragile patients with volunteer dentists and dental laboratories. Its coordinators assess eligibility, match patients and organize comprehensive donated treatment such as restorations, extractions and dentures. The intended health benefit is relief of oral pain and impaired eating or daily function when effective dental care would otherwise remain unavailable or delayed.

Why we’re interested in this organization:

  • Volunteer dentists and laboratories create plausible leverage for donated coordination dollars, with a direct treatment mechanism rather than awareness alone.

  • Current eligibility requires patients to exhaust available dental benefits, reducing some public/private insurance substitution.

  • A randomized denture trial supports oral-health benefit for a relevant older population, and current program examples demonstrate substantive restorative care.

Our main reservations:

  • Reported patients served can include untreated volunteer matches, and licensee patients do not share the national recipient’s exact financial boundary; neither count proves a completed donor-caused treatment.

  • Our estimate is approximately $130K per DALY, but clinical utility, eventual completion, funding response and net household effects remain uncertain judgments rather than measured DLN outcomes.

  • Existing government and private grants, Medicare-covered medically linked care, volunteer availability, and restricted reserves all affect additionality; neither donated retail value nor a medical-clearance label proves exceptional cost-effectiveness.

What do you get for your dollar? $135K per DALY in USA. DALY is our one-year comparison unit. QALY-based health gains and income-welfare equivalents retain their original assumptions; they are not measured clinical DALYs. Ordinary national gift charged in full; explicit judgment of the DDS oral pain/function pathway, including whole-support and nonclinical portfolio burden. Donor-dollar price excludes donated clinical opportunity cost and patient time, which are included in separate resource scenarios. Not measured unrestricted-portfolio return, a deaths-prevented estimate, or a recommendation..

The reported 4,367 DDS people are not a national completed marginal cohort. At the central $10K scale: 3.33 added candidate equivalents, 2.17 completions and 1.54 genuinely additional-care equivalents. Clinical .0810294138082641 plus signed household resources −.006848613292933911 yields 0.07 combined equivalents, not all clinical QALYs. Donor price $135K per DALY.

1. What do they do?

DDS eligibility requires financial need plus age 65 or older, permanent disability or medically necessary dental care. Volunteers provide comprehensive non-cosmetic treatment at no patient charge. The 2025 annual report distinguishes 4,367 DDS individuals served from 6,038 people reached across programs; the latter is not a clinical-treatment denominator. The DDS total includes licensee states. Dentists and labs contribute treatment in their own practices; coordination, matching and support still require paid resources. A June 2026 example describes restorations and a partial denture for a patient with extensive decay and pain, illustrating the mechanism rather than its average effect. The current FAQ says the program is not emergency treatment, ordinarily excludes implants, and depends on volunteer availability. An official national gift goes to EIN 84-6129064, not automatically to a particular separately funded state or licensee. DDS is the strongest direct health pathway; nonclinical education and outreach costs are retained in the support-cost prior but receive no separate QALY credit. An August 2026 Rhode Island update reports 88 people served in the past year and points to the national donation route, confirming ongoing activity without establishing completed-care or marginal-gift outcomes.

2. Monitoring and information sharing

A critical distinction appears in DLN’s Florida report: patients served includes completed care, incomplete treatment and volunteer matches that have not yet received treatment. The Indiana report uses the same convention. The national annual total therefore cannot safely be read as completed treatments without a separate reconciliation. These state definitions are not a measured national completion rate. Historical Massachusetts reporting, available as indexed primary text but now a broken live URL, described five completions among 28 served during a half-year and longer treatment plans; this is a stock/flow snapshot, not evidence that only 18% ever finish. Our 0.65 eventual completed-care-equivalent yield per candidate is a testable judgment, not an estimate calculated from that snapshot. Needed monitoring is unique entry cohorts followed through eventual completion, time to relief, abandoned or partial care, pain/eating and generic utility, adverse events, residence and alternative treatment. Repeated-year cases must not become new donor-caused completions twice.

