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Methodology, Parameters, and Calculations

Keywords

health economics methodology, clinical trial cost analysis, medical research ROI, cost-benefit analysis healthcare, sensitivity analysis, Monte Carlo simulation, DALY calculation, pragmatic clinical trials

Overview

This appendix documents all 480 parameters used in the analysis, organized by type:

  • External sources (peer-reviewed): 160
  • Calculated values: 220
  • Core definitions: 100

Quick Navigation

Calculated Values (220 parameters) • External Data Sources (160 parameters) • Core Definitions (100 parameters)

Calculated Values

Parameters derived from mathematical formulas and economic models.

Engagement Rate: 10%

Probability someone engages with the idea (1 - dismissal rate)

Inputs:

\[ P_{engage} = 1 - P_{dismiss} = 1 - 90\% = 10\% \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Engagement Rate

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Dismissal Rate (rate) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Engagement Rate (10,000 simulations)

Monte Carlo Distribution: Engagement Rate (10,000 simulations)

Simulation Results Summary: Engagement Rate

Statistic Value
Baseline (deterministic) 10%
Mean (expected value) 9.97%
Median (50th percentile) 9.46%
Standard Deviation 4.18%
90% Range (5th-95th percentile) [3.91%, 18.1%]

The histogram shows the distribution of Engagement Rate across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Engagement Rate

Probability of Exceeding Threshold: Engagement Rate

This exceedance probability chart shows the likelihood that Engagement Rate will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Expected Engaged Implementers: 3.48 people

Expected number of implementers who engage (orbit reached x engagement rate x implementer count)

Inputs:

\[ E[N_{engaged}] = P_{reach} \times P_{engage} \times N_{impl} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Expected Engaged Implementers

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Initial Audience (people) 1.7614 Strong driver
Effective R (ratio) -1.5003 Strong driver
Implementer Orbit Size (people) 0.6074 Strong driver
Engagement Rate (rate) 0.1146 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected Engaged Implementers (10,000 simulations)

Monte Carlo Distribution: Expected Engaged Implementers (10,000 simulations)

Simulation Results Summary: Expected Engaged Implementers

Statistic Value
Baseline (deterministic) 3.48
Mean (expected value) 10.8
Median (50th percentile) 0.668
Standard Deviation 37.3
90% Range (5th-95th percentile) [0.0736, 53.7]

The histogram shows the distribution of Expected Engaged Implementers across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected Engaged Implementers

Probability of Exceeding Threshold: Expected Engaged Implementers

This exceedance probability chart shows the likelihood that Expected Engaged Implementers will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Potential Implementers: 2.98 thousand people

Total potential implementers (billionaires + world leaders)

Inputs:

\[ \begin{gathered} N_{impl} \\ = N_{billionaire} + N_{leader} \\ = 2{,}780 + 195 \\ = 2{,}980 \end{gathered} \]

✓ High confidence

P(At Least One Engages): 96.9%

Probability at least one implementer engages (information diffusion only; dominant strategy proof handles action)

Inputs:

\[ P_{reach} = 1 - P_{none} = 1 - 3.08\% = 96.9\% \] where: \[ \begin{gathered} P_{none} \\ = \left(1 - P_{reach} \cdot P_{engage}\right)^{N_{impl}} \end{gathered} \] where: \[ P_{engage} = 1 - P_{dismiss} = 1 - 90\% = 10\% \] where: \[ \begin{gathered} N_{impl} \\ = N_{billionaire} + N_{leader} \\ = 2{,}780 + 195 \\ = 2{,}980 \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for P(At Least One Engages)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
P(No Implementer Engages) (rate) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: P(At Least One Engages) (10,000 simulations)

Monte Carlo Distribution: P(At Least One Engages) (10,000 simulations)

Simulation Results Summary: P(At Least One Engages)

Statistic Value
Baseline (deterministic) 96.9%
Mean (expected value) 54%
Median (50th percentile) 48.7%
Standard Deviation 36.6%
90% Range (5th-95th percentile) [7.09%, 100%]

The histogram shows the distribution of P(At Least One Engages) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: P(At Least One Engages)

Probability of Exceeding Threshold: P(At Least One Engages)

This exceedance probability chart shows the likelihood that P(At Least One Engages) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Implementer Orbit Reach Probability: 1.17%

Probability a given implementer’s information orbit is reached by the content cascade

Inputs:

\[ \begin{gathered} P_{reach} \\ = 1 - \left(1 - \frac{O_{impl}}{N}\right)^{N_0 \cdot \sum_{i=0}^{3} R_{eff}^i} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Implementer Orbit Reach Probability

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Initial Audience (people) 1.8982 Strong driver
Effective R (ratio) -1.5989 Strong driver
Implementer Orbit Size (people) 0.6433 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Implementer Orbit Reach Probability (10,000 simulations)

Monte Carlo Distribution: Implementer Orbit Reach Probability (10,000 simulations)

Simulation Results Summary: Implementer Orbit Reach Probability

Statistic Value
Baseline (deterministic) 1.17%
Mean (expected value) 3.62%
Median (50th percentile) 0.248%
Standard Deviation 11.5%
90% Range (5th-95th percentile) [0.0312%, 18.6%]

The histogram shows the distribution of Implementer Orbit Reach Probability across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Implementer Orbit Reach Probability

Probability of Exceeding Threshold: Implementer Orbit Reach Probability

This exceedance probability chart shows the likelihood that Implementer Orbit Reach Probability will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

P(No Implementer Engages): 3.08%

Probability that NO implementer engages (all orbits missed or all dismiss)

Inputs:

\[ \begin{gathered} P_{none} \\ = \left(1 - P_{reach} \cdot P_{engage}\right)^{N_{impl}} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for P(No Implementer Engages)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Implementer Orbit Size (people) -3.6645 Strong driver
Effective R (ratio) 1.5260 Strong driver
Initial Audience (people) 1.4706 Strong driver
Engagement Rate (rate) -0.1870 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: P(No Implementer Engages) (10,000 simulations)

Monte Carlo Distribution: P(No Implementer Engages) (10,000 simulations)

Simulation Results Summary: P(No Implementer Engages)

Statistic Value
Baseline (deterministic) 3.08%
Mean (expected value) 46%
Median (50th percentile) 51.3%
Standard Deviation 36.6%
90% Range (5th-95th percentile) [2.79e-22%, 92.9%]

The histogram shows the distribution of P(No Implementer Engages) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: P(No Implementer Engages)

Probability of Exceeding Threshold: P(No Implementer Engages)

This exceedance probability chart shows the likelihood that P(No Implementer Engages) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Chronic Disease Patients Treated: 982 million people

Estimated unique patients receiving chronic disease treatment annually. Derived from IQVIA days of therapy (1.28T) divided by 365 days divided by 2.5 average medications per patient times 70% post-1962 drugs.

Inputs:

\[ \begin{gathered} N_{treated} \\ = DOT_{chronic} \times 0.000767 \\ = 1.28T \times 0.000767 \\ = 982M \end{gathered} \]

Methodology:43

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Annual Chronic Disease Patients Treated

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Days of Chronic Disease Therapy (days) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Chronic Disease Patients Treated (10,000 simulations)

Monte Carlo Distribution: Annual Chronic Disease Patients Treated (10,000 simulations)

Simulation Results Summary: Annual Chronic Disease Patients Treated

Statistic Value
Baseline (deterministic) 982 million
Mean (expected value) 981 million
Median (50th percentile) 976 million
Standard Deviation 98.4 million
90% Range (5th-95th percentile) [827 million, 1.15 billion]

The histogram shows the distribution of Annual Chronic Disease Patients Treated across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Chronic Disease Patients Treated

Probability of Exceeding Threshold: Annual Chronic Disease Patients Treated

This exceedance probability chart shows the likelihood that Annual Chronic Disease Patients Treated will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Combination Therapy Space: 45.1 billion combinations

Total combination therapy space (pairwise drug combinations × diseases). Standard in oncology, HIV, cardiology.

Inputs:

\[ \begin{gathered} Space_{combo} \\ = N_{combo} \times N_{diseases,trial} \\ = 45.1M \times 1{,}000 \\ = 45.1B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Pairwise Drug Combinations: 45.1 million combinations

Unique pairwise drug combinations from known safe compounds (n choose 2)

Inputs:

Formula: SAFE_COMPOUNDS × (SAFE_COMPOUNDS - 1) ÷ 2

✓ High confidence

Sensitivity Analysis

DALYs Averted per Percentage Point: 5.65 billion DALYs

DALYs averted per percentage point of implementation probability shift. One percent of total DALYs from eliminating trial capacity bottleneck and efficacy lag.

Inputs:

\[ DALYs_{pp} = DALYs_{max} \times 0.01 \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for DALYs Averted per Percentage Point

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (DALYs) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: DALYs Averted per Percentage Point (10,000 simulations)

Monte Carlo Distribution: DALYs Averted per Percentage Point (10,000 simulations)

Simulation Results Summary: DALYs Averted per Percentage Point

Statistic Value
Baseline (deterministic) 5.65 billion
Mean (expected value) 6.1 billion
Median (50th percentile) 6.14 billion
Standard Deviation 1.48 billion
90% Range (5th-95th percentile) [3.61 billion, 8.77 billion]

The histogram shows the distribution of DALYs Averted per Percentage Point across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: DALYs Averted per Percentage Point

Probability of Exceeding Threshold: DALYs Averted per Percentage Point

This exceedance probability chart shows the likelihood that DALYs Averted per Percentage Point will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Contribution EV per Percentage Point (Treaty): $149K

Personal expected value per percentage point of implementation probability shift under Treaty Trajectory. One percent of the per-capita lifetime income gain.

Inputs:

\[ EV_{pp,treaty} = \Delta Y_{lifetime,treaty} \times 0.01 \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Contribution EV per Percentage Point (Treaty)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory Lifetime Income Gain (Per Capita) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Contribution EV per Percentage Point (Treaty) (10,000 simulations)

Monte Carlo Distribution: Contribution EV per Percentage Point (Treaty) (10,000 simulations)

Simulation Results Summary: Contribution EV per Percentage Point (Treaty)

Statistic Value
Baseline (deterministic) $149K
Mean (expected value) $218K
Median (50th percentile) $147K
Standard Deviation $210K
90% Range (5th-95th percentile) [$36.1K, $679K]

The histogram shows the distribution of Contribution EV per Percentage Point (Treaty) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Contribution EV per Percentage Point (Treaty)

Probability of Exceeding Threshold: Contribution EV per Percentage Point (Treaty)

This exceedance probability chart shows the likelihood that Contribution EV per Percentage Point (Treaty) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Contribution EV per Percentage Point (Wishonia): $521K

Personal expected value per percentage point of implementation probability shift under Wishonia Trajectory. One percent of the per-capita lifetime income gain.

Inputs:

\[ EV_{pp,wish} = \Delta Y_{lifetime,wish} \times 0.01 \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Contribution EV per Percentage Point (Wishonia)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory Lifetime Income Gain (Per Capita) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Contribution EV per Percentage Point (Wishonia) (10,000 simulations)

Monte Carlo Distribution: Contribution EV per Percentage Point (Wishonia) (10,000 simulations)

Simulation Results Summary: Contribution EV per Percentage Point (Wishonia)

Statistic Value
Baseline (deterministic) $521K
Mean (expected value) $905K
Median (50th percentile) $516K
Standard Deviation $1.07M
90% Range (5th-95th percentile) [$153K, $3.16M]

The histogram shows the distribution of Contribution EV per Percentage Point (Wishonia) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Contribution EV per Percentage Point (Wishonia)

Probability of Exceeding Threshold: Contribution EV per Percentage Point (Wishonia)

This exceedance probability chart shows the likelihood that Contribution EV per Percentage Point (Wishonia) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Suffering Hours Prevented per Percentage Point: 19.3 trillion hours

Suffering hours prevented per percentage point of implementation probability shift. One percent of total suffering hours from eliminating trial capacity bottleneck and efficacy lag.

Inputs:

\[ Hours_{pp} = Hours_{suffer,max} \times 0.01 \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Suffering Hours Prevented per Percentage Point

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (hours) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Suffering Hours Prevented per Percentage Point (10,000 simulations)

Monte Carlo Distribution: Suffering Hours Prevented per Percentage Point (10,000 simulations)

Simulation Results Summary: Suffering Hours Prevented per Percentage Point

Statistic Value
Baseline (deterministic) 19.3 trillion
Mean (expected value) 20.5 trillion
Median (50th percentile) 21.1 trillion
Standard Deviation 3.74 trillion
90% Range (5th-95th percentile) [13.6 trillion, 26.2 trillion]

The histogram shows the distribution of Suffering Hours Prevented per Percentage Point across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Suffering Hours Prevented per Percentage Point

Probability of Exceeding Threshold: Suffering Hours Prevented per Percentage Point

This exceedance probability chart shows the likelihood that Suffering Hours Prevented per Percentage Point will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Combination Therapy Exploration Time (Current): 13.7 million years

Years to test all pairwise drug combinations at current trial capacity. Combination therapy is standard in oncology, HIV, cardiology.

Inputs:

\[ \begin{gathered} T_{explore,combo} \\ = \frac{Space_{combo}}{Trials_{ann,curr}} \\ = \frac{45.1B}{3{,}300} \\ = 13.7M \end{gathered} \] where: \[ \begin{gathered} Space_{combo} \\ = N_{combo} \times N_{diseases,trial} \\ = 45.1M \times 1{,}000 \\ = 45.1B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Combination Therapy Exploration Time (Current)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Current Global Clinical Trials per Year (trials/year) -0.9931 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Combination Therapy Exploration Time (Current) (10,000 simulations)

Monte Carlo Distribution: Combination Therapy Exploration Time (Current) (10,000 simulations)

Simulation Results Summary: Combination Therapy Exploration Time (Current)

Statistic Value
Baseline (deterministic) 13.7 million
Mean (expected value) 13.8 million
Median (50th percentile) 13.8 million
Standard Deviation 1.36 million
90% Range (5th-95th percentile) [11.6 million, 16.3 million]

The histogram shows the distribution of Combination Therapy Exploration Time (Current) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Combination Therapy Exploration Time (Current)

Probability of Exceeding Threshold: Combination Therapy Exploration Time (Current)

This exceedance probability chart shows the likelihood that Combination Therapy Exploration Time (Current) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Known Safe Exploration Time (Current): 2.88 thousand years

Years to test all known safe drug-disease combinations at current global trial capacity

Inputs:

\[ \begin{gathered} T_{explore,safe} \\ = \frac{N_{combos}}{Trials_{ann,curr}} \\ = \frac{9.5M}{3{,}300} \\ = 2{,}880 \end{gathered} \] where: \[ \begin{gathered} N_{combos} \\ = N_{safe} \times N_{diseases,trial} \\ = 9{,}500 \times 1{,}000 \\ = 9.5M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Known Safe Exploration Time (Current)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Current Global Clinical Trials per Year (trials/year) -0.9931 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Known Safe Exploration Time (Current) (10,000 simulations)

Monte Carlo Distribution: Known Safe Exploration Time (Current) (10,000 simulations)

Simulation Results Summary: Known Safe Exploration Time (Current)

Statistic Value
Baseline (deterministic) 2.88 thousand
Mean (expected value) 2.91 thousand
Median (50th percentile) 2.9 thousand
Standard Deviation 286
90% Range (5th-95th percentile) [2.45 thousand, 3.43 thousand]

The histogram shows the distribution of Known Safe Exploration Time (Current) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Known Safe Exploration Time (Current)

Probability of Exceeding Threshold: Known Safe Exploration Time (Current)

This exceedance probability chart shows the likelihood that Known Safe Exploration Time (Current) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Current Patient Participation Rate in Clinical Trials: 0.0792%

Current patient participation rate in clinical trials (0.08% = 1.9M participants / 2.4B disease patients)

Inputs:

\[ \begin{gathered} Rate_{part} \\ = \frac{Slots_{curr}}{N_{patients}} \\ = \frac{1.9M}{2.4B} \\ = 0.0792\% \end{gathered} \]

Methodology:12

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Current Patient Participation Rate in Clinical Trials

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Population with Chronic Diseases (people) 4.1698 Strong driver
Annual Global Clinical Trial Participants (patients/year) -3.1720 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Current Patient Participation Rate in Clinical Trials (10,000 simulations)

Monte Carlo Distribution: Current Patient Participation Rate in Clinical Trials (10,000 simulations)

Simulation Results Summary: Current Patient Participation Rate in Clinical Trials

Statistic Value
Baseline (deterministic) 0.0792%
Mean (expected value) 0.079%
Median (50th percentile) 0.079%
Standard Deviation 0.00169%
90% Range (5th-95th percentile) [0.0761%, 0.0819%]

The histogram shows the distribution of Current Patient Participation Rate in Clinical Trials across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Current Patient Participation Rate in Clinical Trials

Probability of Exceeding Threshold: Current Patient Participation Rate in Clinical Trials

This exceedance probability chart shows the likelihood that Current Patient Participation Rate in Clinical Trials will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Current Trajectory Average Income at Year 15: $18.7K

Average income (GDP per capita) at year 15 under current trajectory.

Inputs:

\[ \bar{y}_{base,15} = \frac{GDP_{base,15}}{Pop_{2040}} \]

✓ High confidence

Monte Carlo Distribution

Monte Carlo Distribution: Current Trajectory Average Income at Year 15 (10,000 simulations)

Monte Carlo Distribution: Current Trajectory Average Income at Year 15 (10,000 simulations)

Simulation Results Summary: Current Trajectory Average Income at Year 15

Statistic Value
Baseline (deterministic) $18.7K
Mean (expected value) $18.7K
Median (50th percentile) $18.7K
Standard Deviation $3.64e-12
90% Range (5th-95th percentile) [$18.7K, $18.7K]

The histogram shows the distribution of Current Trajectory Average Income at Year 15 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Current Trajectory Average Income at Year 15

Probability of Exceeding Threshold: Current Trajectory Average Income at Year 15

This exceedance probability chart shows the likelihood that Current Trajectory Average Income at Year 15 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Current Trajectory Average Income at Year 20: $20.5K

Average income (GDP per capita) at year 20 under current trajectory trajectory.

Inputs:

\[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Monte Carlo Distribution

Monte Carlo Distribution: Current Trajectory Average Income at Year 20 (10,000 simulations)

Monte Carlo Distribution: Current Trajectory Average Income at Year 20 (10,000 simulations)

Simulation Results Summary: Current Trajectory Average Income at Year 20

Statistic Value
Baseline (deterministic) $20.5K
Mean (expected value) $20.5K
Median (50th percentile) $20.5K
Standard Deviation $3.64e-12
90% Range (5th-95th percentile) [$20.5K, $20.5K]

The histogram shows the distribution of Current Trajectory Average Income at Year 20 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Current Trajectory Average Income at Year 20

Probability of Exceeding Threshold: Current Trajectory Average Income at Year 20

This exceedance probability chart shows the likelihood that Current Trajectory Average Income at Year 20 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Current Trajectory Cumulative Lifetime Income (Per Capita): $1.18M

Cumulative per-capita income over an average remaining lifespan under current trajectory baseline trajectory. Uses 2.5% baseline growth for all years.

Inputs:

\[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Current Trajectory Cumulative Lifetime Income (Per Capita)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Average Remaining Years (Median Person) (years) 1.0247 Strong driver
Global Average Income (2025 Baseline) (USD) 0.0361 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Current Trajectory Cumulative Lifetime Income (Per Capita) (10,000 simulations)

Monte Carlo Distribution: Current Trajectory Cumulative Lifetime Income (Per Capita) (10,000 simulations)

Simulation Results Summary: Current Trajectory Cumulative Lifetime Income (Per Capita)

Statistic Value
Baseline (deterministic) $1.18M
Mean (expected value) $1.19M
Median (50th percentile) $1.18M
Standard Deviation $82.3K
90% Range (5th-95th percentile) [$1.07M, $1.31M]

The histogram shows the distribution of Current Trajectory Cumulative Lifetime Income (Per Capita) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Current Trajectory Cumulative Lifetime Income (Per Capita)

Probability of Exceeding Threshold: Current Trajectory Cumulative Lifetime Income (Per Capita)

This exceedance probability chart shows the likelihood that Current Trajectory Cumulative Lifetime Income (Per Capita) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Current Trajectory GDP at Year 15: $167T

Global GDP at year 15 under status-quo current trajectory growth.