The October 2026 source check confirms that these counts still do not establish a completed national treatment cohort. The application collects work ability, income, benefits and possible family assistance, but publishes no resulting representative household-income, wage-effect or travel-cost distribution. Disability, older-age and medical-need categories overlap; adding them cannot identify a worker share. Outcome monitoring should distinguish otherwise private purchasers, people with an equivalent free alternative, and patients gaining treatment they would not otherwise receive. Those cohorts have different health and household-cash effects.

3. Qualitative assessment

The randomized denture trial assigned 133 housebound older adults to immediate dentures or waiting and found improved oral daily function at three months. We freshly checked its abstract/preview, not a full accessible trial dataset. This supports selected denture relief; it does not identify DLN's national procedure mix, a generic QALY mapping, or three-year persistence. The original caries study XML, read in targeted abstract/results excerpts, reports non-significant generic utility differences between active and inactive caries groups. That observational Swedish comparison is not evidence that DDS has zero effect: generic instruments may miss important eating and pain outcomes. It does prevent treating dental-specific improvement as an automatically validated generic health gain.

Our annual gross utility increment is therefore a stated 0.025 judgment, about nine full-health-equivalent days of relief per additional completion-year, rather than the previous 0.03. The three-year clinical valuation window, mortality, loss of useful treatment and later alternative access are explicitly separate assumptions. Three years is accounting truncation, not a claim that every restoration or every associated income effect stops abruptly then. Selected short follow-up, uncertain case mix and unmeasured symptom persistence warrant near-null, shorter-window and faster-catch-up stresses. The episodic harm allowance is also a judgment, not a trial complication probability or a second deduction from an imported trial net QALY effect.

The original rehabilitation abstract concerns 377 welfare recipients and associates completed care with favorable or neutral employment outcomes. Selection into completion and the absence of random untreated comparison prevent converting its odds ratio into a DLN wage coefficient. We nevertheless model a modest, explicitly judged earnings pathway separately, instead of declaring all earnings zero. Most DDS patients are older, disabled or medically fragile, so only a small share is assumed to have additional earnings responsiveness. Actual disposable pay, net of tax and benefit offsets, differs from nominal salary, leisure time or volunteer dentistry retail value.

We do not price unestablished systemic disease, mortality-prevention or medical-clearance effects. CMS coverage can pay for qualifying medically linked care; a clearance label alone does not establish an otherwise blocked life-saving treatment. A separate medical-access model would need the exact blocked procedure, timing, alternatives, prognosis and downstream resource costs. Current evidence supports a promising oral-function mechanism, not an identified unrestricted-donation return. The documented volunteer network and current grants confirm continuing activity, while independently checked original filings identify the national payee and affiliate accounting boundaries.

4. What do you get for your dollar?

GiveBetter sees volunteer-supported dental treatment as a promising way to relieve pain and restore eating and daily function. We estimate approximately $130K per DALY from the DDS pathway, combining clinical health with signed household-resource welfare. The benefit unit is ten health/income-equivalent years; the economic component is not a measured clinical QALY. This is a conditional national-gift comparison, not an offer to buy a specified treatment package.

What does the money support? At the $10,000 modeling scale, our $1,500 full-support allowance and 50% funding response imply 3.33 additional candidate equivalents and 2.17 eventual completed-care equivalents. That is approximately $3,000 per additional candidate and $4,615 per completed equivalent after the response assumption. Support includes national and affiliate coordination, administration, fundraising, nonclinical work and unsuccessful matching; it is not merely the dentist's bill. Volunteer dentists and labs supply much of the treatment. The completion factor does not turn annual patients served into measured completed donor-caused patients.

Why might treatment help? We separate 0.108 otherwise-purchasing completions, 0.515 completions with equivalent same-time free alternatives, and 1.544 genuinely additional completed-care equivalents. Equivalent alternative care cancels both matching clinical benefit and matching treatment harm. Additional-care patients receive a judged 0.025 annual gross utility gain over a three-year clinical valuation window, discounted for mortality, loss of benefit and later alternative access; episodic harm and extra application burden are charged separately. The result is 0.08 clinical QALYs at the modeling scale. The clinical-only donor price is about $123K per DALY. The denture trial makes the relief mechanism plausible, but neither that selected population nor dental scores establish the national utility coefficient.

Income, savings and costs. We use the Coefficient Giving reference framework to compare signed changes in household disposable resources with healthy-year equivalents. The $22,000 household-resource baseline is a judgment, not measured DLN average income. One candidate maps to one representative household, with no household-size multiplier. Additional application/transport cash is $20 per candidate. Otherwise purchasers avoid a judged $300 actual care payment minus $20 incremental travel; this is not the donated retail value of treatment, and those buyers receive no added clinical-access or earnings credit. Patients with equivalent free care incur only the assumed $20 additional travel difference. Newly treated households incur $80 additional travel and $30 actual missed net pay, not a leisure shadow wage.

Maintenance adds $40 in each of two subsequent years for newly treated households, weighted for survival. This is explicitly a persistent net incremental cash obligation associated with receiving treatment, including after benefit loss or later alternative care; it is not inferred from a published invoice. If maintenance only exists while treatment remains causally additional, that alternative needs a different population rule. The allowance represents one possible scenario because ongoing donated maintenance is not guaranteed. Volunteers have no actual lost-pay/cash deduction centrally; a separate burden stress is shown. Clinical opportunity resources are a different ledger.

The earnings pathway assumes that 10% of genuinely additional-care completions gain $300 annual net pay for two years. Those are bounded judgments, not the employment study's measured effect. Receipts are at years 1.5 and 2.5, following assumed care at year one; mortality, loss and alternative-care catch-up attenuate the common-alive working cohort. We do not credit ordinary earnings of newly surviving people. The clinical valuation window is separate from earnings receipt timing. Only 25% of positive earnings welfare is retained to avoid overlap with oral-role and financial-stress benefits; negative wage effects and direct cash burdens are fully charged, even when positive-benefit independence is zero. The after-burden earnings baseline is a marginal annual-consumption convention, not a second cash saving.

Direct household cash welfare is −0.007271 equivalent years and independent earnings contribute +0.000422. Net resources are −0.006849, so combined health/resource benefit is 0.074181 equivalents and the exact donor comparison is $135K per DALY. Undiscounted expected direct cash falls about $333 across the modeled cohort; expected common-alive net pay rises about $79 before the overlap adjustment. These money amounts are not the welfare score itself.

What changed from the earlier estimate? The historical $82K clinical-only result remains available below. We independently increased the support allowance from $1,300 to $1,500, reduced annual utility from 0.03 to 0.025, lengthened modeled time to relief from nine to twelve months, and increased episodic harm from 0.001 to 0.0025. We revisited but retained completion, funding response, mortality and benefit-loss assumptions because current evidence does not identify a precise replacement. Explicit purchaser/free-alternative partitions and signed household effects replace a single clinical calculation; the old total was not preserved by subtracting cash from an inherited envelope.

Uncertainty and associated resources. Favorable, short clinical-window, fast-catch-up, negative wage and burden cases are judgment stresses, not confidence intervals. A failed-completion scenario still incurs application losses; zero funding or no gift are genuine zero effects; unknown clinical or resource components produce unknown combined benefit. Purchasers cannot also receive added access benefits. The model's $25,000 software gift limit and eight-candidate capacity assumption are not verified fundraising room or a promise that larger gifts scale linearly.

The selected gross institutional companion adds $2,000 per completion and $200 per incomplete candidate, net of clinical materials already in support. At the central scale its numerator is $14,567 and its price is about $196K per DALY. These are opportunity-resource judgments, not retail bills, a second charge for household cash loss, or a reconciled net societal cost. The main list continues to use donor dollars.

Financial appendix. The national payee's original FY2023–25 expenses are $1,758,119, $2,172,269 and $2,090,255: mean $2,006,881. Corrected affiliate-group support, including netted event/gaming costs, is $2,588,442, $2,879,656 and $3,095,483. Adding the national return gives a two-return support bridge of $4,346,561, $5,051,925 and $5,185,738, not a consolidated audit or matched completed-patient price. The national negative $1,007,229 staff-reimbursement credit is already netted; the group bears that expense, so adding the credit again would double count it. Donated clinical valuations stay outside this bridge. Annual scale, restricted assets and new borrowing do not establish incremental volunteer capacity. Original forms and source-access boundaries are listed in Sources.