Inputs:

\[ GDP_{base,15} = GDP_0(1+g_{base})^{15} \]

✓ High confidence

Monte Carlo Distribution

Monte Carlo Distribution: Current Trajectory GDP at Year 15 (10,000 simulations)

Monte Carlo Distribution: Current Trajectory GDP at Year 15 (10,000 simulations)

Simulation Results Summary: Current Trajectory GDP at Year 15

Statistic Value
Baseline (deterministic) $167T
Mean (expected value) $167T
Median (50th percentile) $167T
Standard Deviation $0.031
90% Range (5th-95th percentile) [$167T, $167T]

The histogram shows the distribution of Current Trajectory GDP at Year 15 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Current Trajectory GDP at Year 15

Probability of Exceeding Threshold: Current Trajectory GDP at Year 15

This exceedance probability chart shows the likelihood that Current Trajectory GDP at Year 15 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Current Trajectory GDP at Year 20: $188T

Global GDP at year 20 under status-quo current trajectory growth.

Inputs:

\[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \]

✓ High confidence

Monte Carlo Distribution

Monte Carlo Distribution: Current Trajectory GDP at Year 20 (10,000 simulations)

Monte Carlo Distribution: Current Trajectory GDP at Year 20 (10,000 simulations)

Simulation Results Summary: Current Trajectory GDP at Year 20

Statistic Value
Baseline (deterministic) $188T
Mean (expected value) $188T
Median (50th percentile) $188T
Standard Deviation $0.031
90% Range (5th-95th percentile) [$188T, $188T]

The histogram shows the distribution of Current Trajectory GDP at Year 20 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Current Trajectory GDP at Year 20

Probability of Exceeding Threshold: Current Trajectory GDP at Year 20

This exceedance probability chart shows the likelihood that Current Trajectory GDP at Year 20 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Years Until Destructive Economy Reaches 25% of GDP: 8 years

Years until the destructive economy (military + cybercrime) reaches 25% of GDP at current growth rates. Historical precedent suggests societies become unstable when extraction rates exceed 20-30% of economic output.

Inputs:

\[ \begin{gathered} n_{25\%} \\ = \frac{\ln(0.25 / r_{destruct:GDP})}{\ln(1 + g_{destruct} - g_{GDP})} \end{gathered} \]

✓ High confidence

Years Until Destructive Economy Reaches 50% of GDP: 15 years

Years until the destructive economy (military + cybercrime) reaches 50% of GDP at current growth rates. At this point, more economic activity is devoted to destruction and extraction than to production.

Inputs:

\[ \begin{gathered} n_{50\%} \\ = \frac{\ln(0.50 / r_{destruct:GDP})}{\ln(1 + g_{destruct} - g_{GDP})} \end{gathered} \]

✓ High confidence

Total Annual Decentralized Framework for Drug Assessment Operational Costs: $40M

Total annual Decentralized Framework for Drug Assessment operational costs (sum of all components: platform + staff + infra + regulatory + community)

Inputs:

\[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Decentralized Framework for Drug Assessment Operational Costs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Maintenance Costs (USD/year) 0.3542 Moderate driver
Decentralized Framework for Drug Assessment Staff Costs (USD/year) 0.2355 Weak driver
Decentralized Framework for Drug Assessment Infrastructure Costs (USD/year) 0.2060 Weak driver
Decentralized Framework for Drug Assessment Regulatory Coordination Costs (USD/year) 0.1469 Weak driver
Decentralized Framework for Drug Assessment Community Support Costs (USD/year) 0.0576 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Decentralized Framework for Drug Assessment Operational Costs (10,000 simulations)

Monte Carlo Distribution: Total Annual Decentralized Framework for Drug Assessment Operational Costs (10,000 simulations)

Simulation Results Summary: Total Annual Decentralized Framework for Drug Assessment Operational Costs

Statistic Value
Baseline (deterministic) $40M
Mean (expected value) $39.9M
Median (50th percentile) $39M
Standard Deviation $8.21M
90% Range (5th-95th percentile) [$27.3M, $55.6M]

The histogram shows the distribution of Total Annual Decentralized Framework for Drug Assessment Operational Costs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Decentralized Framework for Drug Assessment Operational Costs

Probability of Exceeding Threshold: Total Annual Decentralized Framework for Drug Assessment Operational Costs

This exceedance probability chart shows the likelihood that Total Annual Decentralized Framework for Drug Assessment Operational Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings: $58.6B

Annual Decentralized Framework for Drug Assessment benefit from R&D savings (trial cost reduction, secondary component)

Inputs:

\[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Global Spending on Clinical Trials (USD) 1.0205 Strong driver
dFDA Trial Cost Reduction Percentage (percentage) 0.0244 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings

Statistic Value
Baseline (deterministic) $58.6B
Mean (expected value) $58.8B
Median (50th percentile) $57.8B
Standard Deviation $7.66B
90% Range (5th-95th percentile) [$49.2B, $73.1B]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Direct Funding Cost per DALY: $0.842

Cost per DALY at direct funding level for the therapeutic space exploration period. Still highly cost-effective vs bed nets.

Inputs:

\[ \begin{gathered} Cost_{direct,DALY} \\ = \frac{NPV_{direct}}{DALYs_{max}} \\ = \frac{\$476B}{565B} \\ = \$0.842 \end{gathered} \] where: \[ NPV_{direct} = Funding_{ann} \times \frac{1 - (1+r)^{-T}}{r} \] where: \[ \begin{gathered} T_{queue,dFDA} \\ = \frac{T_{queue,SQ}}{k_{capacity}} \\ = \frac{443}{12.3} \\ = 36 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Direct Funding Cost per DALY

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (DALYs) -0.5173 Strong driver
dFDA Direct Funding NPV (Exploration Period) (USD) 0.4592 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Direct Funding Cost per DALY (10,000 simulations)

Monte Carlo Distribution: dFDA Direct Funding Cost per DALY (10,000 simulations)

Simulation Results Summary: dFDA Direct Funding Cost per DALY

Statistic Value
Baseline (deterministic) $0.842
Mean (expected value) $0.801
Median (50th percentile) $0.695
Standard Deviation $0.466
90% Range (5th-95th percentile) [$0.242, $1.75]

The histogram shows the distribution of dFDA Direct Funding Cost per DALY across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Direct Funding Cost per DALY

Probability of Exceeding Threshold: dFDA Direct Funding Cost per DALY

This exceedance probability chart shows the likelihood that dFDA Direct Funding Cost per DALY will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Direct Funding NPV (Exploration Period): $476B

NPV of annual direct funding for the therapeutic space exploration period. Funding period equals exploration time (queue clearance years at given capacity multiplier). After exploration completes, the full timeline shift benefit is realized.

Inputs:

\[ NPV_{direct} = Funding_{ann} \times \frac{1 - (1+r)^{-T}}{r} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Direct Funding NPV (Exploration Period)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Therapeutic Space Exploration Time (years) 0.9444 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Direct Funding NPV (Exploration Period) (10,000 simulations)

Monte Carlo Distribution: dFDA Direct Funding NPV (Exploration Period) (10,000 simulations)

Simulation Results Summary: dFDA Direct Funding NPV (Exploration Period)

Statistic Value
Baseline (deterministic) $476B
Mean (expected value) $426B
Median (50th percentile) $424B
Standard Deviation $135B
90% Range (5th-95th percentile) [$211B, $652B]

The histogram shows the distribution of dFDA Direct Funding NPV (Exploration Period) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Direct Funding NPV (Exploration Period)

Probability of Exceeding Threshold: dFDA Direct Funding NPV (Exploration Period)

This exceedance probability chart shows the likelihood that dFDA Direct Funding NPV (Exploration Period) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput: 178k:1

ROI from directly funding pragmatic clinical trials over the therapeutic space exploration period.

Inputs:

\[ \begin{gathered} ROI_{direct,max} \\ = \frac{Value_{max}}{NPV_{direct}} \\ = \frac{\$84800T}{\$476B} \\ = 178{,}000 \end{gathered} \] where: \[ \begin{gathered} Value_{max} \\ = DALYs_{max} \times Value_{QALY} \\ = 565B \times \$150K \\ = \$84800T \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ NPV_{direct} = Funding_{ann} \times \frac{1 - (1+r)^{-T}}{r} \] where: \[ \begin{gathered} T_{queue,dFDA} \\ = \frac{T_{queue,SQ}}{k_{capacity}} \\ = \frac{443}{12.3} \\ = 36 \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Direct Funding NPV (Exploration Period) (USD) -0.8466 Strong driver
Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (USD) 0.1502 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput (10,000 simulations)

Monte Carlo Distribution: Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput (10,000 simulations)

Simulation Results Summary: Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

Statistic Value
Baseline (deterministic) 178k:1
Mean (expected value) 236k:1
Median (50th percentile) 215k:1
Standard Deviation 106k:1
90% Range (5th-95th percentile) [110k:1, 421k:1]

The histogram shows the distribution of Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

Probability of Exceeding Threshold: Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

This exceedance probability chart shows the likelihood that Direct Funding ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total DALYs Lost from Disease Eradication Delay: 7.94 billion DALYs

Total Disability-Adjusted Life Years lost from disease eradication delay (PRIMARY estimate)

Inputs:

\[ DALYs_{lag} = YLL_{lag} + YLD_{lag} = 7.07B + 873M = 7.94B \] where: \[ \begin{gathered} YLL_{lag} \\ = Deaths_{lag} \times (LE_{global} - Age_{death,delay}) \\ = 416M \times (79 - 62) \\ = 7.07B \end{gathered} \] where: \[ \begin{gathered} Deaths_{lag} \\ = T_{lag} \times Deaths_{disease,daily} \times 338 \\ = 8.2 \times 150{,}000 \times 338 \\ = 416M \end{gathered} \] where: \[ \begin{gathered} YLD_{lag} \\ = Deaths_{lag} \times T_{suffering} \times DW_{chronic} \\ = 416M \times 6 \times 0.35 \\ = 873M \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Total DALYs Lost from Disease Eradication Delay

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Years of Life Lost from Disease Eradication Delay (years) 0.7043 Strong driver
Years Lived with Disability During Disease Eradication Delay (years) 0.3107 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total DALYs Lost from Disease Eradication Delay (10,000 simulations)

Monte Carlo Distribution: Total DALYs Lost from Disease Eradication Delay (10,000 simulations)

Simulation Results Summary: Total DALYs Lost from Disease Eradication Delay

Statistic Value
Baseline (deterministic) 7.94 billion
Mean (expected value) 8.05 billion
Median (50th percentile) 7.89 billion
Standard Deviation 2.31 billion
90% Range (5th-95th percentile) [4.43 billion, 12.1 billion]

The histogram shows the distribution of Total DALYs Lost from Disease Eradication Delay across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total DALYs Lost from Disease Eradication Delay

Probability of Exceeding Threshold: Total DALYs Lost from Disease Eradication Delay

This exceedance probability chart shows the likelihood that Total DALYs Lost from Disease Eradication Delay will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Deaths from Disease Eradication Delay: 416 million deaths

Total eventually avoidable deaths from delaying disease eradication by 8.2 years (PRIMARY estimate, conservative). Excludes fundamentally unavoidable deaths (primarily accidents ~7.9%).

Inputs:

\[ \begin{gathered} Deaths_{lag} \\ = T_{lag} \times Deaths_{disease,daily} \times 338 \\ = 8.2 \times 150{,}000 \times 338 \\ = 416M \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Total Deaths from Disease Eradication Delay

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Regulatory Delay for Efficacy Testing Post-Safety Verification (years) 1.1404 Strong driver
Global Daily Deaths from Disease and Aging (deaths/day) -0.1422 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Deaths from Disease Eradication Delay (10,000 simulations)

Monte Carlo Distribution: Total Deaths from Disease Eradication Delay (10,000 simulations)

Simulation Results Summary: Total Deaths from Disease Eradication Delay

Statistic Value
Baseline (deterministic) 416 million
Mean (expected value) 420 million
Median (50th percentile) 414 million
Standard Deviation 122 million
90% Range (5th-95th percentile) [225 million, 630 million]

The histogram shows the distribution of Total Deaths from Disease Eradication Delay across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Deaths from Disease Eradication Delay

Probability of Exceeding Threshold: Total Deaths from Disease Eradication Delay

This exceedance probability chart shows the likelihood that Total Deaths from Disease Eradication Delay will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Economic Loss from Disease Eradication Delay: $1.19 quadrillion

Total economic loss from delaying disease eradication by 8.2 years (PRIMARY estimate, 2024 USD). Values global DALYs at standardized US/International normative rate ($150k) rather than local ability-to-pay, representing the full human capital loss.

Inputs:

\[ \begin{gathered} Value_{lag} \\ = DALYs_{lag} \times Value_{QALY} \\ = 7.94B \times \$150K \\ = \$1190T \end{gathered} \] where: \[ DALYs_{lag} = YLL_{lag} + YLD_{lag} = 7.07B + 873M = 7.94B \] where: \[ \begin{gathered} YLL_{lag} \\ = Deaths_{lag} \times (LE_{global} - Age_{death,delay}) \\ = 416M \times (79 - 62) \\ = 7.07B \end{gathered} \] where: \[ \begin{gathered} Deaths_{lag} \\ = T_{lag} \times Deaths_{disease,daily} \times 338 \\ = 8.2 \times 150{,}000 \times 338 \\ = 416M \end{gathered} \] where: \[ \begin{gathered} YLD_{lag} \\ = Deaths_{lag} \times T_{suffering} \times DW_{chronic} \\ = 416M \times 6 \times 0.35 \\ = 873M \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Total Economic Loss from Disease Eradication Delay

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total DALYs Lost from Disease Eradication Delay (DALYs) 1.0671 Strong driver
Standard Economic Value per QALY (USD/QALY) -0.0733 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Economic Loss from Disease Eradication Delay (10,000 simulations)

Monte Carlo Distribution: Total Economic Loss from Disease Eradication Delay (10,000 simulations)

Simulation Results Summary: Total Economic Loss from Disease Eradication Delay

Statistic Value
Baseline (deterministic) $1.19 quadrillion
Mean (expected value) $1.27 quadrillion
Median (50th percentile) $1.18 quadrillion
Standard Deviation $581T
90% Range (5th-95th percentile) [$443T, $2.41 quadrillion]

The histogram shows the distribution of Total Economic Loss from Disease Eradication Delay across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Economic Loss from Disease Eradication Delay

Probability of Exceeding Threshold: Total Economic Loss from Disease Eradication Delay

This exceedance probability chart shows the likelihood that Total Economic Loss from Disease Eradication Delay will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Years Lived with Disability During Disease Eradication Delay: 873 million years

Years Lived with Disability during disease eradication delay (PRIMARY estimate)

Inputs:

\[ \begin{gathered} YLD_{lag} \\ = Deaths_{lag} \times T_{suffering} \times DW_{chronic} \\ = 416M \times 6 \times 0.35 \\ = 873M \end{gathered} \] where: \[ \begin{gathered} Deaths_{lag} \\ = T_{lag} \times Deaths_{disease,daily} \times 338 \\ = 8.2 \times 150{,}000 \times 338 \\ = 416M \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Years Lived with Disability During Disease Eradication Delay

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Pre-Death Suffering Period During Post-Safety Efficacy Delay (years) 2.0883 Strong driver
Disability Weight for Untreated Chronic Conditions (weight) -0.9003 Strong driver
Total Deaths from Disease Eradication Delay (deaths) -0.2255 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Years Lived with Disability During Disease Eradication Delay (10,000 simulations)

Monte Carlo Distribution: Years Lived with Disability During Disease Eradication Delay (10,000 simulations)

Simulation Results Summary: Years Lived with Disability During Disease Eradication Delay

Statistic Value
Baseline (deterministic) 873 million
Mean (expected value) 1.02 billion
Median (50th percentile) 846 million
Standard Deviation 716 million
90% Range (5th-95th percentile) [217 million, 2.43 billion]

The histogram shows the distribution of Years Lived with Disability During Disease Eradication Delay across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Years Lived with Disability During Disease Eradication Delay

Probability of Exceeding Threshold: Years Lived with Disability During Disease Eradication Delay

This exceedance probability chart shows the likelihood that Years Lived with Disability During Disease Eradication Delay will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Years of Life Lost from Disease Eradication Delay: 7.07 billion years

Years of Life Lost from disease eradication delay deaths (PRIMARY estimate)

Inputs:

\[ \begin{gathered} YLL_{lag} \\ = Deaths_{lag} \times (LE_{global} - Age_{death,delay}) \\ = 416M \times (79 - 62) \\ = 7.07B \end{gathered} \] where: \[ \begin{gathered} Deaths_{lag} \\ = T_{lag} \times Deaths_{disease,daily} \times 338 \\ = 8.2 \times 150{,}000 \times 338 \\ = 416M \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Years of Life Lost from Disease Eradication Delay

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Life Expectancy (2024) (years) 2.0066 Strong driver
Mean Age of Preventable Death from Post-Safety Efficacy Delay (years) -1.3852 Strong driver
Total Deaths from Disease Eradication Delay (deaths) 0.3779 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Years of Life Lost from Disease Eradication Delay (10,000 simulations)

Monte Carlo Distribution: Years of Life Lost from Disease Eradication Delay (10,000 simulations)

Simulation Results Summary: Years of Life Lost from Disease Eradication Delay

Statistic Value
Baseline (deterministic) 7.07 billion
Mean (expected value) 7.03 billion
Median (50th percentile) 7.05 billion
Standard Deviation 1.62 billion
90% Range (5th-95th percentile) [4.21 billion, 9.68 billion]

The histogram shows the distribution of Years of Life Lost from Disease Eradication Delay across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Years of Life Lost from Disease Eradication Delay

Probability of Exceeding Threshold: Years of Life Lost from Disease Eradication Delay

This exceedance probability chart shows the likelihood that Years of Life Lost from Disease Eradication Delay will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA New Treatments Per Year: 185 diseases/year

Diseases per year receiving their first effective treatment with dFDA. Scales proportionally with trial capacity multiplier.

Inputs:

\[ \begin{gathered} Treatments_{dFDA,ann} \\ = Treatments_{new,ann} \times k_{capacity} \\ = 15 \times 12.3 \\ = 185 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for dFDA New Treatments Per Year

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Trial Capacity Multiplier (x) 0.9380 Strong driver
Diseases Getting First Treatment Per Year (diseases/year) -0.0784 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA New Treatments Per Year (10,000 simulations)

Monte Carlo Distribution: dFDA New Treatments Per Year (10,000 simulations)

Simulation Results Summary: dFDA New Treatments Per Year

Statistic Value
Baseline (deterministic) 185
Mean (expected value) 254
Median (50th percentile) 224
Standard Deviation 141
90% Range (5th-95th percentile) [107, 491]

The histogram shows the distribution of dFDA New Treatments Per Year across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA New Treatments Per Year

Probability of Exceeding Threshold: dFDA New Treatments Per Year

This exceedance probability chart shows the likelihood that dFDA New Treatments Per Year will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Known Safe Exploration Time (dFDA): 234 years

Years to test all known safe drug-disease combinations with dFDA trial capacity

Inputs:

\[ \begin{gathered} T_{safe,dFDA} \\ = \frac{N_{combos}}{Capacity_{trials}} \\ = \frac{9.5M}{40{,}700} \\ = 234 \end{gathered} \] where: \[ \begin{gathered} N_{combos} \\ = N_{safe} \times N_{diseases,trial} \\ = 9{,}500 \times 1{,}000 \\ = 9.5M \end{gathered} \] where: \[ \begin{gathered} Capacity_{trials} \\ = Trials_{ann,curr} \times k_{capacity} \\ = 3{,}300 \times 12.3 \\ = 40{,}700 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Known Safe Exploration Time (dFDA)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Maximum Trials per Year (trials/year) -0.6771 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Known Safe Exploration Time (dFDA) (10,000 simulations)

Monte Carlo Distribution: Known Safe Exploration Time (dFDA) (10,000 simulations)

Simulation Results Summary: Known Safe Exploration Time (dFDA)

Statistic Value
Baseline (deterministic) 234
Mean (expected value) 227
Median (50th percentile) 181
Standard Deviation 162
90% Range (5th-95th percentile) [55.9, 583]

The histogram shows the distribution of Known Safe Exploration Time (dFDA) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Known Safe Exploration Time (dFDA)

Probability of Exceeding Threshold: Known Safe Exploration Time (dFDA)

This exceedance probability chart shows the likelihood that Known Safe Exploration Time (dFDA) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Maximum Trial Capacity Multiplier (Physical Limit): 566x

Physical upper bound on trial-capacity multiplier from participant availability. Even with unlimited funding, annual trial enrollment cannot exceed willing participant pool.