Model, assumptions and sensitivity

Main price charges the full ordinary national gift to an explicit partial DDS comparison, not a measured unrestricted-portfolio return. Gross institutional opportunity resources are a separate diagnostic; household cash losses stay in welfare, not the numerator.

USA residents only; g applies once independently to clinical and each household resource stream. National/affiliate accounting differences are cost/additionality issues, not fabricated foreign benefit.

N=min(G*b/c,capacity), C=N*r; buyers=C*p, free=C*(1-p)*(1-s), A=C*(1-p)*s. Clinical=g*[A*(u*exp(-ln(1+d)*L)*integral_0^T exp(-(ln(1+d)+m+loss+catchup)*t)dt-h*exp(-ln(1+d)*L))-N*ha]. Resources sum signed per-household logarithmic receipt flows. Positive wages use independence; negative wages and direct cash burdens are charged fully. Combined=clinical+resources; donor price=10*G/combined only if positive and known.

G
10000 USD modeling scale (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
maxGift
25000 explicit parameter units described in report (judgment). Finite comparison scope, not measured current funding capacity. [dln-faq] [dln-terms] [dln-99025]
c
1500 USD full support per candidate (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
b
0.5 fraction (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
capacity
8 explicit parameter units described in report (judgment). Finite comparison scope, not measured current funding capacity. [dln-faq] [dln-terms] [dln-99025]
r
0.65 fraction (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
purchaseShare
0.05 fraction (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
s
0.75 fraction (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
u
0.025 gross utility/year (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dental-denture-rct] [dln-caries-xml]
T
3 years (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dental-denture-rct] [dln-caries-xml]
L
1 years (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
m
0.04 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dental-denture-rct] [dln-caries-xml]
loss
0.0625 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dental-denture-rct] [dln-caries-xml]
catchup
0.06 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
h
0.0025 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dental-denture-rct] [dln-caries-xml]
ha
0.0002 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
g
1 fraction (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
d
0.03 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
baseline
22000 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-income-method] [dln-employment-abstract]
applicationCash
20 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
applicationTime
0.5 years (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
purchaseCash
300 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
purchaserTravel
20 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
freeAlternativeTravel
20 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
newCareTravel
80 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
newCareLostPay
30 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
maintenanceCash
40 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
maintenanceYears
2 years (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
workerShare
0.1 fraction (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-income-method] [dln-employment-abstract]
annualNetPayGain
300 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-income-method] [dln-employment-abstract]
earningsYears
2 years (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
earningsDelay
1.5 years (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
incomeIndependent
0.25 fraction (judgment). Overlap adjustment for positive earnings only; negative wages/direct burdens remain fully charged. [dln-income-method] [dln-employment-abstract]
volunteerCash
0 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
volunteerBaseline
50000 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
volunteerTime
1 years (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
completedOpportunity
2000 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
unfinishedOpportunity
200 explicit parameter units described in report (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence. [dln-faq] [dln-terms] [dln-99025]
healthKnown
true component-known central judgment (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence.
cashKnown
true component-known central judgment (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence.
earningsKnown
true component-known central judgment (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence.
fundingKnown
true component-known central judgment (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence.
grossKnown
true component-known central judgment (judgment). Independent finite central assumption or convention; actual causal coefficient is not established by the linked evidence.