Inputs:

\[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Maximum Trial Capacity Multiplier (Physical Limit)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Patients Willing to Participate in Clinical Trials (people) 0.8980 Strong driver
Annual Global Clinical Trial Participants (patients/year) 0.0989 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Maximum Trial Capacity Multiplier (Physical Limit) (10,000 simulations)

Monte Carlo Distribution: Maximum Trial Capacity Multiplier (Physical Limit) (10,000 simulations)

Simulation Results Summary: Maximum Trial Capacity Multiplier (Physical Limit)

Statistic Value
Baseline (deterministic) 566x
Mean (expected value) 567x
Median (50th percentile) 567x
Standard Deviation 18.4x
90% Range (5th-95th percentile) [534x, 597x]

The histogram shows the distribution of Maximum Trial Capacity Multiplier (Physical Limit) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Maximum Trial Capacity Multiplier (Physical Limit)

Probability of Exceeding Threshold: Maximum Trial Capacity Multiplier (Physical Limit)

This exceedance probability chart shows the likelihood that Maximum Trial Capacity Multiplier (Physical Limit) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only): $58.6B

Annual net savings from R&D cost reduction only (gross savings minus operational costs, excludes regulatory delay value)

Inputs:

\[ \begin{gathered} Savings_{RD,ann} \\ = Benefit_{RD,ann} - OPEX_{dFDA} \\ = \$58.6B - \$40M \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings (USD/year) 1.0011 Strong driver
Total Annual Decentralized Framework for Drug Assessment Operational Costs (USD/year) -0.0011 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only) (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only) (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only)

Statistic Value
Baseline (deterministic) $58.6B
Mean (expected value) $58.8B
Median (50th percentile) $57.8B
Standard Deviation $7.66B
90% Range (5th-95th percentile) [$49.2B, $73B]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only)

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only)

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Total NPV Annual OPEX: $40M

Total NPV annual opex (Decentralized Framework for Drug Assessment core + DIH initiatives)

Inputs:

\[ \begin{gathered} OPEX_{total} \\ = OPEX_{ann} + OPEX_{DIH,ann} \\ = \$18.9M + \$21.1M \\ = \$40M \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Total NPV Annual OPEX

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
DIH Broader Initiatives Annual OPEX (USD/year) 0.5419 Strong driver
Decentralized Framework for Drug Assessment Core framework Annual OPEX (USD/year) 0.4592 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Total NPV Annual OPEX (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Total NPV Annual OPEX (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Total NPV Annual OPEX

Statistic Value
Baseline (deterministic) $40M
Mean (expected value) $39.9M
Median (50th percentile) $39.1M
Standard Deviation $8.04M
90% Range (5th-95th percentile) [$27.5M, $55.4M]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Total NPV Annual OPEX across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Total NPV Annual OPEX

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Total NPV Annual OPEX

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Total NPV Annual OPEX will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted): $389B

NPV of Decentralized Framework for Drug Assessment R&D savings only with 5-year adoption ramp (10-year horizon, most conservative financial estimate)

Inputs:

\[ \begin{gathered} NPV_{RD} \\ = \sum_{t=1}^{10} \frac{Savings_{RD,ann} \times \frac{\min(t,5)}{5}}{(1+r)^t} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Annual Net Savings (R&D Only) (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted) (10,000 simulations)

Monte Carlo Distribution: NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted) (10,000 simulations)

Simulation Results Summary: NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted)

Statistic Value
Baseline (deterministic) $389B
Mean (expected value) $391B
Median (50th percentile) $384B
Standard Deviation $50.9B
90% Range (5th-95th percentile) [$327B, $485B]

The histogram shows the distribution of NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted)

Probability of Exceeding Threshold: NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted)

This exceedance probability chart shows the likelihood that NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

NPV Net Benefit (R&D Only): $389B

NPV net benefit using R&D savings only (benefits minus costs)

Inputs:

\[ \begin{gathered} NPV_{net,RD} \\ = NPV_{RD} - Cost_{dFDA,total} \\ = \$389B - \$611M \\ = \$389B \end{gathered} \] where: \[ \begin{gathered} NPV_{RD} \\ = \sum_{t=1}^{10} \frac{Savings_{RD,ann} \times \frac{\min(t,5)}{5}}{(1+r)^t} \end{gathered} \] where: \[ \begin{gathered} Savings_{RD,ann} \\ = Benefit_{RD,ann} - OPEX_{dFDA} \\ = \$58.6B - \$40M \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Cost_{dFDA,total} \\ = PV_{OPEX} + Cost_{upfront,total} \\ = \$342M + \$270M \\ = \$611M \end{gathered} \] where: \[ PV_{OPEX} = OPEX_{ann} \times \frac{1 - (1+r)^{-T}}{r} \] where: \[ \begin{gathered} OPEX_{total} \\ = OPEX_{ann} + OPEX_{DIH,ann} \\ = \$18.9M + \$21.1M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Cost_{upfront,total} \\ = Cost_{upfront} + Cost_{DIH,init} \\ = \$40M + \$230M \\ = \$270M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for NPV Net Benefit (R&D Only)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted) (USD) 1.0025 Strong driver
Decentralized Framework for Drug Assessment Total NPV Cost (USD) -0.0025 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: NPV Net Benefit (R&D Only) (10,000 simulations)

Monte Carlo Distribution: NPV Net Benefit (R&D Only) (10,000 simulations)

Simulation Results Summary: NPV Net Benefit (R&D Only)

Statistic Value
Baseline (deterministic) $389B
Mean (expected value) $390B
Median (50th percentile) $383B
Standard Deviation $50.7B
90% Range (5th-95th percentile) [$326B, $484B]

The histogram shows the distribution of NPV Net Benefit (R&D Only) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: NPV Net Benefit (R&D Only)

Probability of Exceeding Threshold: NPV Net Benefit (R&D Only)

This exceedance probability chart shows the likelihood that NPV Net Benefit (R&D Only) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years: $342M

Present value of annual opex over 10 years (NPV formula)

Inputs:

\[ PV_{OPEX} = OPEX_{ann} \times \frac{1 - (1+r)^{-T}}{r} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Total NPV Annual OPEX (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years

Statistic Value
Baseline (deterministic) $342M
Mean (expected value) $340M
Median (50th percentile) $333M
Standard Deviation $68.6M
90% Range (5th-95th percentile) [$235M, $473M]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Total NPV Cost: $611M

Total NPV cost (upfront + PV of annual opex)

Inputs:

\[ \begin{gathered} Cost_{dFDA,total} \\ = PV_{OPEX} + Cost_{upfront,total} \\ = \$342M + \$270M \\ = \$611M \end{gathered} \] where: \[ PV_{OPEX} = OPEX_{ann} \times \frac{1 - (1+r)^{-T}}{r} \] where: \[ \begin{gathered} OPEX_{total} \\ = OPEX_{ann} + OPEX_{DIH,ann} \\ = \$18.9M + \$21.1M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Cost_{upfront,total} \\ = Cost_{upfront} + Cost_{DIH,init} \\ = \$40M + \$230M \\ = \$270M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Total NPV Cost

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Present Value of Annual OPEX Over 10 Years (USD) 0.5417 Strong driver
Decentralized Framework for Drug Assessment Total NPV Upfront Costs (USD) 0.4585 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Total NPV Cost (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Total NPV Cost (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Total NPV Cost

Statistic Value
Baseline (deterministic) $611M
Mean (expected value) $609M
Median (50th percentile) $595M
Standard Deviation $127M
90% Range (5th-95th percentile) [$415M, $853M]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Total NPV Cost across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Total NPV Cost

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Total NPV Cost

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Total NPV Cost will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Total NPV Upfront Costs: $270M

Total NPV upfront costs (Decentralized Framework for Drug Assessment core + DIH initiatives)

Inputs:

\[ \begin{gathered} Cost_{upfront,total} \\ = Cost_{upfront} + Cost_{DIH,init} \\ = \$40M + \$230M \\ = \$270M \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Total NPV Upfront Costs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
DIH Broader Initiatives Upfront Cost (USD) 0.8338 Strong driver
Decentralized Framework for Drug Assessment Core framework Build Cost (USD) 0.1662 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Total NPV Upfront Costs (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Total NPV Upfront Costs (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Total NPV Upfront Costs

Statistic Value
Baseline (deterministic) $270M
Mean (expected value) $269M
Median (50th percentile) $262M
Standard Deviation $58.1M
90% Range (5th-95th percentile) [$181M, $380M]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Total NPV Upfront Costs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Total NPV Upfront Costs

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Total NPV Upfront Costs

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Total NPV Upfront Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding: 0.147%

Percentage of treaty funding allocated to Decentralized Framework for Drug Assessment framework overhead

Inputs:

\[ \begin{gathered} OPEX_{pct} \\ = \frac{OPEX_{dFDA}}{Funding_{treaty}} \\ = \frac{\$40M}{\$27.2B} \\ = 0.147\% \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Decentralized Framework for Drug Assessment Operational Costs (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding

Statistic Value
Baseline (deterministic) 0.147%
Mean (expected value) 0.147%
Median (50th percentile) 0.143%
Standard Deviation 0.0302%
90% Range (5th-95th percentile) [0.1%, 0.204%]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Overhead Percentage of Treaty Funding will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Patients Fundable Annually: 23.4 million patients/year

Number of patients fundable annually from dFDA funding at pragmatic trial cost. Source-agnostic counterpart of DIH_PATIENTS_FUNDABLE_ANNUALLY.

Inputs:

\[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Patients Fundable Annually

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Annual Trial Subsidies (USD/year) 2.3351 Strong driver
dFDA Pragmatic Trial Cost per Patient (USD/patient) 1.5755 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Patients Fundable Annually (10,000 simulations)

Monte Carlo Distribution: dFDA Patients Fundable Annually (10,000 simulations)

Simulation Results Summary: dFDA Patients Fundable Annually

Statistic Value
Baseline (deterministic) 23.4 million
Mean (expected value) 38.6 million
Median (50th percentile) 30.2 million
Standard Deviation 30.2 million
90% Range (5th-95th percentile) [9.46 million, 97 million]

The histogram shows the distribution of dFDA Patients Fundable Annually across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Patients Fundable Annually

Probability of Exceeding Threshold: dFDA Patients Fundable Annually

This exceedance probability chart shows the likelihood that dFDA Patients Fundable Annually will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Therapeutic Space Exploration Time: 36 years

Years to explore the entire therapeutic search space with dFDA implementation. At increased discovery rate, finding first treatments for all currently untreatable diseases takes ~36 years instead of ~443.

Inputs:

\[ \begin{gathered} T_{queue,dFDA} \\ = \frac{T_{queue,SQ}}{k_{capacity}} \\ = \frac{443}{12.3} \\ = 36 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Therapeutic Space Exploration Time

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Status Quo Therapeutic Space Exploration Time (years) -1.3321 Strong driver
Trial Capacity Multiplier (x) 0.4867 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Therapeutic Space Exploration Time (10,000 simulations)

Monte Carlo Distribution: dFDA Therapeutic Space Exploration Time (10,000 simulations)

Simulation Results Summary: dFDA Therapeutic Space Exploration Time

Statistic Value
Baseline (deterministic) 36
Mean (expected value) 34.5
Median (50th percentile) 29.6
Standard Deviation 19.9
90% Range (5th-95th percentile) [11.6, 77.1]

The histogram shows the distribution of dFDA Therapeutic Space Exploration Time across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Therapeutic Space Exploration Time

Probability of Exceeding Threshold: dFDA Therapeutic Space Exploration Time

This exceedance probability chart shows the likelihood that dFDA Therapeutic Space Exploration Time will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Daily R&D Savings from Trial Cost Reduction: $161M

Daily R&D savings from trial cost reduction (opportunity cost of delay)

Inputs:

\[ \begin{gathered} Savings_{RD,daily} \\ = Benefit_{RD,ann} \times 0.00274 \\ = \$58.6B \times 0.00274 \\ = \$161M \end{gathered} \] where: \[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Daily R&D Savings from Trial Cost Reduction

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Daily R&D Savings from Trial Cost Reduction (10,000 simulations)

Monte Carlo Distribution: Daily R&D Savings from Trial Cost Reduction (10,000 simulations)

Simulation Results Summary: Daily R&D Savings from Trial Cost Reduction

Statistic Value
Baseline (deterministic) $161M
Mean (expected value) $161M
Median (50th percentile) $158M
Standard Deviation $21M
90% Range (5th-95th percentile) [$135M, $200M]

The histogram shows the distribution of Daily R&D Savings from Trial Cost Reduction across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Daily R&D Savings from Trial Cost Reduction

Probability of Exceeding Threshold: Daily R&D Savings from Trial Cost Reduction

This exceedance probability chart shows the likelihood that Daily R&D Savings from Trial Cost Reduction will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

ROI from Decentralized Framework for Drug Assessment R&D Savings Only: 637:1

ROI from Decentralized Framework for Drug Assessment R&D savings only (10-year NPV, most conservative estimate)

Inputs:

\[ \begin{gathered} ROI_{RD} \\ = \frac{NPV_{RD}}{Cost_{dFDA,total}} \\ = \frac{\$389B}{\$611M} \\ = 637 \end{gathered} \] where: \[ \begin{gathered} NPV_{RD} \\ = \sum_{t=1}^{10} \frac{Savings_{RD,ann} \times \frac{\min(t,5)}{5}}{(1+r)^t} \end{gathered} \] where: \[ \begin{gathered} Savings_{RD,ann} \\ = Benefit_{RD,ann} - OPEX_{dFDA} \\ = \$58.6B - \$40M \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Cost_{dFDA,total} \\ = PV_{OPEX} + Cost_{upfront,total} \\ = \$342M + \$270M \\ = \$611M \end{gathered} \] where: \[ PV_{OPEX} = OPEX_{ann} \times \frac{1 - (1+r)^{-T}}{r} \] where: \[ \begin{gathered} OPEX_{total} \\ = OPEX_{ann} + OPEX_{DIH,ann} \\ = \$18.9M + \$21.1M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Cost_{upfront,total} \\ = Cost_{upfront} + Cost_{DIH,init} \\ = \$40M + \$230M \\ = \$270M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for ROI from Decentralized Framework for Drug Assessment R&D Savings Only

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Decentralized Framework for Drug Assessment Total NPV Cost (USD) -2.6305 Strong driver
NPV of Decentralized Framework for Drug Assessment Benefits (R&D Only, 10-Year Discounted) (USD) 1.7615 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: ROI from Decentralized Framework for Drug Assessment R&D Savings Only (10,000 simulations)

Monte Carlo Distribution: ROI from Decentralized Framework for Drug Assessment R&D Savings Only (10,000 simulations)

Simulation Results Summary: ROI from Decentralized Framework for Drug Assessment R&D Savings Only

Statistic Value
Baseline (deterministic) 637:1
Mean (expected value) 653:1
Median (50th percentile) 645:1
Standard Deviation 58.4:1
90% Range (5th-95th percentile) [569:1, 790:1]

The histogram shows the distribution of ROI from Decentralized Framework for Drug Assessment R&D Savings Only across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: ROI from Decentralized Framework for Drug Assessment R&D Savings Only

Probability of Exceeding Threshold: ROI from Decentralized Framework for Drug Assessment R&D Savings Only

This exceedance probability chart shows the likelihood that ROI from Decentralized Framework for Drug Assessment R&D Savings Only will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Decentralized Framework for Drug Assessment Maximum Trials per Year: 40.7 thousand trials/year

Maximum trials per year possible with trial capacity multiplier

Inputs:

\[ \begin{gathered} Capacity_{trials} \\ = Trials_{ann,curr} \times k_{capacity} \\ = 3{,}300 \times 12.3 \\ = 40{,}700 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Decentralized Framework for Drug Assessment Maximum Trials per Year

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Trial Capacity Multiplier (x) 0.9321 Strong driver
Current Global Clinical Trials per Year (trials/year) -0.0802 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Maximum Trials per Year (10,000 simulations)

Monte Carlo Distribution: Decentralized Framework for Drug Assessment Maximum Trials per Year (10,000 simulations)

Simulation Results Summary: Decentralized Framework for Drug Assessment Maximum Trials per Year

Statistic Value
Baseline (deterministic) 40.7 thousand
Mean (expected value) 67.4 thousand
Median (50th percentile) 52.5 thousand
Standard Deviation 53.2 thousand
90% Range (5th-95th percentile) [16.3 thousand, 170 thousand]

The histogram shows the distribution of Decentralized Framework for Drug Assessment Maximum Trials per Year across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Maximum Trials per Year

Probability of Exceeding Threshold: Decentralized Framework for Drug Assessment Maximum Trials per Year

This exceedance probability chart shows the likelihood that Decentralized Framework for Drug Assessment Maximum Trials per Year will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Trial Capacity Multiplier: 12.3x

Trial capacity multiplier from dFDA funding capacity vs. current global trial participation

Inputs:

\[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Trial Capacity Multiplier

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Patients Fundable Annually (patients/year) 1.0768 Strong driver
Annual Global Clinical Trial Participants (patients/year) 0.0910 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Trial Capacity Multiplier (10,000 simulations)

Monte Carlo Distribution: Trial Capacity Multiplier (10,000 simulations)

Simulation Results Summary: Trial Capacity Multiplier

Statistic Value
Baseline (deterministic) 12.3x
Mean (expected value) 22.1x
Median (50th percentile) 16x
Standard Deviation 20.2x
90% Range (5th-95th percentile) [4.2x, 61.4x]

The histogram shows the distribution of Trial Capacity Multiplier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Trial Capacity Multiplier

Probability of Exceeding Threshold: Trial Capacity Multiplier

This exceedance probability chart shows the likelihood that Trial Capacity Multiplier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput: 565 billion DALYs

Total DALYs averted from the combined dFDA timeline shift. Calculated as annual global DALY burden × eventually avoidable percentage × timeline shift years. Includes both fatal and non-fatal diseases (WHO GBD methodology).

Inputs:

\[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Average Total Timeline Shift (years) 0.8999 Strong driver
Eventually Avoidable DALY Percentage (percentage) 0.4866 Moderate driver
Global Annual DALY Burden (DALYs/year) 0.0432 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Monte Carlo Distribution: Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Simulation Results Summary: Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Statistic Value
Baseline (deterministic) 565 billion
Mean (expected value) 610 billion
Median (50th percentile) 614 billion
Standard Deviation 148 billion
90% Range (5th-95th percentile) [361 billion, 877 billion]

The histogram shows the distribution of Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Probability of Exceeding Threshold: Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

This exceedance probability chart shows the likelihood that Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput: $84.8 quadrillion

Total economic value from the combined dFDA timeline shift. DALYs valued at standard economic rate.

Inputs:

\[ \begin{gathered} Value_{max} \\ = DALYs_{max} \times Value_{QALY} \\ = 565B \times \$150K \\ = \$84800T \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (DALYs) 1.7788 Strong driver
Standard Economic Value per QALY (USD/QALY) 1.3381 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Monte Carlo Distribution: Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Simulation Results Summary: Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Statistic Value
Baseline (deterministic) $84.8 quadrillion
Mean (expected value) $87.8 quadrillion
Median (50th percentile) $92.9 quadrillion
Standard Deviation $11.5 quadrillion
90% Range (5th-95th percentile) [$62.4 quadrillion, $97.3 quadrillion]

The histogram shows the distribution of Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Probability of Exceeding Threshold: Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

This exceedance probability chart shows the likelihood that Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput: 10.7 billion deaths

Total eventually avoidable deaths from the combined dFDA timeline shift. Represents deaths prevented when cures arrive earlier due to both increased trial capacity and eliminated efficacy lag.

Inputs:

\[ \begin{gathered} Lives_{max} \\ = Deaths_{disease,daily} \times T_{accel,max} \times 338 \\ = 150{,}000 \times 212 \times 338 \\ = 10.7B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Average Total Timeline Shift (years) 1.0374 Strong driver
Global Daily Deaths from Disease and Aging (deaths/day) 0.0406 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Monte Carlo Distribution: Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Simulation Results Summary: Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Statistic Value
Baseline (deterministic) 10.7 billion
Mean (expected value) 11.7 billion
Median (50th percentile) 11.7 billion
Standard Deviation 2.45 billion
90% Range (5th-95th percentile) [7.4 billion, 16.2 billion]

The histogram shows the distribution of Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Probability of Exceeding Threshold: Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

This exceedance probability chart shows the likelihood that Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput: 1.93 quadrillion hours

Hours of suffering eliminated from the combined dFDA timeline shift. Calculated from YLD component of DALYs (39% of total DALYs × hours per year). One-time benefit, not annual recurring.