Reconsidered oral-health and signed household-resource estimate: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

favorable: Cost: $10K; USA health QALYs: 0.81; all-population health QALYs: 0.81. Income-equivalent healthy years: -0.02. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":900,"b":0.8,"capacity":8,"r":0.9,"purchaseShare":0.05,"s":0.75,"u":0.05,"T":5,"L":0.25,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.001,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.2,"annualNetPayGain":1000,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

pessimistic: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":2500,"b":0.2,"capacity":8,"r":0.35,"purchaseShare":0.05,"s":0.4,"u":0.005,"T":1,"L":2,"m":0.1,"loss":0.2,"catchup":0.7,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":2.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

zeroFunding: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

zeroCompletion: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

zeroGift: Cost: $0; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":0,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

purchasersOnly: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":1,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

sameTimeFreeCare: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

clinicalNull: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

noIncomeRecovery: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":0,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

incomeOverlap: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

incomeIndependent: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":1,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

incomeLoss: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":-1000,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

burdens: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.03. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":300,"newCareLostPay":300,"maintenanceCash":200,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":50,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

healthUnknown: Cost: $10K; USA health QALYs: unknown; all-population health QALYs: unknown. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":false,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

incomeUnknown: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":false,"earningsKnown":false,"fundingKnown":true,"grossKnown":true}

fundingUnknown: Cost: $10K; USA health QALYs: unknown; all-population health QALYs: unknown. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":false,"grossKnown":true}

grossUnknown: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":false}

fastAlternative: Cost: $10K; USA health QALYs: 0.03; all-population health QALYs: 0.03. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":1,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

One-year clinical valuation window; earnings separately timed: Cost: $10K; USA health QALYs: 0.03; all-population health QALYs: 0.03. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":1,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

longDelay: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":2,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":2.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

highMortality: Cost: $10K; USA health QALYs: 0.07; all-population health QALYs: 0.07. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.15,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

capacityZero: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":0,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

highOpportunity: Cost: $10K; USA health QALYs: 0.08; all-population health QALYs: 0.08. Income-equivalent healthy years: -0.01. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0.05,"s":0.75,"u":0.025,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0.0025,"ha":0.0002,"g":1,"d":0.03,"baseline":22000,"applicationCash":20,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":20,"newCareTravel":80,"newCareLostPay":30,"maintenanceCash":40,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":300,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":5000,"unfinishedOpportunity":400,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

noClinicalOrResourceBurden: Cost: $10K; USA health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Explicit finite judgments, not observed patient/marginal gift coefficients. {"G":10000,"maxGift":25000,"c":1500,"b":0.5,"capacity":8,"r":0.65,"purchaseShare":0,"s":0.75,"u":0,"T":3,"L":1,"m":0.04,"loss":0.0625,"catchup":0.06,"h":0,"ha":0,"g":1,"d":0.03,"baseline":22000,"applicationCash":0,"applicationTime":0.5,"purchaseCash":300,"purchaserTravel":20,"freeAlternativeTravel":0,"newCareTravel":0,"newCareLostPay":0,"maintenanceCash":0,"maintenanceYears":2,"workerShare":0.1,"annualNetPayGain":0,"earningsYears":2,"earningsDelay":1.5,"incomeIndependent":0.25,"volunteerCash":0,"volunteerBaseline":50000,"volunteerTime":1,"completedOpportunity":2000,"unfinishedOpportunity":200,"healthKnown":true,"cashKnown":true,"earningsKnown":true,"fundingKnown":true,"grossKnown":true}

Historical clinical-only central; not current donor estimate: Cost: $10K; USA health QALYs: 0.12; all-population health QALYs: 0.12. {"G":10000,"c":1300,"b":0.5,"r":0.65,"u":0.03,"T":3,"L":0.75,"m":0.04,"loss":0.0625,"catchup":0.06,"s":0.75,"h":0.001,"ha":0.0002,"g":1,"d":0.03,"resource":0,"unfinishedResource":0,"patientResource":0}; 3.8461538461538463 added candidates; 2.5 completed equivalents; q=0.06690988854654314. Explicit judgment, not measured yield.

Counterfactual: No-new-gift includes committed public/private support, existing volunteer slots, insurance exhaustion, medically linked Medicare, other free providers and delayed private care. Otherwise purchasers and equivalent same-time free care have no incremental clinical benefit or matched treatment harm. Additional application burdens remain.

Attribution: Funding response, completion, otherwise purchasing, same-time alternatives and later catchup are separate judged pathways. Common-alive earnings are not survival-created pay. One candidate-equivalent is one representative household; no hidden household-size or patient-repeat multiplier.

All causal, marginal-support and household monetary coefficients are independently reconsidered judgments, not identified local estimates. T is a clinical valuation window, not abrupt termination of every economic benefit. Maintenance is a persistent net incremental obligation despite treatment loss or alternative care; its value/persistence is unknown empirically. Fixed software bounds do not verify donor capacity. Negative/zero/unknown cases stay distinct; selected stresses are not probability distributions or confidence limits.

Sensitivity

  • favorable: $13K per DALY. Finite judgment scenario; not a confidence interval.
  • pessimistic: no finite positive estimate. Finite judgment scenario; not a confidence interval.
  • zeroFunding: no finite positive estimate. Finite judgment scenario; not a confidence interval.
  • zeroCompletion: no finite positive estimate. Finite judgment scenario; not a confidence interval.
  • zeroGift: no finite positive estimate. Finite judgment scenario; not a confidence interval.
  • purchasersOnly: $898K per DALY. Finite judgment scenario; not a confidence interval.
  • sameTimeFreeCare: no finite positive estimate. Finite judgment scenario; not a confidence interval.
  • clinicalNull: no finite positive estimate. Finite judgment scenario; not a confidence interval.
  • noIncomeRecovery: $136K per DALY. Finite judgment scenario; not a confidence interval.
  • incomeOverlap: $136K per DALY. Finite judgment scenario; not a confidence interval.
  • incomeIndependent: $133K per DALY. Finite judgment scenario; not a confidence interval.
  • incomeLoss: $147K per DALY. Finite judgment scenario; not a confidence interval.
  • burdens: $216K per DALY. Finite judgment scenario; not a confidence interval.
  • healthUnknown: no finite positive estimate. Unknown combined benefit; not a measured zero.
  • incomeUnknown: no finite positive estimate. Unknown combined benefit; not a measured zero.
  • fundingUnknown: no finite positive estimate. Unknown combined benefit; not a measured zero.
  • grossUnknown: $135K per DALY. Finite judgment scenario; not a confidence interval.
  • fastAlternative: $488K per DALY. Finite judgment scenario; not a confidence interval.
  • One-year clinical valuation window; earnings separately timed: $438K per DALY. Finite judgment scenario; not a confidence interval.
  • longDelay: $139K per DALY. Finite judgment scenario; not a confidence interval.
  • highMortality: $159K per DALY. Finite judgment scenario; not a confidence interval.
  • capacityZero: no finite positive estimate. Finite judgment scenario; not a confidence interval.
  • highOpportunity: $135K per DALY. Finite judgment scenario; not a confidence interval.
  • noClinicalOrResourceBurden: no finite positive estimate. Finite judgment scenario; not a confidence interval.

Unresolved inputs

  • Matched completed national/affiliate/licensed patient cohorts and marginal support cost net of internal fees.
  • Gift-sensitive additional volunteer slots and dated unrestricted expansion budget.
  • Case mix, generic utility, completion timing, benefit persistence and alternatives.
  • Representative household resources, actual incremental travel/missed pay/maintenance and causal net earnings.
  • Consolidated financial audit, borrowing terms and committed/restricted liquidity.
  • Unpriced systemic, medical-access and whole-portfolio branches; no automatic saved-life or earnings bonus.

Health and income breakdown

For the modeled $10K: 0.08 health QALYs + -0.01 income-equivalent healthy years in USA: $135K per DALY. Income equivalents are welfare comparisons, not observed QALYs or DALYs.

Method and caveats.

5. Funding and previous grants

The FY2025 national return reports $386,734 program, $1,202,072 management and $501,449 fundraising after the shared-staff credit; the group return reports $2,621,544 program, $399,622 management and $69,707 fundraising before $4,610 of netted event/gaming costs. The allocation is not a clinical efficiency score. Part III discloses $103,782 national and $12,471,071 group donated clinical services, outside this support-cost bridge; these valuations must not be counted as both free leverage and health benefit. National FY2025 revenue is $1,767,467 versus $2,090,255 expense, but unrealized investment gains offset the operating deficit in net assets. Of $5,126,614 net assets, $2,622,593 has donor restrictions; $334,358 is cash, and an $875,000 unsecured borrowing is newly reported. Neither all net assets nor the accounting deficit is an available cash runway or a proven funding gap.