Inputs:

\[ \begin{gathered} Hours_{suffer,max} \\ = DALYs_{max} \times Pct_{YLD} \times 8760 \\ = 565B \times 0.39 \times 8760 \\ = 1930T \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (DALYs) 1.3102 Strong driver
YLD Proportion of Total DALYs (proportion) 0.3977 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Monte Carlo Distribution: Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (10,000 simulations)

Simulation Results Summary: Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Statistic Value
Baseline (deterministic) 1.93 quadrillion
Mean (expected value) 2.05 quadrillion
Median (50th percentile) 2.11 quadrillion
Standard Deviation 374 trillion
90% Range (5th-95th percentile) [1.36 quadrillion, 2.62 quadrillion]

The histogram shows the distribution of Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

Probability of Exceeding Threshold: Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput

This exceedance probability chart shows the likelihood that Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Average Total Timeline Shift: 212 years

Average years earlier patients receive treatments due to dFDA. Combines treatment timeline acceleration from increased trial capacity with efficacy lag elimination for treatments already discovered.

Inputs:

\[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Average Total Timeline Shift

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Treatment Timeline Acceleration (years) 1.0325 Strong driver
Regulatory Delay for Efficacy Testing Post-Safety Verification (years) 0.0328 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Average Total Timeline Shift (10,000 simulations)

Monte Carlo Distribution: dFDA Average Total Timeline Shift (10,000 simulations)

Simulation Results Summary: dFDA Average Total Timeline Shift

Statistic Value
Baseline (deterministic) 212
Mean (expected value) 233
Median (50th percentile) 231
Standard Deviation 60.3
90% Range (5th-95th percentile) [135, 355]

The histogram shows the distribution of dFDA Average Total Timeline Shift across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Average Total Timeline Shift

Probability of Exceeding Threshold: dFDA Average Total Timeline Shift

This exceedance probability chart shows the likelihood that dFDA Average Total Timeline Shift will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Treatment Timeline Acceleration: 204 years

Years earlier the average first treatment arrives due to dFDA’s trial capacity increase. Calculated as the status quo timeline reduced by the inverse of the capacity multiplier. Uses only trial capacity multiplier (not combined with valley of death rescue) because additional candidates don’t directly speed therapeutic space exploration.

Inputs:

\[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Treatment Timeline Acceleration

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Status Quo Average Years to First Treatment (years) 1.0664 Strong driver
Trial Capacity Multiplier (x) -0.0777 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Treatment Timeline Acceleration (10,000 simulations)

Monte Carlo Distribution: dFDA Treatment Timeline Acceleration (10,000 simulations)

Simulation Results Summary: dFDA Treatment Timeline Acceleration

Statistic Value
Baseline (deterministic) 204
Mean (expected value) 225
Median (50th percentile) 223
Standard Deviation 62.3
90% Range (5th-95th percentile) [123, 350]

The histogram shows the distribution of dFDA Treatment Timeline Acceleration across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Treatment Timeline Acceleration

Probability of Exceeding Threshold: dFDA Treatment Timeline Acceleration

This exceedance probability chart shows the likelihood that dFDA Treatment Timeline Acceleration will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Trial Cost Reduction Factor: 44.1x

Cost reduction factor projected for dFDA pragmatic trials (traditional Phase 3 cost / dFDA pragmatic cost per patient)

Inputs:

\[ \begin{gathered} k_{reduce} \\ = \frac{Cost_{P3,pt}}{Cost_{pragmatic,pt}} \\ = \frac{\$41K}{\$929} \\ = 44.1 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Trial Cost Reduction Factor

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Pragmatic Trial Cost per Patient (USD/patient) -8.8326 Strong driver
Phase 3 Cost per Patient (USD/patient) 8.3341 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Trial Cost Reduction Factor (10,000 simulations)

Monte Carlo Distribution: dFDA Trial Cost Reduction Factor (10,000 simulations)

Simulation Results Summary: dFDA Trial Cost Reduction Factor

Statistic Value
Baseline (deterministic) 44.1x
Mean (expected value) 52.8x
Median (50th percentile) 48x
Standard Deviation 19.5x
90% Range (5th-95th percentile) [39.4x, 89.1x]

The histogram shows the distribution of dFDA Trial Cost Reduction Factor across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Trial Cost Reduction Factor

Probability of Exceeding Threshold: dFDA Trial Cost Reduction Factor

This exceedance probability chart shows the likelihood that dFDA Trial Cost Reduction Factor will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Trial Cost Reduction Percentage: 97.7%

Trial cost reduction percentage: 1 - (dFDA pragmatic cost / traditional Phase 3 cost)

Inputs:

\[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Trial Cost Reduction Percentage

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Pragmatic Trial Cost per Patient (USD/patient) -6.4207 Strong driver
Phase 3 Cost per Patient (USD/patient) 5.6539 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Trial Cost Reduction Percentage (10,000 simulations)

Monte Carlo Distribution: dFDA Trial Cost Reduction Percentage (10,000 simulations)

Simulation Results Summary: dFDA Trial Cost Reduction Percentage

Statistic Value
Baseline (deterministic) 97.7%
Mean (expected value) 98%
Median (50th percentile) 97.9%
Standard Deviation 0.401%
90% Range (5th-95th percentile) [97.5%, 98.9%]

The histogram shows the distribution of dFDA Trial Cost Reduction Percentage across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Trial Cost Reduction Percentage

Probability of Exceeding Threshold: dFDA Trial Cost Reduction Percentage

This exceedance probability chart shows the likelihood that dFDA Trial Cost Reduction Percentage will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Annual Trial Subsidies: $21.8B

Annual clinical trial patient subsidies from dFDA funding (total funding minus operational costs)

Inputs:

\[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for dFDA Annual Trial Subsidies

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Decentralized Framework for Drug Assessment Operational Costs (USD/year) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Annual Trial Subsidies (10,000 simulations)

Monte Carlo Distribution: dFDA Annual Trial Subsidies (10,000 simulations)

Simulation Results Summary: dFDA Annual Trial Subsidies

Statistic Value
Baseline (deterministic) $21.8B
Mean (expected value) $21.8B
Median (50th percentile) $21.8B
Standard Deviation $8.21M
90% Range (5th-95th percentile) [$21.7B, $21.8B]

The histogram shows the distribution of dFDA Annual Trial Subsidies across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Annual Trial Subsidies

Probability of Exceeding Threshold: dFDA Annual Trial Subsidies

This exceedance probability chart shows the likelihood that dFDA Annual Trial Subsidies will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

dFDA Valley of Death Rescue Multiplier: 1.4x

Factor increase in drugs entering development when dFDA eliminates Phase 2/3 cost barrier. Valley-of-death attrition (40%) becomes new drugs, so 1 + 0.40 = 1.4× more drugs.

Inputs:

\[ k_{rescue} = Attrition_{valley} + 1 = 40\% + 1 = 1.4 \]

~ Medium confidence

Sensitivity Analysis

Monte Carlo Distribution

Monte Carlo Distribution: dFDA Valley of Death Rescue Multiplier (10,000 simulations)

Monte Carlo Distribution: dFDA Valley of Death Rescue Multiplier (10,000 simulations)

Simulation Results Summary: dFDA Valley of Death Rescue Multiplier

Statistic Value
Baseline (deterministic) 1.4x
Mean (expected value) 1.4x
Median (50th percentile) 1.4x
Standard Deviation 2.22e-16x
90% Range (5th-95th percentile) [1.4x, 1.4x]

The histogram shows the distribution of dFDA Valley of Death Rescue Multiplier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: dFDA Valley of Death Rescue Multiplier

Probability of Exceeding Threshold: dFDA Valley of Death Rescue Multiplier

This exceedance probability chart shows the likelihood that dFDA Valley of Death Rescue Multiplier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Patients Fundable Annually: 23.4 million patients/year

Number of patients fundable annually at dFDA pragmatic trial cost. Based on empirical pragmatic trial costs (RECOVERY to PCORnet range).

Inputs:

\[ \begin{gathered} N_{fundable,ann} \\ = \frac{Subsidies_{trial,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.7B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{trial,ann} \\ = Treasury_{RD,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.7B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Treasury_{RD,ann} \\ = Funding_{treaty} - Payout_{bond,ann} - Funding_{political,ann} \\ = \$27.2B - \$2.72B - \$2.72B \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] where: \[ \begin{gathered} Payout_{bond,ann} \\ = Funding_{treaty} \times Pct_{bond} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{political,ann} \\ = Funding_{treaty} \times Pct_{political} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Patients Fundable Annually

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Clinical Trial Patient Subsidies (USD/year) 2.3351 Strong driver
dFDA Pragmatic Trial Cost per Patient (USD/patient) 1.5755 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Patients Fundable Annually (10,000 simulations)

Monte Carlo Distribution: Patients Fundable Annually (10,000 simulations)

Simulation Results Summary: Patients Fundable Annually

Statistic Value
Baseline (deterministic) 23.4 million
Mean (expected value) 38.6 million
Median (50th percentile) 30.2 million
Standard Deviation 30.2 million
90% Range (5th-95th percentile) [9.44 million, 96.8 million]

The histogram shows the distribution of Patients Fundable Annually across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Patients Fundable Annually

Probability of Exceeding Threshold: Patients Fundable Annually

This exceedance probability chart shows the likelihood that Patients Fundable Annually will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Medical Research Percentage of Treaty Funding: 80%

Percentage of treaty funding allocated to medical research (after bond payouts and IAB incentives)

Inputs:

\[ \begin{gathered} Pct_{treasury,RD} \\ = \frac{Treasury_{RD,ann}}{Funding_{treaty}} \\ = \frac{\$21.8B}{\$27.2B} \\ = 80\% \end{gathered} \] where: \[ \begin{gathered} Treasury_{RD,ann} \\ = Funding_{treaty} - Payout_{bond,ann} - Funding_{political,ann} \\ = \$27.2B - \$2.72B - \$2.72B \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] where: \[ \begin{gathered} Payout_{bond,ann} \\ = Funding_{treaty} \times Pct_{bond} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{political,ann} \\ = Funding_{treaty} \times Pct_{political} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] ✓ High confidence

Monte Carlo Distribution

Monte Carlo Distribution: Medical Research Percentage of Treaty Funding (10,000 simulations)

Monte Carlo Distribution: Medical Research Percentage of Treaty Funding (10,000 simulations)

Simulation Results Summary: Medical Research Percentage of Treaty Funding

Statistic Value
Baseline (deterministic) 80%
Mean (expected value) 80%
Median (50th percentile) 80%
Standard Deviation 1.11e-14%
90% Range (5th-95th percentile) [80%, 80%]

The histogram shows the distribution of Medical Research Percentage of Treaty Funding across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Medical Research Percentage of Treaty Funding

Probability of Exceeding Threshold: Medical Research Percentage of Treaty Funding

This exceedance probability chart shows the likelihood that Medical Research Percentage of Treaty Funding will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Funding for Pragmatic Clinical Trials: $21.8B

Annual funding for pragmatic clinical trials (treaty funding minus VICTORY Incentive Alignment Bond payouts and IAB political incentive mechanism)

Inputs:

\[ \begin{gathered} Treasury_{RD,ann} \\ = Funding_{treaty} - Payout_{bond,ann} - Funding_{political,ann} \\ = \$27.2B - \$2.72B - \$2.72B \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] where: \[ \begin{gathered} Payout_{bond,ann} \\ = Funding_{treaty} \times Pct_{bond} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{political,ann} \\ = Funding_{treaty} \times Pct_{political} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] ✓ High confidence

Annual Clinical Trial Patient Subsidies: $21.7B

Annual clinical trial patient subsidies (all medical research funds after Decentralized Framework for Drug Assessment operations)

Inputs:

\[ \begin{gathered} Subsidies_{trial,ann} \\ = Treasury_{RD,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.7B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Treasury_{RD,ann} \\ = Funding_{treaty} - Payout_{bond,ann} - Funding_{political,ann} \\ = \$27.2B - \$2.72B - \$2.72B \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] where: \[ \begin{gathered} Payout_{bond,ann} \\ = Funding_{treaty} \times Pct_{bond} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{political,ann} \\ = Funding_{treaty} \times Pct_{political} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Clinical Trial Patient Subsidies

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Decentralized Framework for Drug Assessment Operational Costs (USD/year) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Clinical Trial Patient Subsidies (10,000 simulations)

Monte Carlo Distribution: Annual Clinical Trial Patient Subsidies (10,000 simulations)

Simulation Results Summary: Annual Clinical Trial Patient Subsidies

Statistic Value
Baseline (deterministic) $21.7B
Mean (expected value) $21.7B
Median (50th percentile) $21.7B
Standard Deviation $8.21M
90% Range (5th-95th percentile) [$21.7B, $21.7B]

The histogram shows the distribution of Annual Clinical Trial Patient Subsidies across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Clinical Trial Patient Subsidies

Probability of Exceeding Threshold: Annual Clinical Trial Patient Subsidies

This exceedance probability chart shows the likelihood that Annual Clinical Trial Patient Subsidies will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Patient Trial Subsidies Percentage of Treaty Funding: 79.9%

Percentage of treaty funding going directly to patient trial subsidies

Inputs:

\[ \begin{gathered} Pct_{subsidies} \\ = \frac{Subsidies_{trial,ann}}{Funding_{treaty}} \\ = \frac{\$21.7B}{\$27.2B} \\ = 79.9\% \end{gathered} \] where: \[ \begin{gathered} Subsidies_{trial,ann} \\ = Treasury_{RD,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.7B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Treasury_{RD,ann} \\ = Funding_{treaty} - Payout_{bond,ann} - Funding_{political,ann} \\ = \$27.2B - \$2.72B - \$2.72B \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] where: \[ \begin{gathered} Payout_{bond,ann} \\ = Funding_{treaty} \times Pct_{bond} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{political,ann} \\ = Funding_{treaty} \times Pct_{political} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Patient Trial Subsidies Percentage of Treaty Funding

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Clinical Trial Patient Subsidies (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Patient Trial Subsidies Percentage of Treaty Funding (10,000 simulations)

Monte Carlo Distribution: Patient Trial Subsidies Percentage of Treaty Funding (10,000 simulations)

Simulation Results Summary: Patient Trial Subsidies Percentage of Treaty Funding

Statistic Value
Baseline (deterministic) 79.9%
Mean (expected value) 79.9%
Median (50th percentile) 79.9%
Standard Deviation 0.0302%
90% Range (5th-95th percentile) [79.8%, 79.9%]

The histogram shows the distribution of Patient Trial Subsidies Percentage of Treaty Funding across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Patient Trial Subsidies Percentage of Treaty Funding

Probability of Exceeding Threshold: Patient Trial Subsidies Percentage of Treaty Funding

This exceedance probability chart shows the likelihood that Patient Trial Subsidies Percentage of Treaty Funding will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Diseases Without Effective Treatment: 6.65 thousand diseases

Number of diseases without effective treatment. 95% of 7,000 rare diseases lack FDA-approved treatment (per Orphanet 2024). This represents the therapeutic search space that remains unexplored.

Inputs:

\[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \]

Methodology:138

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Diseases Without Effective Treatment

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Number of Rare Diseases Globally (diseases) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Diseases Without Effective Treatment (10,000 simulations)

Monte Carlo Distribution: Diseases Without Effective Treatment (10,000 simulations)

Simulation Results Summary: Diseases Without Effective Treatment

Statistic Value
Baseline (deterministic) 6.65 thousand
Mean (expected value) 6.73 thousand
Median (50th percentile) 6.64 thousand
Standard Deviation 835
90% Range (5th-95th percentile) [5.7 thousand, 8.24 thousand]

The histogram shows the distribution of Diseases Without Effective Treatment across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Diseases Without Effective Treatment

Probability of Exceeding Threshold: Diseases Without Effective Treatment

This exceedance probability chart shows the likelihood that Diseases Without Effective Treatment will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths: 18.4k:1

Ratio of annual disease deaths to 9/11 terrorism deaths

Inputs:

\[ \begin{gathered} Ratio_{dis:terror} \\ = \frac{Deaths_{curable,ann}}{Deaths_{9/11}} \\ = \frac{55M}{3{,}000} \\ = 18{,}400 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Deaths from All Diseases and Aging Globally (deaths/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths (10,000 simulations)

Monte Carlo Distribution: Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths (10,000 simulations)

Simulation Results Summary: Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths

Statistic Value
Baseline (deterministic) 18.4k:1
Mean (expected value) 18.3k:1
Median (50th percentile) 18.3k:1
Standard Deviation 1.68k:1
90% Range (5th-95th percentile) [15.6k:1, 21.1k:1]

The histogram shows the distribution of Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths

Probability of Exceeding Threshold: Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths

This exceedance probability chart shows the likelihood that Ratio of Annual Disease Deaths to 9/11 Terrorism Deaths will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Ratio of Annual Disease Deaths to War Deaths: 225:1

Ratio of annual disease deaths to war deaths

Inputs:

\[ \begin{gathered} Ratio_{dis:war} \\ = \frac{Deaths_{curable,ann}}{Deaths_{conflict}} \\ = \frac{55M}{245{,}000} \\ = 225 \end{gathered} \] where: \[ \begin{gathered} Deaths_{conflict} \\ = Deaths_{combat} + Deaths_{state} + Deaths_{terror} \\ = 234{,}000 + 2{,}700 + 8{,}300 \\ = 245{,}000 \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Ratio of Annual Disease Deaths to War Deaths

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Conflict Deaths Globally (deaths/year) -2.9115 Strong driver
Annual Deaths from All Diseases and Aging Globally (deaths/year) 1.9792 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Ratio of Annual Disease Deaths to War Deaths (10,000 simulations)

Monte Carlo Distribution: Ratio of Annual Disease Deaths to War Deaths (10,000 simulations)

Simulation Results Summary: Ratio of Annual Disease Deaths to War Deaths

Statistic Value
Baseline (deterministic) 225:1
Mean (expected value) 226:1
Median (50th percentile) 227:1
Standard Deviation 8.8:1
90% Range (5th-95th percentile) [210:1, 239:1]

The histogram shows the distribution of Ratio of Annual Disease Deaths to War Deaths across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Ratio of Annual Disease Deaths to War Deaths

Probability of Exceeding Threshold: Ratio of Annual Disease Deaths to War Deaths

This exceedance probability chart shows the likelihood that Ratio of Annual Disease Deaths to War Deaths will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Drugs Approved Since 1962: 3.1 thousand drugs

Estimated total drugs approved globally since 1962 (62 years × average approval rate). Conservative: uses current rate, actual historical rate was lower in 1960s-80s.

Inputs:

\[ \begin{gathered} N_{drugs,62} \\ = Drugs_{ann,curr} \times 62 \\ = 50 \times 62 \\ = 3{,}100 \end{gathered} \]

Methodology:14

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Total Drugs Approved Since 1962

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Average Annual New Drug Approvals Globally (drugs/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Drugs Approved Since 1962 (10,000 simulations)

Monte Carlo Distribution: Total Drugs Approved Since 1962 (10,000 simulations)

Simulation Results Summary: Total Drugs Approved Since 1962

Statistic Value
Baseline (deterministic) 3.1 thousand
Mean (expected value) 3.11 thousand
Median (50th percentile) 3.09 thousand
Standard Deviation 220
90% Range (5th-95th percentile) [2.79 thousand, 3.5 thousand]

The histogram shows the distribution of Total Drugs Approved Since 1962 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Drugs Approved Since 1962

Probability of Exceeding Threshold: Total Drugs Approved Since 1962

This exceedance probability chart shows the likelihood that Total Drugs Approved Since 1962 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Drug Cost Increase: 1980s to Current: 13.4x

Drug development cost increase from 1980s to current

Inputs:

\[ \begin{gathered} k_{cost,80s} \\ = \frac{Cost_{dev,curr}}{Cost_{dev,80s}} \\ = \frac{\$2.6B}{\$194M} \\ = 13.4 \end{gathered} \]

Methodology:22

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Drug Cost Increase: 1980s to Current

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Pharma Drug Development Cost (Current System) (USD) 1.6909 Strong driver
Drug Development Cost (1980s) (USD) -0.7048 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Drug Cost Increase: 1980s to Current (10,000 simulations)

Monte Carlo Distribution: Drug Cost Increase: 1980s to Current (10,000 simulations)

Simulation Results Summary: Drug Cost Increase: 1980s to Current

Statistic Value
Baseline (deterministic) 13.4x
Mean (expected value) 13.3x
Median (50th percentile) 13.3x
Standard Deviation 0.915x
90% Range (5th-95th percentile) [11.9x, 14.7x]

The histogram shows the distribution of Drug Cost Increase: 1980s to Current across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Drug Cost Increase: 1980s to Current

Probability of Exceeding Threshold: Drug Cost Increase: 1980s to Current

This exceedance probability chart shows the likelihood that Drug Cost Increase: 1980s to Current will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Drug Cost Increase: Pre-1962 to Current: 105x

Drug development cost increase from pre-1962 to current

Inputs:

\[ \begin{gathered} k_{cost,pre62} \\ = \frac{Cost_{dev,curr}}{Cost_{pre62,24}} \\ = \frac{\$2.6B}{\$24.7M} \\ = 105 \end{gathered} \]

Methodology:84

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Drug Cost Increase: Pre-1962 to Current

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Pharma Drug Development Cost (Current System) (USD) 1.3110 Strong driver
Pre-1962 Drug Development Cost (2024 Dollars) (USD) -0.3181 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Drug Cost Increase: Pre-1962 to Current (10,000 simulations)

Monte Carlo Distribution: Drug Cost Increase: Pre-1962 to Current (10,000 simulations)

Simulation Results Summary: Drug Cost Increase: Pre-1962 to Current

Statistic Value
Baseline (deterministic) 105x
Mean (expected value) 104x
Median (50th percentile) 104x
Standard Deviation 9.03x
90% Range (5th-95th percentile) [90.6x, 119x]

The histogram shows the distribution of Drug Cost Increase: Pre-1962 to Current across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Drug Cost Increase: Pre-1962 to Current

Probability of Exceeding Threshold: Drug Cost Increase: Pre-1962 to Current

This exceedance probability chart shows the likelihood that Drug Cost Increase: Pre-1962 to Current will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Possible Drug-Disease Combinations: 9.5 million combinations

Total possible drug-disease combinations using existing safe compounds

Inputs:

\[ \begin{gathered} N_{combos} \\ = N_{safe} \times N_{diseases,trial} \\ = 9{,}500 \times 1{,}000 \\ = 9.5M \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Cumulative Efficacy Testing Cost (1962-2024): $4.84T

Cumulative Phase 2/3 efficacy testing cost since 1962. Uses direct Phase 2/3 cost per drug - this is a LOWER BOUND because it excludes opportunity cost of delays, compounds abandoned due to cost barrier, and regulatory overhead.

Inputs:

\[ \begin{gathered} Cost_{eff,cumul} \\ = Cost_{P2+P3} \times N_{drugs,62} \\ = \$1.56B \times 3{,}100 \\ = \$4.84T \end{gathered} \] where: \[ \begin{gathered} N_{drugs,62} \\ = Drugs_{ann,curr} \times 62 \\ = 50 \times 62 \\ = 3{,}100 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Cumulative Efficacy Testing Cost (1962-2024)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Drugs Approved Since 1962 (drugs) 0.5385 Strong driver
Pharma Phase 2/3 Cost Barrier Per Drug (USD) 0.4652 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Cumulative Efficacy Testing Cost (1962-2024) (10,000 simulations)

Monte Carlo Distribution: Cumulative Efficacy Testing Cost (1962-2024) (10,000 simulations)

Simulation Results Summary: Cumulative Efficacy Testing Cost (1962-2024)

Statistic Value
Baseline (deterministic) $4.84T
Mean (expected value) $4.88T
Median (50th percentile) $4.81T
Standard Deviation $977B
90% Range (5th-95th percentile) [$3.42T, $6.62T]

The histogram shows the distribution of Cumulative Efficacy Testing Cost (1962-2024) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Cumulative Efficacy Testing Cost (1962-2024)

Probability of Exceeding Threshold: Cumulative Efficacy Testing Cost (1962-2024)

This exceedance probability chart shows the likelihood that Cumulative Efficacy Testing Cost (1962-2024) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Efficacy Lag Deaths (9/11 Equivalents): 34.1 thousand 9/11s

Total deaths from efficacy lag expressed in 9/11 equivalents. Makes the mortality cost viscerally understandable: how many September 11ths worth of deaths did the 1962 efficacy requirements cause?

Inputs:

\[ \begin{gathered} N_{9/11,equiv} \\ = \frac{Deaths_{lag,total}}{N_{9/11}} \\ = \frac{102M}{2{,}980} \\ = 34{,}100 \end{gathered} \] where: \[ \begin{gathered} Deaths_{lag,total} \\ = Lives_{saved,annual} \times T_{lag} \\ = 12.4M \times 8.2 \\ = 102M \end{gathered} \] where: \[ \begin{gathered} Lives_{saved,annual} \\ = \frac{LY_{saved,annual}}{T_{ext}} \\ = \frac{149M}{12} \\ = 12.4M \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Efficacy Lag Deaths (9/11 Equivalents)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Deaths from Historical Progress Delays (deaths) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Efficacy Lag Deaths (9/11 Equivalents) (10,000 simulations)

Monte Carlo Distribution: Efficacy Lag Deaths (9/11 Equivalents) (10,000 simulations)

Simulation Results Summary: Efficacy Lag Deaths (9/11 Equivalents)

Statistic Value
Baseline (deterministic) 34.1 thousand
Mean (expected value) 36 thousand
Median (50th percentile) 32.7 thousand
Standard Deviation 17.8 thousand
90% Range (5th-95th percentile) [12.4 thousand, 71.8 thousand]

The histogram shows the distribution of Efficacy Lag Deaths (9/11 Equivalents) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Efficacy Lag Deaths (9/11 Equivalents)

Probability of Exceeding Threshold: Efficacy Lag Deaths (9/11 Equivalents)

This exceedance probability chart shows the likelihood that Efficacy Lag Deaths (9/11 Equivalents) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treatment Delay YLD - Annual: 2.01 billion DALYs

Annual YLD from treatment delay: patients receiving chronic disease treatment would have collectively avoided this disability if treatments were available 8.2 years earlier. Represents morbidity burden for treatment beneficiaries (distinct from mortality burden).

Inputs:

\[ \begin{gathered} YLD_{treat\_delay} \\ = N_{treated} \times T_{lag} \times \Delta DW_{treat} \\ = 982M \times 8.2 \times 0.25 \\ = 2.01B \end{gathered} \] where: \[ \begin{gathered} N_{treated} \\ = DOT_{chronic} \times 0.000767 \\ = 1.28T \times 0.000767 \\ = 982M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Treatment Delay YLD - Annual

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Chronic Disease Patients Treated (people) 3.0959 Strong driver
Treatment Disability Reduction (weight) -2.4506 Strong driver
Regulatory Delay for Efficacy Testing Post-Safety Verification (years) 0.3319 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treatment Delay YLD - Annual (10,000 simulations)

Monte Carlo Distribution: Treatment Delay YLD - Annual (10,000 simulations)

Simulation Results Summary: Treatment Delay YLD - Annual

Statistic Value
Baseline (deterministic) 2.01 billion
Mean (expected value) 2.2 billion
Median (50th percentile) 1.99 billion
Standard Deviation 1.18 billion
90% Range (5th-95th percentile) [661 million, 4.41 billion]

The histogram shows the distribution of Treatment Delay YLD - Annual across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treatment Delay YLD - Annual

Probability of Exceeding Threshold: Treatment Delay YLD - Annual

This exceedance probability chart shows the likelihood that Treatment Delay YLD - Annual will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Deaths from Historical Progress Delays: 102 million deaths

Total deaths from delaying existing drugs over 8.2-year efficacy lag. One-time impact of eliminating Phase 2-4 testing delay for drugs already approved 1962-2024. Based on Lichtenberg (2019) estimate of 12M lives saved annually × 8.2 years efficacy lag. Excludes innovation acceleration effects.

Inputs:

\[ \begin{gathered} Deaths_{lag,total} \\ = Lives_{saved,annual} \times T_{lag} \\ = 12.4M \times 8.2 \\ = 102M \end{gathered} \] where: \[ \begin{gathered} Lives_{saved,annual} \\ = \frac{LY_{saved,annual}}{T_{ext}} \\ = \frac{149M}{12} \\ = 12.4M \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Total Deaths from Historical Progress Delays

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Lives Saved by Pharmaceuticals (deaths) 1.2721 Strong driver
Regulatory Delay for Efficacy Testing Post-Safety Verification (years) -0.2811 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Deaths from Historical Progress Delays (10,000 simulations)

Monte Carlo Distribution: Total Deaths from Historical Progress Delays (10,000 simulations)

Simulation Results Summary: Total Deaths from Historical Progress Delays

Statistic Value
Baseline (deterministic) 102 million
Mean (expected value) 107 million
Median (50th percentile) 97.3 million
Standard Deviation 53 million
90% Range (5th-95th percentile) [36.9 million, 214 million]

The histogram shows the distribution of Total Deaths from Historical Progress Delays across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Deaths from Historical Progress Delays

Probability of Exceeding Threshold: Total Deaths from Historical Progress Delays

This exceedance probability chart shows the likelihood that Total Deaths from Historical Progress Delays will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Therapeutic Frontier Exploration Ratio: 0.342%

Fraction of possible drug-disease space actually tested (<1%)

Inputs:

\[ \begin{gathered} Ratio_{explore} \\ = \frac{N_{tested}}{N_{combos}} \\ = \frac{32{,}500}{9.5M} \\ = 0.342\% \end{gathered} \] where: \[ \begin{gathered} N_{combos} \\ = N_{safe} \times N_{diseases,trial} \\ = 9{,}500 \times 1{,}000 \\ = 9.5M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Therapeutic Frontier Exploration Ratio

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Tested Drug-Disease Relationships (relationships) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Therapeutic Frontier Exploration Ratio (10,000 simulations)

Monte Carlo Distribution: Therapeutic Frontier Exploration Ratio (10,000 simulations)

Simulation Results Summary: Therapeutic Frontier Exploration Ratio

Statistic Value
Baseline (deterministic) 0.342%
Mean (expected value) 0.339%
Median (50th percentile) 0.329%
Standard Deviation 0.0868%
90% Range (5th-95th percentile) [0.21%, 0.514%]

The histogram shows the distribution of Therapeutic Frontier Exploration Ratio across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Therapeutic Frontier Exploration Ratio

Probability of Exceeding Threshold: Therapeutic Frontier Exploration Ratio

This exceedance probability chart shows the likelihood that Therapeutic Frontier Exploration Ratio will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier: 32.8x

Efficacy testing time vs Oxford RECOVERY trial (8.2 years ÷ 3 months = 32.8x slower). Compares efficacy lag only (post-safety Phase II/III) since RECOVERY was an efficacy trial.

Inputs:

\[ \begin{gathered} \text{Multiplier}_{RD} = \frac{Y_{efficacy} \times 12}{M_{RECOVERY}} \\[0.5em] = \frac{8.2 \times 12}{3} = 32.8 \end{gathered} \]

Methodology:71

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Regulatory Delay for Efficacy Testing Post-Safety Verification (years) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier (10,000 simulations)

Monte Carlo Distribution: FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier (10,000 simulations)

Simulation Results Summary: FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier

Statistic Value
Baseline (deterministic) 32.8x
Mean (expected value) 32.8x
Median (50th percentile) 32.7x
Standard Deviation 7.9x
90% Range (5th-95th percentile) [19.4x, 45.9x]

The histogram shows the distribution of FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier

Probability of Exceeding Threshold: FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier

This exceedance probability chart shows the likelihood that FDA Efficacy Testing to Oxford RECOVERY Trial Time Multiplier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Expected GDP vs Current Trajectory Multiplier (Year 20): 51x

Expected-value GDP at year 20 as a multiple of current trajectory GDP.

Inputs:

\[ \begin{gathered} k_{EV:base,20} \\ = \frac{E[GDP_{20}]}{GDP_{base,20}} \\ = \frac{\$9620T}{\$188T} \\ = 51 \end{gathered} \] where: \[ E[GDP_{20}] = p_{wish,20} \cdot GDP_{wish,20} \] where: \[ GDP_{wish,20}=GDP_0(1+g_{ramp})^3(1+g_{full})^{17} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Expected GDP vs Current Trajectory Multiplier (Year 20)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Expected GDP at Year 20 (Probability-Weighted) (USD) 1.0000 Strong driver
Current Trajectory GDP at Year 20 (USD) 0.0000 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected GDP vs Current Trajectory Multiplier (Year 20) (10,000 simulations)

Monte Carlo Distribution: Expected GDP vs Current Trajectory Multiplier (Year 20) (10,000 simulations)

Simulation Results Summary: Expected GDP vs Current Trajectory Multiplier (Year 20)

Statistic Value
Baseline (deterministic) 51x
Mean (expected value) 82.2x
Median (50th percentile) 50.4x
Standard Deviation 87.4x
90% Range (5th-95th percentile) [16.9x, 276x]

The histogram shows the distribution of Expected GDP vs Current Trajectory Multiplier (Year 20) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected GDP vs Current Trajectory Multiplier (Year 20)

Probability of Exceeding Threshold: Expected GDP vs Current Trajectory Multiplier (Year 20)

This exceedance probability chart shows the likelihood that Expected GDP vs Current Trajectory Multiplier (Year 20) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Expected GDP at Year 20 (Probability-Weighted): $9.62 quadrillion

Probability-weighted expected global GDP at year 20 from Wishonia vs Moronia paths. Moronia contributes $0 GDP in this framing.

Inputs:

\[ E[GDP_{20}] = p_{wish,20} \cdot GDP_{wish,20} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Expected GDP at Year 20 (Probability-Weighted)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory GDP at Year 20 (USD) 0.9914 Strong driver
Wishonia Trajectory Probability (Year 20 EV Model) (rate) 0.0940 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected GDP at Year 20 (Probability-Weighted) (10,000 simulations)

Monte Carlo Distribution: Expected GDP at Year 20 (Probability-Weighted) (10,000 simulations)

Simulation Results Summary: Expected GDP at Year 20 (Probability-Weighted)

Statistic Value
Baseline (deterministic) $9.62 quadrillion
Mean (expected value) $15.5 quadrillion
Median (50th percentile) $9.5 quadrillion
Standard Deviation $16.5 quadrillion
90% Range (5th-95th percentile) [$3.19 quadrillion, $52.1 quadrillion]

The histogram shows the distribution of Expected GDP at Year 20 (Probability-Weighted) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected GDP at Year 20 (Probability-Weighted)

Probability of Exceeding Threshold: Expected GDP at Year 20 (Probability-Weighted)

This exceedance probability chart shows the likelihood that Expected GDP at Year 20 (Probability-Weighted) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Conflict Deaths Globally: 245 thousand deaths/year

Total annual conflict deaths globally (sum of combat, terror, state violence)

Inputs:

\[ \begin{gathered} Deaths_{conflict} \\ = Deaths_{combat} + Deaths_{state} + Deaths_{terror} \\ = 234{,}000 + 2{,}700 + 8{,}300 \\ = 245{,}000 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Conflict Deaths Globally

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Deaths from Active Combat Worldwide (deaths/year) 0.9276 Strong driver
Annual Deaths from Terror Attacks Globally (deaths/year) 0.0461 Minimal effect
Annual Deaths from State Violence (deaths/year) 0.0266 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Conflict Deaths Globally (10,000 simulations)

Monte Carlo Distribution: Total Annual Conflict Deaths Globally (10,000 simulations)

Simulation Results Summary: Total Annual Conflict Deaths Globally

Statistic Value
Baseline (deterministic) 245 thousand
Mean (expected value) 244 thousand
Median (50th percentile) 242 thousand
Standard Deviation 31.5 thousand
90% Range (5th-95th percentile) [194 thousand, 302 thousand]

The histogram shows the distribution of Total Annual Conflict Deaths Globally across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Conflict Deaths Globally

Probability of Exceeding Threshold: Total Annual Conflict Deaths Globally

This exceedance probability chart shows the likelihood that Total Annual Conflict Deaths Globally will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Cost of War Worldwide: $11.4T

Total annual cost of war worldwide (direct + indirect costs)

Inputs:

\[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Cost of War Worldwide

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Direct War Costs (USD/year) 0.6553 Strong driver
Total Annual Indirect War Costs (USD/year) 0.4150 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Cost of War Worldwide (10,000 simulations)

Monte Carlo Distribution: Total Annual Cost of War Worldwide (10,000 simulations)

Simulation Results Summary: Total Annual Cost of War Worldwide

Statistic Value
Baseline (deterministic) $11.4T
Mean (expected value) $11.3T
Median (50th percentile) $11.2T
Standard Deviation $1.51T
90% Range (5th-95th percentile) [$9.01T, $14.1T]

The histogram shows the distribution of Total Annual Cost of War Worldwide across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Cost of War Worldwide

Probability of Exceeding Threshold: Total Annual Cost of War Worldwide

This exceedance probability chart shows the likelihood that Total Annual Cost of War Worldwide will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Cost of Combat Deaths: $2.34T

Annual cost of combat deaths (deaths × VSL)

Inputs:

\[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Cost of Combat Deaths

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Value of Statistical Life (USD) 0.9096 Strong driver
Annual Deaths from Active Combat Worldwide (deaths/year) 0.4115 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Cost of Combat Deaths (10,000 simulations)

Monte Carlo Distribution: Annual Cost of Combat Deaths (10,000 simulations)

Simulation Results Summary: Annual Cost of Combat Deaths

Statistic Value
Baseline (deterministic) $2.34T
Mean (expected value) $2.31T
Median (50th percentile) $2.24T
Standard Deviation $703B
90% Range (5th-95th percentile) [$1.25T, $3.57T]

The histogram shows the distribution of Annual Cost of Combat Deaths across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Cost of Combat Deaths

Probability of Exceeding Threshold: Annual Cost of Combat Deaths

This exceedance probability chart shows the likelihood that Annual Cost of Combat Deaths will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Cost of State Violence Deaths: $27B

Annual cost of state violence deaths (deaths × VSL)

Inputs:

\[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Cost of State Violence Deaths

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Deaths from State Violence (deaths/year) 0.7358 Strong driver
Value of Statistical Life (USD) 0.6553 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Cost of State Violence Deaths (10,000 simulations)

Monte Carlo Distribution: Annual Cost of State Violence Deaths (10,000 simulations)

Simulation Results Summary: Annual Cost of State Violence Deaths

Statistic Value
Baseline (deterministic) $27B
Mean (expected value) $26.6B
Median (50th percentile) $24.5B
Standard Deviation $11.3B
90% Range (5th-95th percentile) [$12B, $48.4B]

The histogram shows the distribution of Annual Cost of State Violence Deaths across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Cost of State Violence Deaths

Probability of Exceeding Threshold: Annual Cost of State Violence Deaths

This exceedance probability chart shows the likelihood that Annual Cost of State Violence Deaths will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Cost of Terror Deaths: $83B

Annual cost of terror deaths (deaths × VSL)

Inputs:

\[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Cost of Terror Deaths

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Value of Statistical Life (USD) 0.8410 Strong driver
Annual Deaths from Terror Attacks Globally (deaths/year) 0.5319 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Cost of Terror Deaths (10,000 simulations)

Monte Carlo Distribution: Annual Cost of Terror Deaths (10,000 simulations)

Simulation Results Summary: Annual Cost of Terror Deaths

Statistic Value
Baseline (deterministic) $83B
Mean (expected value) $82.1B
Median (50th percentile) $78.9B
Standard Deviation $27B
90% Range (5th-95th percentile) [$43.1B, $131B]

The histogram shows the distribution of Annual Cost of Terror Deaths across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Cost of Terror Deaths

Probability of Exceeding Threshold: Annual Cost of Terror Deaths

This exceedance probability chart shows the likelihood that Annual Cost of Terror Deaths will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Human Life Losses from Conflict: $2.45T

Total annual human life losses from conflict (sum of combat, terror, state violence)

Inputs:

\[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Human Life Losses from Conflict