Current counterfactual funding is concrete: Maine’s amended contract adds $36,463 and verifies coordinator support through June 2027, for $72,926 across two years; its earlier concern about June 2026 expiration has been superseded. A 2026 Massachusetts grant provides $7,500 to help 30 people, a $250 partial funding projection, not a national all-in price. These commitments belong in the no-new-gift baseline. The national gift’s 50% funding response is a judgment that some extra support still buys coordinator and matching capacity while some replaces grants, reserves or cannot attract additional volunteer slots.

CMS generally excludes routine dental care but covers qualifying medically linked services around specified transplants, cardiac procedures, cancer treatment and dialysis, subject to coordination and documentation. Exhausting benefits is helpful targeting, not proof that every medically fragile patient has zero coverage. Baseline alternative access and subsequent catch-up are modeled separately. No current unrestricted expansion budget or unfunded number of completed cases was located. The next donor-relevant request is a dated budget linking unrestricted incremental dollars to added completed cohorts and volunteer capacity, net of committed state/private support. The current review is not confirmation of additional funded treatment capacity.

The October 2026 source check directly reread the six original national/group returns and relevant reciprocal accounting schedules. Return audit-Yes boxes are not a substitute for obtaining a consolidated audited statement. The national three-year revenue series is $863,744, $936,784 and $1,767,467, distinct from expenses and net-asset changes. The $875,000 borrowing requires terms and a cash forecast before interpreting liquidity. Current grant announcements belong in the no-new-gift baseline; partial state grants do not reveal the all-in national cost or unrestricted donor response.

Annual expenses

Organization-level spending, including programs, administration and fundraising. The research list averages three comparable, consecutive full fiscal years when available.

  • FY 2023: $1.8M; National Foundation of Dentistry for the Handicapped, EIN84-6129064, 12-month period, Consecutive 12-month fiscal years ending June 30; original national recipient Form 990 Part IX expense after shared-staff reimbursements. No disclosed netted event, gaming, rental or inventory-cost addback. Accrual tax-return expense, not a consolidated network or donated-clinical-resource measure.. Source
  • FY 2024: $2.2M; National Foundation of Dentistry for the Handicapped, EIN84-6129064, 12-month period, Consecutive 12-month fiscal years ending June 30; original national recipient Form 990 Part IX expense after shared-staff reimbursements. No disclosed netted event, gaming, rental or inventory-cost addback. Accrual tax-return expense, not a consolidated network or donated-clinical-resource measure.. Source
  • FY 2025: $2.1M; National Foundation of Dentistry for the Handicapped, EIN84-6129064, 12-month period, Consecutive 12-month fiscal years ending June 30; original national recipient Form 990 Part IX expense after shared-staff reimbursements. No disclosed netted event, gaming, rental or inventory-cost addback. Accrual tax-return expense, not a consolidated network or donated-clinical-resource measure.. Source

6. Sources

  1. FY2025 national recipient Form 990, signed February 26, 2026. Dental Lifeline Network / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  2. FY2024 national recipient Form 990 with FY2023 comparison. Dental Lifeline Network / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  3. FY2025 affiliated group Form 990, EIN84-1043478. National Foundation of Dentistry for the Handicapped Group / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  4. 2024–2025 annual report, pages8–10 visually checked. Dental Lifeline Network. Published: not stated; retrieved: 2026-10-02.
  5. FY2024–2025 funding and support disclosures. Dental Lifeline Network. Published: not stated; retrieved: 2026-10-02.
  6. Current DDS eligibility, benefits exhaustion and waitlists. Dental Lifeline Network. Published: not stated; retrieved: 2026-10-02.
  7. DDS application and patient agreement. Dental Lifeline Network. Published: not stated; retrieved: 2026-10-02.
  8. Official national donation pathway. Dental Lifeline Network. Published: not stated; retrieved: 2026-09-14.
  9. $150,000 grant expected to support 350 patients. Dental Lifeline Network. Published: 2023-01-09; retrieved: 2026-09-13.
  10. Current Louisiana coordination grant supporting dentists and labs. Dental Lifeline Network. Published: 2026-06-23; retrieved: 2026-10-02.
  11. Current illustrative restoration and partial-denture care. Dental Lifeline Network. Published: 2026-06-26; retrieved: 2026-09-13.
  12. Domiciliary denture service randomized trial in 133 older adults. Pearson et al., British Dental Journal. Published: 2007-06-15; retrieved: 2026-10-02.
  13. Welfare dental intervention: uncontrolled rehabilitation outcomes. Hyde et al., Journal of Dental Research. Published: not stated; retrieved: 2026-09-13.
  14. Costs and health-related quality of life in relation to caries. Kastenbom et al., BMC Oral Health. Published: 2019-08-16; retrieved: 2026-09-13.
  15. Pilot randomized implant-retained denture trial with generic utility measures. Jawad et al., BMC Oral Health. Published: 2017-02-15; retrieved: 2026-09-13.
  16. GBD2021 oral-disorders methods: severe tooth-loss weight (indexed primary excerpt reviewed; full PDF returned403). Institute for Health Metrics and Evaluation. Published: not stated; retrieved: 2026-09-13.
  17. Original national FY2023 Form 990. Dental Lifeline Network / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  18. Original affiliated group FY2023 Form 990. NFDH Group / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  19. Original affiliated group FY2024 Form 990. NFDH Group / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  20. FY2025 national Schedule R: reciprocal reimbursement. DLN / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  21. FY2025 affiliate Schedule R: reciprocal reimbursement. NFDH Group / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  22. FY2025 Schedule O: staff paid on behalf of group. DLN / IRS filing via ProPublica. Published: not stated; retrieved: 2026-10-02.
  23. FY2025 group Schedule O: salary reimbursement accounting. NFDH Group / IRS filing via ProPublica. Published: not stated; retrieved: 2026-09-14.
  24. Florida DDS October 2024 report: served versus completed definition. Dental Lifeline Network / Florida Dental Association. Published: not stated; retrieved: 2026-10-02.
  25. Indiana DDS report: matched but untreated patients included in served count. Dental Lifeline Network. Published: 2020-06-04; retrieved: 2026-09-14.
  26. Historical Massachusetts semiannual report, FY2022–23 context; indexed primary text only, live URL 404. Dental Lifeline Network / Massachusetts Dental Society. Published: not stated; retrieved: 2026-09-14.
  27. 2026 grant: $7,500 supporting care for 30 people. Massachusetts Dental Society Foundation. Published: 2026-06-08; retrieved: 2026-10-02.
  28. Maine coordinator contract amendment: funding verified through June 2027. State of Maine procurement. Published: 2026-03-20; retrieved: 2026-09-14.
  29. Current DDS FAQ: volunteer constraints, benefit exhaustion and care scope. Dental Lifeline Network. Published: not stated; retrieved: 2026-10-02.
  30. August 2026 Rhode Island update: current annual delivery and official national gift route. Dental Lifeline Network. Published: 2026-08-10; retrieved: 2026-09-14.
  31. Current Medicare medically linked dental coverage and coordination requirements. Centers for Medicare & Medicaid Services. Published: not stated; retrieved: 2026-10-02.
  32. 2025 original observational study: mandatory cardiac dental screening did not improve adjusted outcomes; indexed primary abstract, full page 403. Krasniqi et al., JACC: Advances. Published: 2025-01-17; retrieved: 2026-09-14.
  33. Original caries utility study: targeted abstract/results XML. Kastenbom et al., BMC Oral Health / Europe PMC. Published: 2019-08-16; retrieved: 2026-10-02.
  34. Original welfare dental rehabilitation abstract; observational employment association. Hyde et al., Journal of Dental Research / Europe PMC. Published: not stated; retrieved: 2026-10-02.
  35. Health and income cost-effectiveness reference. Coefficient Giving. Published: not stated; retrieved: 2026-09-30.