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Cost of Combat Deaths (USD/year) 0.9500 Strong driver
Annual Cost of Terror Deaths (USD/year) 0.0365 Minimal effect
Annual Cost of State Violence Deaths (USD/year) 0.0152 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Human Life Losses from Conflict (10,000 simulations)

Monte Carlo Distribution: Total Annual Human Life Losses from Conflict (10,000 simulations)

Simulation Results Summary: Total Annual Human Life Losses from Conflict

Statistic Value
Baseline (deterministic) $2.45T
Mean (expected value) $2.42T
Median (50th percentile) $2.35T
Standard Deviation $740B
90% Range (5th-95th percentile) [$1.31T, $3.75T]

The histogram shows the distribution of Total Annual Human Life Losses from Conflict across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Human Life Losses from Conflict

Probability of Exceeding Threshold: Total Annual Human Life Losses from Conflict

This exceedance probability chart shows the likelihood that Total Annual Human Life Losses from Conflict will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Infrastructure Destruction: $1.88T

Total annual infrastructure destruction (sum of transportation, energy, communications, water, education, healthcare)

Inputs:

\[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Infrastructure Destruction

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Infrastructure Damage to Transportation from Conflict (USD) 0.2591 Weak driver
Annual Infrastructure Damage to Energy Systems from Conflict (USD) 0.2249 Weak driver
Annual Infrastructure Damage to Communications from Conflict (USD) 0.1593 Weak driver
Annual Infrastructure Damage to Water Systems from Conflict (USD) 0.1433 Weak driver
Annual Infrastructure Damage to Education Facilities from Conflict (USD) 0.1250 Weak driver
Annual Infrastructure Damage to Healthcare Facilities from Conflict (USD) 0.0884 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Infrastructure Destruction (10,000 simulations)

Monte Carlo Distribution: Total Annual Infrastructure Destruction (10,000 simulations)

Simulation Results Summary: Total Annual Infrastructure Destruction

Statistic Value
Baseline (deterministic) $1.88T
Mean (expected value) $1.87T
Median (50th percentile) $1.84T
Standard Deviation $319B
90% Range (5th-95th percentile) [$1.37T, $2.47T]

The histogram shows the distribution of Total Annual Infrastructure Destruction across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Infrastructure Destruction

Probability of Exceeding Threshold: Total Annual Infrastructure Destruction

This exceedance probability chart shows the likelihood that Total Annual Infrastructure Destruction will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Annual Savings: $31.1T

Global annual savings in USD (savings rate × GDP)

Inputs:

\[ \begin{gathered} S_{annual} \\ = s_{global} \times GDP_{global} \\ = 27\% \times \$115T \\ = \$31.1T \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Global Annual Savings

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Gross Savings Rate (percent) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Annual Savings (10,000 simulations)

Monte Carlo Distribution: Global Annual Savings (10,000 simulations)

Simulation Results Summary: Global Annual Savings

Statistic Value
Baseline (deterministic) $31.1T
Mean (expected value) $31T
Median (50th percentile) $31T
Standard Deviation $1.69T
90% Range (5th-95th percentile) [$28.1T, $33.9T]

The histogram shows the distribution of Global Annual Savings across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Annual Savings

Probability of Exceeding Threshold: Global Annual Savings

This exceedance probability chart shows the likelihood that Global Annual Savings will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Trade Disruption: $616B

Total annual trade disruption (sum of shipping, supply chain, energy prices, currency instability)

Inputs:

\[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Trade Disruption

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Trade Disruption Costs from Shipping Disruptions (USD) 0.4005 Moderate driver
Annual Trade Disruption Costs from Supply Chain Disruptions (USD) 0.3033 Moderate driver
Annual Trade Disruption Costs from Energy Price Volatility (USD) 0.2037 Weak driver
Annual Trade Disruption Costs from Currency Instability (USD) 0.0926 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Trade Disruption (10,000 simulations)

Monte Carlo Distribution: Total Annual Trade Disruption (10,000 simulations)

Simulation Results Summary: Total Annual Trade Disruption

Statistic Value
Baseline (deterministic) $616B
Mean (expected value) $614B
Median (50th percentile) $605B
Standard Deviation $105B
90% Range (5th-95th percentile) [$450B, $812B]

The histogram shows the distribution of Total Annual Trade Disruption across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Trade Disruption

Probability of Exceeding Threshold: Total Annual Trade Disruption

This exceedance probability chart shows the likelihood that Total Annual Trade Disruption will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Direct War Costs: $7.66T

Total annual direct war costs (military spending + infrastructure + human life + trade disruption)

Inputs:

\[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Direct War Costs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Human Life Losses from Conflict (USD/year) 0.7463 Strong driver
Total Annual Infrastructure Destruction (USD/year) 0.3211 Moderate driver
Total Annual Trade Disruption (USD/year) 0.1057 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Direct War Costs (10,000 simulations)

Monte Carlo Distribution: Total Annual Direct War Costs (10,000 simulations)

Simulation Results Summary: Total Annual Direct War Costs

Statistic Value
Baseline (deterministic) $7.66T
Mean (expected value) $7.62T
Median (50th percentile) $7.53T
Standard Deviation $992B
90% Range (5th-95th percentile) [$6.14T, $9.4T]

The histogram shows the distribution of Total Annual Direct War Costs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Direct War Costs

Probability of Exceeding Threshold: Total Annual Direct War Costs

This exceedance probability chart shows the likelihood that Total Annual Direct War Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Indirect War Costs: $3.7T

Total annual indirect war costs (opportunity cost + veterans + refugees + environment + mental health + lost productivity)

Inputs:

\[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Indirect War Costs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Refugee Support Costs (USD) 3.5996 Strong driver
Annual Lost Productivity from Conflict Casualties (USD) -1.9754 Strong driver
Annual Environmental Damage and Restoration Costs from Conflict (USD) -1.4754 Strong driver
Annual Lost Economic Growth from Military Spending Opportunity Cost (USD) 0.7342 Strong driver
Annual PTSD and Mental Health Costs from Conflict (USD) 0.0630 Minimal effect
Annual Veteran Healthcare Costs (USD) 0.0541 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Indirect War Costs (10,000 simulations)

Monte Carlo Distribution: Total Annual Indirect War Costs (10,000 simulations)

Simulation Results Summary: Total Annual Indirect War Costs

Statistic Value
Baseline (deterministic) $3.7T
Mean (expected value) $3.69T
Median (50th percentile) $3.63T
Standard Deviation $628B
90% Range (5th-95th percentile) [$2.71T, $4.87T]

The histogram shows the distribution of Total Annual Indirect War Costs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Indirect War Costs

Probability of Exceeding Threshold: Total Annual Indirect War Costs

This exceedance probability chart shows the likelihood that Total Annual Indirect War Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Average Hourly Income: $7.19

Global average hourly income derived from GDP per capita. Uses average (not median), which overestimates the cost of sharing, making the payoff ratio conservative.

Inputs:

\[ \begin{gathered} \bar{w}_{hour} \\ = \frac{\bar{y}_{0}}{H_{work}} \\ = \frac{\$14.4K}{2{,}000} \\ = \$7.19 \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Global Average Hourly Income

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Average Income (2025 Baseline) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Average Hourly Income (10,000 simulations)

Monte Carlo Distribution: Global Average Hourly Income (10,000 simulations)

Simulation Results Summary: Global Average Hourly Income

Statistic Value
Baseline (deterministic) $7.19
Mean (expected value) $7.19
Median (50th percentile) $7.19
Standard Deviation $0.088
90% Range (5th-95th percentile) [$7.04, $7.34]

The histogram shows the distribution of Global Average Hourly Income across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Average Hourly Income

Probability of Exceeding Threshold: Global Average Hourly Income

This exceedance probability chart shows the likelihood that Global Average Hourly Income will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Average Income (2025 Baseline): $14.4K

Global average income (GDP per capita) in 2025 baseline.

Inputs:

\[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Global Average Income (2025 Baseline)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Population in 2024 (of people) -0.9999 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Average Income (2025 Baseline) (10,000 simulations)

Monte Carlo Distribution: Global Average Income (2025 Baseline) (10,000 simulations)

Simulation Results Summary: Global Average Income (2025 Baseline)

Statistic Value
Baseline (deterministic) $14.4K
Mean (expected value) $14.4K
Median (50th percentile) $14.4K
Standard Deviation $176
90% Range (5th-95th percentile) [$14.1K, $14.7K]

The histogram shows the distribution of Global Average Income (2025 Baseline) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Average Income (2025 Baseline)

Probability of Exceeding Threshold: Global Average Income (2025 Baseline)

This exceedance probability chart shows the likelihood that Global Average Income (2025 Baseline) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Average Remaining Years (Median Person): 48.5 years

Average remaining lifespan for the median-age person. Conservative: uses life expectancy at birth minus median age, which underestimates remaining years because survivors to age 30 have higher conditional life expectancy.

Inputs:

\[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Average Remaining Years (Median Person)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Life Expectancy (2024) (years) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Average Remaining Years (Median Person) (10,000 simulations)

Monte Carlo Distribution: Average Remaining Years (Median Person) (10,000 simulations)

Simulation Results Summary: Average Remaining Years (Median Person)

Statistic Value
Baseline (deterministic) 48.5
Mean (expected value) 48.5
Median (50th percentile) 48.5
Standard Deviation 2.01
90% Range (5th-95th percentile) [45.2, 51.8]

The histogram shows the distribution of Average Remaining Years (Median Person) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Average Remaining Years (Median Person)

Probability of Exceeding Threshold: Average Remaining Years (Median Person)

This exceedance probability chart shows the likelihood that Average Remaining Years (Median Person) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Destructive Economy (2025): $13.2T

Combined annual cost of military spending and cybercrime. The ‘destructive economy’ that competes with the productive economy.

Inputs:

\[ \begin{gathered} Cost_{destruct} \\ = Spending_{mil} + Cost_{cyber} \\ = \$2.72T + \$10.5T \\ = \$13.2T \end{gathered} \]

✓ High confidence

Destructive Economy as % of GDP: 11.5%

Destructive economy (military + cybercrime) as percentage of global GDP.

Inputs:

\[ \begin{gathered} r_{destruct:GDP} \\ = \frac{Cost_{destruct}}{GDP_{global}} \\ = \frac{\$13.2T}{\$115T} \\ = 11.5\% \end{gathered} \] where: \[ \begin{gathered} Cost_{destruct} \\ = Spending_{mil} + Cost_{cyber} \\ = \$2.72T + \$10.5T \\ = \$13.2T \end{gathered} \] ✓ High confidence

Annual Welfare Cost of Avoidable Disease: $400T

Annual welfare cost of avoidable disease globally. Calculated as global DALY burden × eventually avoidable percentage × standard QALY value ($150K). Uses consistent QALY valuation matching all other health impact calculations. Medical costs and productivity losses are NOT added separately to avoid double-counting (QALY valuation already captures these welfare components).

Inputs:

\[ \begin{gathered} Burden_{disease} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times Value_{QALY} \\ = 2.88B \times 92.6\% \times \$150K \\ = \$400T \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Welfare Cost of Avoidable Disease

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Standard Economic Value per QALY (USD/QALY) 0.6906 Strong driver
Eventually Avoidable DALY Percentage (percentage) 0.4534 Moderate driver
Global Annual DALY Burden (DALYs/year) 0.2031 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Welfare Cost of Avoidable Disease (10,000 simulations)

Monte Carlo Distribution: Annual Welfare Cost of Avoidable Disease (10,000 simulations)

Simulation Results Summary: Annual Welfare Cost of Avoidable Disease

Statistic Value
Baseline (deterministic) $400T
Mean (expected value) $400T
Median (50th percentile) $397T
Standard Deviation $105T
90% Range (5th-95th percentile) [$240T, $587T]

The histogram shows the distribution of Annual Welfare Cost of Avoidable Disease across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Welfare Cost of Avoidable Disease

Probability of Exceeding Threshold: Annual Welfare Cost of Avoidable Disease

This exceedance probability chart shows the likelihood that Annual Welfare Cost of Avoidable Disease will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Life Expectancy to HALE Gap: 15.7 years

Gap between life expectancy and healthy life expectancy. Represents years lived with disability or disease that could be recovered by curing diseases.

Inputs:

\[ \Delta_{HALE} = LE_{global} - HALE_{0} = 79 - 63.3 = 15.7 \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Life Expectancy to HALE Gap

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Life Expectancy (2024) (years) 4.0111 Strong driver
Global Healthy Life Expectancy (HALE) (years) -3.0122 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Life Expectancy to HALE Gap (10,000 simulations)

Monte Carlo Distribution: Life Expectancy to HALE Gap (10,000 simulations)

Simulation Results Summary: Life Expectancy to HALE Gap

Statistic Value
Baseline (deterministic) 15.7
Mean (expected value) 15.7
Median (50th percentile) 15.7
Standard Deviation 0.501
90% Range (5th-95th percentile) [14.9, 16.5]

The histogram shows the distribution of Life Expectancy to HALE Gap across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Life Expectancy to HALE Gap

Probability of Exceeding Threshold: Life Expectancy to HALE Gap

This exceedance probability chart shows the likelihood that Life Expectancy to HALE Gap will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Per Capita Military Spending Globally: $340

Per capita military spending globally

Inputs:

\[ \begin{gathered} Spending_{mil,pc} \\ = \frac{Spending_{mil}}{Pop_{global}} \\ = \frac{\$2.72T}{8B} \\ = \$340 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Per Capita Military Spending Globally

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Population in 2024 (of people) -0.9999 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Per Capita Military Spending Globally (10,000 simulations)

Monte Carlo Distribution: Per Capita Military Spending Globally (10,000 simulations)

Simulation Results Summary: Per Capita Military Spending Globally

Statistic Value
Baseline (deterministic) $340
Mean (expected value) $340
Median (50th percentile) $340
Standard Deviation $4.16
90% Range (5th-95th percentile) [$333, $347]

The histogram shows the distribution of Per Capita Military Spending Globally across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Per Capita Military Spending Globally

Probability of Exceeding Threshold: Per Capita Military Spending Globally

This exceedance probability chart shows the likelihood that Per Capita Military Spending Globally will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Military Spending After 1% Treaty Reduction: $2.69T

Global military spending after 1% treaty reduction

Inputs:

\[ \begin{gathered} Spending_{mil,post} \\ = Spending_{mil} \times (1 - Reduce_{treaty}) \\ = \$2.72T \times (1 - 1\%) \\ = \$2.69T \end{gathered} \]

✓ High confidence

Global Political Reform Investment: $128B

Estimated global advocacy investment for policy reform. Calculated as US costs × global ratio (based on discretionary spending). Upper bound representing full democratic engagement at scale.

Inputs:

\[ \begin{gathered} Cost_{global,reform} \\ = Cost_{US,total} \times \rho_{global/US} \\ = \$25.5B \times 5 \\ = \$128B \end{gathered} \] where: \[ \begin{gathered} Cost_{US,total} \\ = (Cost_{campaign} \\ + Cost_{lobby} \times 2) \times \mu_{effort} + Cost_{career} \end{gathered} \] where: \[ \begin{gathered} Cost_{US,congress} \\ = N_{congress} \times V_{post-office} \\ = 535 \times \$10M \\ = \$5.35B \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Global Political Reform Investment

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Political Reform Investment (Total) (USD) 4.7165 Strong driver
Global-to-US Political Cost Ratio (ratio) -3.7249 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Political Reform Investment (10,000 simulations)

Monte Carlo Distribution: Global Political Reform Investment (10,000 simulations)

Simulation Results Summary: Global Political Reform Investment

Statistic Value
Baseline (deterministic) $128B
Mean (expected value) $133B
Median (50th percentile) $119B
Standard Deviation $62.7B
90% Range (5th-95th percentile) [$55.2B, $266B]

The histogram shows the distribution of Global Political Reform Investment across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Political Reform Investment

Probability of Exceeding Threshold: Global Political Reform Investment

This exceedance probability chart shows the likelihood that Global Political Reform Investment will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total Annual Cost of War and Disease: $412T

Total annual welfare cost of war and disease. Disease burden uses DALY-based welfare valuation; war costs use direct + indirect economic costs. Symptomatic treatment costs NOT added separately (already captured in QALY valuation).

Inputs:

\[ \begin{gathered} Cost_{health+war} \\ = Cost_{war,total} + Burden_{disease} \\ = \$11.4T + \$400T \\ = \$412T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] where: \[ \begin{gathered} Burden_{disease} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times Value_{QALY} \\ = 2.88B \times 92.6\% \times \$150K \\ = \$400T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Annual Cost of War and Disease

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Welfare Cost of Avoidable Disease (USD/year) 0.9886 Strong driver
Total Annual Cost of War Worldwide (USD/year) 0.0143 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total Annual Cost of War and Disease (10,000 simulations)

Monte Carlo Distribution: Total Annual Cost of War and Disease (10,000 simulations)

Simulation Results Summary: Total Annual Cost of War and Disease

Statistic Value
Baseline (deterministic) $412T
Mean (expected value) $411T
Median (50th percentile) $408T
Standard Deviation $106T
90% Range (5th-95th percentile) [$250T, $601T]

The histogram shows the distribution of Total Annual Cost of War and Disease across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total Annual Cost of War and Disease

Probability of Exceeding Threshold: Total Annual Cost of War and Disease

This exceedance probability chart shows the likelihood that Total Annual Cost of War and Disease will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Healthcare vs Military Multiplier Ratio: 7.17x

Ratio of healthcare to military fiscal multipliers. Healthcare investment generates 7× more economic activity per dollar than military spending.

Inputs:

\[ \begin{gathered} r_{health/mil} \\ = \frac{k_{health}}{k_{mil}} \\ = \frac{4.3}{0.6} \\ = 7.17 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Healthcare vs Military Multiplier Ratio

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Economic Multiplier for Military Spending (x) -0.5163 Strong driver
Economic Multiplier for Healthcare Investment (x) -0.4760 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Healthcare vs Military Multiplier Ratio (10,000 simulations)

Monte Carlo Distribution: Healthcare vs Military Multiplier Ratio (10,000 simulations)

Simulation Results Summary: Healthcare vs Military Multiplier Ratio

Statistic Value
Baseline (deterministic) 7.17x
Mean (expected value) 7.21x
Median (50th percentile) 7.22x
Standard Deviation 0.227x
90% Range (5th-95th percentile) [6.83x, 7.57x]

The histogram shows the distribution of Healthcare vs Military Multiplier Ratio across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Healthcare vs Military Multiplier Ratio

Probability of Exceeding Threshold: Healthcare vs Military Multiplier Ratio

This exceedance probability chart shows the likelihood that Healthcare vs Military Multiplier Ratio will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

IAB Mechanism Benefit-Cost Ratio: 230:1

Benefit-Cost Ratio of the IAB mechanism itself

Inputs:

\[ \begin{gathered} BCR_{IAB} \\ = \frac{Benefit_{peace+RD}}{Cost_{IAB,ann}} \\ = \frac{\$172B}{\$750M} \\ = 230 \end{gathered} \] where: \[ \begin{gathered} Benefit_{peace+RD} \\ = Benefit_{peace,soc} + Benefit_{RD,ann} \\ = \$114B + \$58.6B \\ = \$172B \end{gathered} \] where: \[ \begin{gathered} Benefit_{peace,soc} \\ = Cost_{war,total} \times Reduce_{treaty} \\ = \$11.4T \times 1\% \\ = \$114B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] where: \[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] Methodology: https://iab.warondisease.org##welfare-analysis

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for IAB Mechanism Benefit-Cost Ratio

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
1% treaty Basic Annual Benefits (Peace + R&D Savings) (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: IAB Mechanism Benefit-Cost Ratio (10,000 simulations)

Monte Carlo Distribution: IAB Mechanism Benefit-Cost Ratio (10,000 simulations)

Simulation Results Summary: IAB Mechanism Benefit-Cost Ratio

Statistic Value
Baseline (deterministic) 230:1
Mean (expected value) 229:1
Median (50th percentile) 227:1
Standard Deviation 29.6:1
90% Range (5th-95th percentile) [186:1, 284:1]

The histogram shows the distribution of IAB Mechanism Benefit-Cost Ratio across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: IAB Mechanism Benefit-Cost Ratio

Probability of Exceeding Threshold: IAB Mechanism Benefit-Cost Ratio

This exceedance probability chart shows the likelihood that IAB Mechanism Benefit-Cost Ratio will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual IAB Political Incentive Funding: $2.72B

Annual funding for IAB political incentive mechanism (independent expenditures supporting high-scoring politicians, post-office fellowship endowments, Public Good Score infrastructure)

Inputs:

\[ \begin{gathered} Funding_{political,ann} \\ = Funding_{treaty} \times Pct_{political} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] ✓ High confidence

IAB vs Defense Lobbying Ratio at 1% Treaty: 21.4x

Ratio of IAB political incentive funding to defense industry lobbying at 1% treaty level. At just 1%, the health lobby already outguns the defense lobby by this factor.

Inputs:

\[ \begin{gathered} k_{IAB:defense} \\ = \frac{Funding_{political,ann}}{Lobby_{def,ann}} \\ = \frac{\$2.72B}{\$127M} \\ = 21.4 \end{gathered} \] where: \[ \begin{gathered} Funding_{political,ann} \\ = Funding_{treaty} \times Pct_{political} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Monte Carlo Distribution

Monte Carlo Distribution: IAB vs Defense Lobbying Ratio at 1% Treaty (10,000 simulations)

Monte Carlo Distribution: IAB vs Defense Lobbying Ratio at 1% Treaty (10,000 simulations)

Simulation Results Summary: IAB vs Defense Lobbying Ratio at 1% Treaty

Statistic Value
Baseline (deterministic) 21.4x
Mean (expected value) 21.4x
Median (50th percentile) 21.4x
Standard Deviation 3.55e-15x
90% Range (5th-95th percentile) [21.4x, 21.4x]

The histogram shows the distribution of IAB vs Defense Lobbying Ratio at 1% Treaty across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: IAB vs Defense Lobbying Ratio at 1% Treaty

Probability of Exceeding Threshold: IAB vs Defense Lobbying Ratio at 1% Treaty

This exceedance probability chart shows the likelihood that IAB vs Defense Lobbying Ratio at 1% Treaty will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Required Lead Principals for Launch: 4 people

Minimum number of lead principals required to finance and launch a credible treaty campaign

Inputs:

\[ \begin{gathered} X \\ = \left\lceil \frac{Cost_{campaign} \cdot R_{launch}}{C_{principal}} \right\rceil \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Required Lead Principals for Launch

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total 1% Treaty Campaign Cost (USD) -10.0598 Strong driver
Launch Redundancy Factor (multiplier) 5.3518 Strong driver
Average Commitment per Lead Principal (USD) 4.4765 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Required Lead Principals for Launch (10,000 simulations)

Monte Carlo Distribution: Required Lead Principals for Launch (10,000 simulations)

Simulation Results Summary: Required Lead Principals for Launch

Statistic Value
Baseline (deterministic) 4
Mean (expected value) 4.1
Median (50th percentile) 4
Standard Deviation 0.352
90% Range (5th-95th percentile) [4, 5]

The histogram shows the distribution of Required Lead Principals for Launch across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Required Lead Principals for Launch

Probability of Exceeding Threshold: Required Lead Principals for Launch

This exceedance probability chart shows the likelihood that Required Lead Principals for Launch will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

P(Launch Coalition Forms): 86.3%

Probability that enough ready principals emerge to launch a credible treaty campaign within the model horizon

Inputs:

\[ \begin{gathered} P_{launch} \\ = \sum_{k=X}^{N_{align}} \binom{N_{align}}{k} P_{ready|align}^{k} (1 - P_{ready|align})^{N_{align}-k} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for P(Launch Coalition Forms)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
High-Alignment Lead Principals (people) 0.5591 Strong driver
Ready Probability per High-Alignment Principal (rate) 0.5307 Strong driver
Required Lead Principals for Launch (people) -0.2815 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: P(Launch Coalition Forms) (10,000 simulations)

Monte Carlo Distribution: P(Launch Coalition Forms) (10,000 simulations)

Simulation Results Summary: P(Launch Coalition Forms)

Statistic Value
Baseline (deterministic) 86.3%
Mean (expected value) 55.3%
Median (50th percentile) 60.2%
Standard Deviation 37.8%
90% Range (5th-95th percentile) [0.195%, 100%]

The histogram shows the distribution of P(Launch Coalition Forms) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: P(Launch Coalition Forms)

Probability of Exceeding Threshold: P(Launch Coalition Forms)

This exceedance probability chart shows the likelihood that P(Launch Coalition Forms) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Ready Probability per High-Alignment Principal: 19.5%

Probability a high-alignment principal becomes a ready launch principal within the model horizon

Inputs:

\[ \begin{gathered} P_{ready|align} \\ = P_{reach|align} \times P_{persuade|reach} \times P_{execute|persuaded} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Ready Probability per High-Alignment Principal

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Reach Probability for High-Alignment Principals (rate) 0.6724 Strong driver
Persuasion Rate Given Reach (rate) 0.5203 Strong driver
Execution Rate Given Persuasion (rate) 0.4928 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Ready Probability per High-Alignment Principal (10,000 simulations)

Monte Carlo Distribution: Ready Probability per High-Alignment Principal (10,000 simulations)

Simulation Results Summary: Ready Probability per High-Alignment Principal

Statistic Value
Baseline (deterministic) 19.5%
Mean (expected value) 19.4%
Median (50th percentile) 17.9%
Standard Deviation 9.67%
90% Range (5th-95th percentile) [6.25%, 37.7%]

The histogram shows the distribution of Ready Probability per High-Alignment Principal across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Ready Probability per High-Alignment Principal

Probability of Exceeding Threshold: Ready Probability per High-Alignment Principal

This exceedance probability chart shows the likelihood that Ready Probability per High-Alignment Principal will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Medical Research Spending as Percentage of Total Disease Burden: 0.0164%

Medical research spending as percentage of total disease burden

Inputs:

\[ \begin{gathered} Pct_{RD:burden} \\ = \frac{Spending_{RD}}{Cost_{health+war}} \\ = \frac{\$67.5B}{\$412T} \\ = 0.0164\% \end{gathered} \] where: \[ \begin{gathered} Cost_{health+war} \\ = Cost_{war,total} + Burden_{disease} \\ = \$11.4T + \$400T \\ = \$412T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] where: \[ \begin{gathered} Burden_{disease} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times Value_{QALY} \\ = 2.88B \times 92.6\% \times \$150K \\ = \$400T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Medical Research Spending as Percentage of Total Disease Burden

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Cost of War and Disease (USD/year) -1.4967 Strong driver
Global Government Medical Research Spending (USD) 0.6922 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Medical Research Spending as Percentage of Total Disease Burden (10,000 simulations)

Monte Carlo Distribution: Medical Research Spending as Percentage of Total Disease Burden (10,000 simulations)

Simulation Results Summary: Medical Research Spending as Percentage of Total Disease Burden

Statistic Value
Baseline (deterministic) 0.0164%
Mean (expected value) 0.0172%
Median (50th percentile) 0.0163%
Standard Deviation 0.00375%
90% Range (5th-95th percentile) [0.013%, 0.0243%]

The histogram shows the distribution of Medical Research Spending as Percentage of Total Disease Burden across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Medical Research Spending as Percentage of Total Disease Burden

Probability of Exceeding Threshold: Medical Research Spending as Percentage of Total Disease Burden

This exceedance probability chart shows the likelihood that Medical Research Spending as Percentage of Total Disease Burden will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Ratio of Military to Government Clinical Trials Spending: 604:1

Ratio of global military spending to government clinical trials spending

Inputs:

\[ \begin{gathered} Ratio_{mil:gov} \\ = \frac{Spending_{mil}}{Spending_{trials,gov}} \\ = \frac{\$2.72T}{\$4.5B} \\ = 604 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Ratio of Military to Government Clinical Trials Spending

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Global Government Spending on Clinical Trials (USD) -0.9786 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Ratio of Military to Government Clinical Trials Spending (10,000 simulations)

Monte Carlo Distribution: Ratio of Military to Government Clinical Trials Spending (10,000 simulations)

Simulation Results Summary: Ratio of Military to Government Clinical Trials Spending

Statistic Value
Baseline (deterministic) 604:1
Mean (expected value) 635:1
Median (50th percentile) 621:1
Standard Deviation 127:1
90% Range (5th-95th percentile) [453:1, 894:1]

The histogram shows the distribution of Ratio of Military to Government Clinical Trials Spending across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Ratio of Military to Government Clinical Trials Spending

Probability of Exceeding Threshold: Ratio of Military to Government Clinical Trials Spending

This exceedance probability chart shows the likelihood that Ratio of Military to Government Clinical Trials Spending will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Moronia Trajectory Probability (Year 20 EV Model): 10%

Probability that the world follows the Moronia collapse path in the year-20 expected-value framing.

Inputs:

\[ p_{mor,20} = 1 - p_{wish,20} = 1 - 90\% = 10\% \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Moronia Trajectory Probability (Year 20 EV Model)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory Probability (Year 20 EV Model) (rate) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Moronia Trajectory Probability (Year 20 EV Model) (10,000 simulations)

Monte Carlo Distribution: Moronia Trajectory Probability (Year 20 EV Model) (10,000 simulations)

Simulation Results Summary: Moronia Trajectory Probability (Year 20 EV Model)

Statistic Value
Baseline (deterministic) 10%
Mean (expected value) 10.1%
Median (50th percentile) 7.04%
Standard Deviation 9.04%
90% Range (5th-95th percentile) [2%, 29.4%]

The histogram shows the distribution of Moronia Trajectory Probability (Year 20 EV Model) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Moronia Trajectory Probability (Year 20 EV Model)

Probability of Exceeding Threshold: Moronia Trajectory Probability (Year 20 EV Model)

This exceedance probability chart shows the likelihood that Moronia Trajectory Probability (Year 20 EV Model) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

NIH Traditional Trial Maximum Efficiency vs Pragmatic (%): 2.27%

Maximum efficiency of NIH traditional Phase 3 trials relative to pragmatic trials, expressed as a percentage. Calculated as pragmatic cost / traditional cost. This is a CEILING on NIH trial efficiency because: (1) only 3.3% of NIH budget goes to clinical trials at all, and (2) the other 96.7% funds basic research with far lower marginal value when thousands of safe compounds already await testing.

Inputs:

\[ \begin{gathered} \eta_{NIH,max} \\ = \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = \frac{\$929}{\$41K} \\ = 2.27\% \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for NIH Traditional Trial Maximum Efficiency vs Pragmatic (%)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Pragmatic Trial Cost per Patient (USD/patient) 6.4207 Strong driver
Phase 3 Cost per Patient (USD/patient) -5.6539 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: NIH Traditional Trial Maximum Efficiency vs Pragmatic (%) (10,000 simulations)

Monte Carlo Distribution: NIH Traditional Trial Maximum Efficiency vs Pragmatic (%) (10,000 simulations)

Simulation Results Summary: NIH Traditional Trial Maximum Efficiency vs Pragmatic (%)

Statistic Value
Baseline (deterministic) 2.27%
Mean (expected value) 2.03%
Median (50th percentile) 2.08%
Standard Deviation 0.401%
90% Range (5th-95th percentile) [1.12%, 2.54%]

The histogram shows the distribution of NIH Traditional Trial Maximum Efficiency vs Pragmatic (%) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: NIH Traditional Trial Maximum Efficiency vs Pragmatic (%)

Probability of Exceeding Threshold: NIH Traditional Trial Maximum Efficiency vs Pragmatic (%)

This exceedance probability chart shows the likelihood that NIH Traditional Trial Maximum Efficiency vs Pragmatic (%) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Peace Dividend from 1% Reduction in Total War Costs: $114B

Annual peace dividend from 1% reduction in total war costs (theoretical maximum at ε=1.0)

Inputs:

\[ \begin{gathered} Benefit_{peace,soc} \\ = Cost_{war,total} \times Reduce_{treaty} \\ = \$11.4T \times 1\% \\ = \$114B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Peace Dividend from 1% Reduction in Total War Costs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Cost of War Worldwide (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Peace Dividend from 1% Reduction in Total War Costs (10,000 simulations)

Monte Carlo Distribution: Annual Peace Dividend from 1% Reduction in Total War Costs (10,000 simulations)

Simulation Results Summary: Annual Peace Dividend from 1% Reduction in Total War Costs

Statistic Value
Baseline (deterministic) $114B
Mean (expected value) $113B
Median (50th percentile) $112B
Standard Deviation $15.1B
90% Range (5th-95th percentile) [$90.1B, $141B]

The histogram shows the distribution of Annual Peace Dividend from 1% Reduction in Total War Costs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Peace Dividend from 1% Reduction in Total War Costs

Probability of Exceeding Threshold: Annual Peace Dividend from 1% Reduction in Total War Costs

This exceedance probability chart shows the likelihood that Annual Peace Dividend from 1% Reduction in Total War Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Conflict Reduction Benefits from 1% Less Military Spending: $86.4B

Conflict reduction benefits from 1% less military spending (lower confidence - assumes proportional relationship)

Inputs:

\[ \begin{gathered} Savings_{conflict} \\ = Benefit_{peace,soc} - Funding_{treaty} \\ = \$114B - \$27.2B \\ = \$86.4B \end{gathered} \] where: \[ \begin{gathered} Benefit_{peace,soc} \\ = Cost_{war,total} \times Reduce_{treaty} \\ = \$11.4T \times 1\% \\ = \$114B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] Methodology: Direct Calculation

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Conflict Reduction Benefits from 1% Less Military Spending

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Peace Dividend from 1% Reduction in Total War Costs (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Conflict Reduction Benefits from 1% Less Military Spending (10,000 simulations)

Monte Carlo Distribution: Conflict Reduction Benefits from 1% Less Military Spending (10,000 simulations)

Simulation Results Summary: Conflict Reduction Benefits from 1% Less Military Spending

Statistic Value
Baseline (deterministic) $86.4B
Mean (expected value) $85.9B
Median (50th percentile) $84.6B
Standard Deviation $15.1B
90% Range (5th-95th percentile) [$62.9B, $113B]

The histogram shows the distribution of Conflict Reduction Benefits from 1% Less Military Spending across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Conflict Reduction Benefits from 1% Less Military Spending

Probability of Exceeding Threshold: Conflict Reduction Benefits from 1% Less Military Spending

This exceedance probability chart shows the likelihood that Conflict Reduction Benefits from 1% Less Military Spending will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Direct War Costs: $76.6B

Annual savings from 1% reduction in direct war costs

Inputs:

\[ \begin{gathered} Savings_{direct} \\ = Cost_{war,direct} \times Reduce_{treaty} \\ = \$7.66T \times 1\% \\ = \$76.6B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Direct War Costs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Direct War Costs (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Savings from 1% Reduction in Direct War Costs (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Direct War Costs (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Direct War Costs

Statistic Value
Baseline (deterministic) $76.6B
Mean (expected value) $76.2B
Median (50th percentile) $75.3B
Standard Deviation $9.92B
90% Range (5th-95th percentile) [$61.4B, $94B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Direct War Costs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Direct War Costs

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Direct War Costs

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Direct War Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Indirect War Costs: $37B

Annual savings from 1% reduction in indirect war costs

Inputs:

\[ \begin{gathered} Savings_{indirect} \\ = Cost_{war,indirect} \times Reduce_{treaty} \\ = \$3.7T \times 1\% \\ = \$37B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Indirect War Costs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Indirect War Costs (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Savings from 1% Reduction in Indirect War Costs (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Indirect War Costs (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Indirect War Costs

Statistic Value
Baseline (deterministic) $37B
Mean (expected value) $36.9B
Median (50th percentile) $36.3B
Standard Deviation $6.28B
90% Range (5th-95th percentile) [$27.1B, $48.7B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Indirect War Costs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Indirect War Costs

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Indirect War Costs

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Indirect War Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Peace Trajectory Total Differential (20yr): $16.3T

Total 20-year value of the peace trajectory: research funding redirected to medicine plus war externality costs avoided. The full differential between the IAB trajectory and the current trajectory. Does not include existential risk reduction.

Inputs:

\[ \begin{gathered} V_{peace,20yr} \\ = Fund_{20yr,ratchet} + Savings_{war,20yr} \\ = \$3.16T + \$13.2T \\ = \$16.3T \end{gathered} \] where: \[ \begin{gathered} Fund_{20yr,ratchet} \\ = Spending_{mil} \times 1.16 \\ = \$2.72T \times 1.16 \\ = \$3.16T \end{gathered} \] where: \[ \begin{gathered} Savings_{war,20yr} \\ = Cost_{war,total} \times 1.16 \\ = \$11.4T \times 1.16 \\ = \$13.2T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Peace Trajectory Total Differential (20yr)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
War Costs Saved via Peace Trajectory (20yr) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Peace Trajectory Total Differential (20yr) (10,000 simulations)

Monte Carlo Distribution: Peace Trajectory Total Differential (20yr) (10,000 simulations)

Simulation Results Summary: Peace Trajectory Total Differential (20yr)

Statistic Value
Baseline (deterministic) $16.3T
Mean (expected value) $16.3T
Median (50th percentile) $16.1T
Standard Deviation $1.76T
90% Range (5th-95th percentile) [$13.6T, $19.5T]

The histogram shows the distribution of Peace Trajectory Total Differential (20yr) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Peace Trajectory Total Differential (20yr)

Probability of Exceeding Threshold: Peace Trajectory Total Differential (20yr)

This exceedance probability chart shows the likelihood that Peace Trajectory Total Differential (20yr) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Lives Saved by Pharmaceuticals: 12.4 million deaths

Annual lives saved by pharmaceutical interventions globally. Derived from Lichtenberg (2019) finding of 148.7M life-years saved, divided by assumed 12-year average life extension per beneficiary. Note: Life-years is the primary metric; lives is an approximation for intuitive communication.

Inputs:

\[ \begin{gathered} Lives_{saved,annual} \\ = \frac{LY_{saved,annual}}{T_{ext}} \\ = \frac{149M}{12} \\ = 12.4M \end{gathered} \]

Methodology:75

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Annual Lives Saved by Pharmaceuticals

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Life-Years Saved by Pharmaceuticals (life-years) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Lives Saved by Pharmaceuticals (10,000 simulations)

Monte Carlo Distribution: Annual Lives Saved by Pharmaceuticals (10,000 simulations)

Simulation Results Summary: Annual Lives Saved by Pharmaceuticals

Statistic Value
Baseline (deterministic) 12.4 million
Mean (expected value) 12.3 million
Median (50th percentile) 11.9 million
Standard Deviation 3.2 million
90% Range (5th-95th percentile) [7.6 million, 18.6 million]

The histogram shows the distribution of Annual Lives Saved by Pharmaceuticals across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Lives Saved by Pharmaceuticals

Probability of Exceeding Threshold: Annual Lives Saved by Pharmaceuticals

This exceedance probability chart shows the likelihood that Annual Lives Saved by Pharmaceuticals will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Governance Efficiency Score: 51.9%

Global Governance Efficiency Score from Political Dysfunction Tax paper. E = Adjusted W_real / W_max, where W_real = GDP - waste, W_max = W_real + opportunity cost. Paper calculates 30-52% efficiency (using $110.9T adjusted / $211.9T maximum). This means civilization operates at roughly half its technological potential.

Inputs:

\[ \begin{gathered} E \\ = \frac{W_{real}}{W_{max}} \\ = \frac{GDP - W_{waste}}{GDP - W_{waste} + O_{total}} \end{gathered} \]

Methodology:46

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Global Governance Efficiency Score

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Theoretical Maximum Welfare (Conservative) (USD) -0.6253 Strong driver
Adjusted Realized Welfare (USD) 0.3983 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Governance Efficiency Score (10,000 simulations)

Monte Carlo Distribution: Global Governance Efficiency Score (10,000 simulations)

Simulation Results Summary: Global Governance Efficiency Score

Statistic Value
Baseline (deterministic) 51.9%
Mean (expected value) 50.3%
Median (50th percentile) 52.8%
Standard Deviation 6.75%
90% Range (5th-95th percentile) [35.9%, 57%]

The histogram shows the distribution of Global Governance Efficiency Score across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Governance Efficiency Score

Probability of Exceeding Threshold: Global Governance Efficiency Score

This exceedance probability chart shows the likelihood that Global Governance Efficiency Score will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Opportunity Cost as % of GDP: 87.8%

Global opportunity cost as percentage of global GDP. $101T / $115T = ~88% of current GDP in unrealized potential. This represents the ‘buried multipliers’ of the global economy.

Inputs:

\[ \begin{gathered} O_{\%GDP} \\ = \frac{O_{total}}{GDP_{global}} \\ = \frac{\$101T}{\$115T} \\ = 87.8\% \end{gathered} \] where: \[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \] Methodology:46

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Global Opportunity Cost as % of GDP

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Opportunity Cost Total (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Opportunity Cost as % of GDP (10,000 simulations)

Monte Carlo Distribution: Global Opportunity Cost as % of GDP (10,000 simulations)

Simulation Results Summary: Global Opportunity Cost as % of GDP

Statistic Value
Baseline (deterministic) 87.8%
Mean (expected value) 97.4%
Median (50th percentile) 84.8%
Standard Deviation 31.8%
90% Range (5th-95th percentile) [72.5%, 166%]

The histogram shows the distribution of Global Opportunity Cost as % of GDP across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Opportunity Cost as % of GDP

Probability of Exceeding Threshold: Global Opportunity Cost as % of GDP

This exceedance probability chart shows the likelihood that Global Opportunity Cost as % of GDP will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Opportunity Cost Total: $101T

Total global opportunity cost from governance failures: health innovation delays ($34T), underfunded science ($4T), lead poisoning ($6T), migration restrictions ($57T). Sum: $101T annually in unrealized potential.

Inputs:

\[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \]

Methodology:46

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Global Opportunity Cost Total

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Migration Opportunity Cost (USD) 0.5736 Strong driver
Global Health Opportunity Cost (USD) 0.3734 Moderate driver
Global Science Opportunity Cost (USD) 0.0500 Minimal effect
Global Lead Poisoning Cost (USD) 0.0264 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Opportunity Cost Total (10,000 simulations)

Monte Carlo Distribution: Global Opportunity Cost Total (10,000 simulations)

Simulation Results Summary: Global Opportunity Cost Total

Statistic Value
Baseline (deterministic) $101T
Mean (expected value) $112T
Median (50th percentile) $97.5T
Standard Deviation $36.5T
90% Range (5th-95th percentile) [$83.3T, $191T]

The histogram shows the distribution of Global Opportunity Cost Total across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Opportunity Cost Total

Probability of Exceeding Threshold: Global Opportunity Cost Total

This exceedance probability chart shows the likelihood that Global Opportunity Cost Total will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Adjusted Realized Welfare: $109T

Adjusted realized welfare after subtracting measured governance waste from global GDP.

Inputs:

\[ \begin{gathered} W_{real} \\ = GDP_{global} - W_{waste} \\ = \$115T - \$6.2T \\ = \$109T \end{gathered} \] where: \[ \begin{gathered} W_{waste} \\ = W_{total,US} + W_{ff,global} \\ = \$4.9T + \$1.3T \\ = \$6.2T \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Adjusted Realized Welfare

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Waste Total (Efficiency Accounting) (USD) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Adjusted Realized Welfare (10,000 simulations)

Monte Carlo Distribution: Adjusted Realized Welfare (10,000 simulations)

Simulation Results Summary: Adjusted Realized Welfare

Statistic Value
Baseline (deterministic) $109T
Mean (expected value) $109T
Median (50th percentile) $109T
Standard Deviation $933B
90% Range (5th-95th percentile) [$107T, $110T]

The histogram shows the distribution of Adjusted Realized Welfare across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Adjusted Realized Welfare

Probability of Exceeding Threshold: Adjusted Realized Welfare

This exceedance probability chart shows the likelihood that Adjusted Realized Welfare will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Theoretical Maximum Welfare (Conservative): $210T

Conservative theoretical maximum welfare under opportunity-cost recapture assumptions.

Inputs:

\[ W_{max} = W_{real} + O_{total} = \$109T + \$101T = \$210T \] where: \[ \begin{gathered} W_{real} \\ = GDP_{global} - W_{waste} \\ = \$115T - \$6.2T \\ = \$109T \end{gathered} \] where: \[ \begin{gathered} W_{waste} \\ = W_{total,US} + W_{ff,global} \\ = \$4.9T + \$1.3T \\ = \$6.2T \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Theoretical Maximum Welfare (Conservative)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Opportunity Cost Total (USD) 1.0233 Strong driver
Adjusted Realized Welfare (USD) 0.0261 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Theoretical Maximum Welfare (Conservative) (10,000 simulations)

Monte Carlo Distribution: Theoretical Maximum Welfare (Conservative) (10,000 simulations)

Simulation Results Summary: Theoretical Maximum Welfare (Conservative)

Statistic Value
Baseline (deterministic) $210T
Mean (expected value) $221T
Median (50th percentile) $206T
Standard Deviation $35.7T
90% Range (5th-95th percentile) [$194T, $298T]

The histogram shows the distribution of Theoretical Maximum Welfare (Conservative) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Theoretical Maximum Welfare (Conservative)

Probability of Exceeding Threshold: Theoretical Maximum Welfare (Conservative)

This exceedance probability chart shows the likelihood that Theoretical Maximum Welfare (Conservative) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Waste Total (Efficiency Accounting): $6.2T

Global waste deduction used in Political Dysfunction Tax efficiency accounting. Combines US governance waste estimate with global explicit fossil-fuel subsidies.

Inputs:

\[ \begin{gathered} W_{waste} \\ = W_{total,US} + W_{ff,global} \\ = \$4.9T + \$1.3T \\ = \$6.2T \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Global Waste Total (Efficiency Accounting)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Government Waste (Total) (USD) 0.8974 Strong driver
Global Fossil Fuel Subsidies (USD) 0.1031 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Waste Total (Efficiency Accounting) (10,000 simulations)

Monte Carlo Distribution: Global Waste Total (Efficiency Accounting) (10,000 simulations)

Simulation Results Summary: Global Waste Total (Efficiency Accounting)

Statistic Value
Baseline (deterministic) $6.2T
Mean (expected value) $6.18T
Median (50th percentile) $6.11T
Standard Deviation $933B
90% Range (5th-95th percentile) [$4.75T, $7.97T]

The histogram shows the distribution of Global Waste Total (Efficiency Accounting) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Waste Total (Efficiency Accounting)

Probability of Exceeding Threshold: Global Waste Total (Efficiency Accounting)

This exceedance probability chart shows the likelihood that Global Waste Total (Efficiency Accounting) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Political Dysfunction Tax per Household of Four (Annual): $50.5K

Annual household burden for a 4-person household implied by global Political Dysfunction Tax.

Inputs:

\[ T_{pd,hh4} = T_{pd,pc} \times 4 = \$12.6K \times 4 = \$50.5K \] where: \[ \begin{gathered} T_{pd,pc} \\ = \frac{O_{total}}{Pop_{global}} \\ = \frac{\$101T}{8B} \\ = \$12.6K \end{gathered} \] where: \[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Political Dysfunction Tax per Household of Four (Annual)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Political Dysfunction Tax per Person (Annual) (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Political Dysfunction Tax per Household of Four (Annual) (10,000 simulations)

Monte Carlo Distribution: Political Dysfunction Tax per Household of Four (Annual) (10,000 simulations)

Simulation Results Summary: Political Dysfunction Tax per Household of Four (Annual)

Statistic Value
Baseline (deterministic) $50.5K
Mean (expected value) $55.9K
Median (50th percentile) $48.8K
Standard Deviation $17.4K
90% Range (5th-95th percentile) [$42.6K, $93.7K]

The histogram shows the distribution of Political Dysfunction Tax per Household of Four (Annual) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Political Dysfunction Tax per Household of Four (Annual)

Probability of Exceeding Threshold: Political Dysfunction Tax per Household of Four (Annual)

This exceedance probability chart shows the likelihood that Political Dysfunction Tax per Household of Four (Annual) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Political Dysfunction Tax per Person (Annual): $12.6K

Annual per-person burden implied by global Political Dysfunction Tax opportunity costs.

Inputs:

\[ \begin{gathered} T_{pd,pc} \\ = \frac{O_{total}}{Pop_{global}} \\ = \frac{\$101T}{8B} \\ = \$12.6K \end{gathered} \] where: \[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Political Dysfunction Tax per Person (Annual)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Opportunity Cost Total (USD) 1.0167 Strong driver
Global Population in 2024 (of people) -0.0194 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Political Dysfunction Tax per Person (Annual) (10,000 simulations)

Monte Carlo Distribution: Political Dysfunction Tax per Person (Annual) (10,000 simulations)

Simulation Results Summary: Political Dysfunction Tax per Person (Annual)

Statistic Value
Baseline (deterministic) $12.6K
Mean (expected value) $14K
Median (50th percentile) $12.2K
Standard Deviation $4.36K
90% Range (5th-95th percentile) [$10.6K, $23.4K]

The histogram shows the distribution of Political Dysfunction Tax per Person (Annual) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Political Dysfunction Tax per Person (Annual)

Probability of Exceeding Threshold: Political Dysfunction Tax per Person (Annual)

This exceedance probability chart shows the likelihood that Political Dysfunction Tax per Person (Annual) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Percentage Military Spending Cut After WW2: 87.6%

Percentage US military spending cut after WW2 (1945-1947, inflation-adjusted: $1,420B to $176B in constant 2024 dollars)

Inputs:

\[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \]

✓ High confidence

Pragmatic Trial Cost per QALY (RECOVERY): $4

Cost per QALY for pragmatic platform trials, calculated from RECOVERY trial data. Uses global impact methodology: trial cost divided by total QALYs from downstream adoption. This measures research efficiency (discovery value), not clinical intervention ICER.

Inputs:

\[ \begin{gathered} Cost_{pragmatic,QALY} \\ = \frac{Cost_{RECOVERY}}{QALY_{RECOVERY}} \\ = \frac{\$20M}{5M} \\ = \$4 \end{gathered} \] where: \[ \begin{gathered} QALY_{RECOVERY} \\ = Lives_{RECOVERY} \times QALY_{COVID} \\ = 1M \times 5 \\ = 5M \end{gathered} \] Methodology:71

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Pragmatic Trial Cost per QALY (RECOVERY)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
RECOVERY Trial Total Cost (USD) -1.4871 Strong driver
RECOVERY Trial Total QALYs Generated (QALYs) 0.5682 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Pragmatic Trial Cost per QALY (RECOVERY) (10,000 simulations)

Monte Carlo Distribution: Pragmatic Trial Cost per QALY (RECOVERY) (10,000 simulations)

Simulation Results Summary: Pragmatic Trial Cost per QALY (RECOVERY)

Statistic Value
Baseline (deterministic) $4
Mean (expected value) $5.1
Median (50th percentile) $4.55
Standard Deviation $2.59
90% Range (5th-95th percentile) [$1.71, $10]

The histogram shows the distribution of Pragmatic Trial Cost per QALY (RECOVERY) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Pragmatic Trial Cost per QALY (RECOVERY)

Probability of Exceeding Threshold: Pragmatic Trial Cost per QALY (RECOVERY)

This exceedance probability chart shows the likelihood that Pragmatic Trial Cost per QALY (RECOVERY) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

$100 Prize Escrow Compound Return: $418

Value of $100 escrowed prize contribution after accumulation period at escrow yield rate, returned if funding threshold is not met

Inputs:

\[ \begin{gathered} V_{escrow,100} \\ = 100 \times (1 + r_{escrow})^{T_{escrow}} \\ = 100 \times (1 + 10\%)^{15} \\ = \$418 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for $100 Prize Escrow Compound Return

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Prize Escrow Annual Yield Rate (percent) 0.9832 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: $100 Prize Escrow Compound Return (10,000 simulations)

Monte Carlo Distribution: $100 Prize Escrow Compound Return (10,000 simulations)

Simulation Results Summary: $100 Prize Escrow Compound Return

Statistic Value
Baseline (deterministic) $418
Mean (expected value) $438
Median (50th percentile) $416
Standard Deviation $147
90% Range (5th-95th percentile) [$231, $732]

The histogram shows the distribution of $100 Prize Escrow Compound Return across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: $100 Prize Escrow Compound Return

Probability of Exceeding Threshold: $100 Prize Escrow Compound Return

This exceedance probability chart shows the likelihood that $100 Prize Escrow Compound Return will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Prize Escrow Return Multiple: 4.18x

Return multiple on escrowed prize contribution after accumulation period (how many times your money you get back)

Inputs:

\[ \begin{gathered} k_{escrow} \\ = (1 + r_{escrow})^{T_{escrow}} \\ = (1 + 10\%)^{15} \\ = 4.18\times \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Prize Escrow Return Multiple

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Prize Escrow Annual Yield Rate (percent) 0.9832 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Prize Escrow Return Multiple (10,000 simulations)

Monte Carlo Distribution: Prize Escrow Return Multiple (10,000 simulations)

Simulation Results Summary: Prize Escrow Return Multiple

Statistic Value
Baseline (deterministic) 4.18x
Mean (expected value) 4.38x
Median (50th percentile) 4.16x
Standard Deviation 1.47x
90% Range (5th-95th percentile) [2.31x, 7.32x]

The histogram shows the distribution of Prize Escrow Return Multiple across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Prize Escrow Return Multiple

Probability of Exceeding Threshold: Prize Escrow Return Multiple

This exceedance probability chart shows the likelihood that Prize Escrow Return Multiple will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Prize Pool FV Annuity Factor: 31.8:1

Future-value annuity factor for prize pool accumulation at escrow yield over accumulation period

Inputs:

\[ \begin{gathered} FV_{annuity} \\ = \frac{(1 + r_{escrow})^{T_{escrow}} - 1}{r_{escrow}} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Prize Pool FV Annuity Factor

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Prize Escrow Annual Yield Rate (percent) 0.9918 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Prize Pool FV Annuity Factor (10,000 simulations)

Monte Carlo Distribution: Prize Pool FV Annuity Factor (10,000 simulations)

Simulation Results Summary: Prize Pool FV Annuity Factor

Statistic Value
Baseline (deterministic) 31.8:1
Mean (expected value) 32.4:1
Median (50th percentile) 31.7:1
Standard Deviation 6.32:1
90% Range (5th-95th percentile) [22.8:1, 44.5:1]

The histogram shows the distribution of Prize Pool FV Annuity Factor across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Prize Pool FV Annuity Factor

Probability of Exceeding Threshold: Prize Pool FV Annuity Factor

This exceedance probability chart shows the likelihood that Prize Pool FV Annuity Factor will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Prize Pool Projected Size: $29.6T

Projected prize pool size based on PRIZE share of global savings and compound growth over the accumulation period

Inputs:

\[ Pool = S_{annual} \times s_{prize} \times FV_{annuity} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Prize Pool Projected Size

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
PRIZE Share of Global Savings (percent) 1.0509 Strong driver
Prize Pool FV Annuity Factor (ratio) -0.1818 Weak driver
Global Annual Savings (USD) 0.1165 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Prize Pool Projected Size (10,000 simulations)

Monte Carlo Distribution: Prize Pool Projected Size (10,000 simulations)

Simulation Results Summary: Prize Pool Projected Size

Statistic Value
Baseline (deterministic) $29.6T
Mean (expected value) $38T
Median (50th percentile) $6.61T
Standard Deviation $102T
90% Range (5th-95th percentile) [$641B, $174T]

The histogram shows the distribution of Prize Pool Projected Size across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Prize Pool Projected Size

Probability of Exceeding Threshold: Prize Pool Projected Size

This exceedance probability chart shows the likelihood that Prize Pool Projected Size will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Prize Pool Required Annual Deposits: $3.18T

Annual deposits required for prize pool to reach the dysfunction tax target ($101T) over the accumulation period

Inputs:

\[ D_{annual} = \frac{O_{total}}{FV_{annuity}} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Prize Pool Required Annual Deposits

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Opportunity Cost Total (USD) 1.9764 Strong driver
Prize Pool FV Annuity Factor (ratio) -1.2334 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Prize Pool Required Annual Deposits (10,000 simulations)

Monte Carlo Distribution: Prize Pool Required Annual Deposits (10,000 simulations)

Simulation Results Summary: Prize Pool Required Annual Deposits

Statistic Value
Baseline (deterministic) $3.18T
Mean (expected value) $3.41T
Median (50th percentile) $3.23T
Standard Deviation $450B
90% Range (5th-95th percentile) [$3.06T, $4.29T]

The histogram shows the distribution of Prize Pool Required Annual Deposits across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Prize Pool Required Annual Deposits

Probability of Exceeding Threshold: Prize Pool Required Annual Deposits

This exceedance probability chart shows the likelihood that Prize Pool Required Annual Deposits will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Prize Pool Target as % of Global GDP: 2.76%

Required annual deposits as share of global GDP to reach dysfunction tax target

Inputs:

\[ \begin{gathered} d_{GDP} \\ = \frac{D_{annual}}{GDP_{global}} \\ = \frac{\$3.18T}{\$115T} \\ = 2.76\% \end{gathered} \] where: \[ D_{annual} = \frac{O_{total}}{FV_{annuity}} \] where: \[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \] where: \[ \begin{gathered} FV_{annuity} \\ = \frac{(1 + r_{escrow})^{T_{escrow}} - 1}{r_{escrow}} \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Prize Pool Target as % of Global GDP

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Prize Pool Required Annual Deposits (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Prize Pool Target as % of Global GDP (10,000 simulations)

Monte Carlo Distribution: Prize Pool Target as % of Global GDP (10,000 simulations)

Simulation Results Summary: Prize Pool Target as % of Global GDP

Statistic Value
Baseline (deterministic) 2.76%
Mean (expected value) 2.97%
Median (50th percentile) 2.81%
Standard Deviation 0.391%
90% Range (5th-95th percentile) [2.66%, 3.73%]

The histogram shows the distribution of Prize Pool Target as % of Global GDP across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Prize Pool Target as % of Global GDP

Probability of Exceeding Threshold: Prize Pool Target as % of Global GDP

This exceedance probability chart shows the likelihood that Prize Pool Target as % of Global GDP will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Prize Pool Target as % of Global Savings: 10.2%

Required annual deposits as share of global savings to reach dysfunction tax target

Inputs:

\[ \begin{gathered} d_{savings} \\ = \frac{D_{annual}}{S_{annual}} \\ = \frac{\$3.18T}{\$31.1T} \\ = 10.2\% \end{gathered} \] where: \[ D_{annual} = \frac{O_{total}}{FV_{annuity}} \] where: \[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \] where: \[ \begin{gathered} FV_{annuity} \\ = \frac{(1 + r_{escrow})^{T_{escrow}} - 1}{r_{escrow}} \end{gathered} \] where: \[ \begin{gathered} S_{annual} \\ = s_{global} \times GDP_{global} \\ = 27\% \times \$115T \\ = \$31.1T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Prize Pool Target as % of Global Savings

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Prize Pool Required Annual Deposits (USD/year) 1.1274 Strong driver
Global Annual Savings (USD) -0.5274 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Prize Pool Target as % of Global Savings (10,000 simulations)

Monte Carlo Distribution: Prize Pool Target as % of Global Savings (10,000 simulations)

Simulation Results Summary: Prize Pool Target as % of Global Savings

Statistic Value
Baseline (deterministic) 10.2%
Mean (expected value) 11%
Median (50th percentile) 10.6%
Standard Deviation 1.26%
90% Range (5th-95th percentile) [9.75%, 13.8%]

The histogram shows the distribution of Prize Pool Target as % of Global Savings across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Prize Pool Target as % of Global Savings

Probability of Exceeding Threshold: Prize Pool Target as % of Global Savings

This exceedance probability chart shows the likelihood that Prize Pool Target as % of Global Savings will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Prize Pool Target as % of Household Wealth: 0.7%

Required annual deposits as share of global household wealth to reach dysfunction tax target

Inputs:

\[ \begin{gathered} d_{wealth} \\ = \frac{D_{annual}}{Wealth_{household}} \\ = \frac{\$3.18T}{\$454T} \\ = 0.7\% \end{gathered} \] where: \[ D_{annual} = \frac{O_{total}}{FV_{annuity}} \] where: \[ \begin{gathered} O_{total} \\ = O_{health} + O_{science} + O_{lead} + O_{migration} \\ = \$34T + \$4T + \$6T + \$57T \\ = \$101T \end{gathered} \] where: \[ \begin{gathered} FV_{annuity} \\ = \frac{(1 + r_{escrow})^{T_{escrow}} - 1}{r_{escrow}} \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Prize Pool Target as % of Household Wealth

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Prize Pool Required Annual Deposits (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Prize Pool Target as % of Household Wealth (10,000 simulations)

Monte Carlo Distribution: Prize Pool Target as % of Household Wealth (10,000 simulations)

Simulation Results Summary: Prize Pool Target as % of Household Wealth

Statistic Value
Baseline (deterministic) 0.7%
Mean (expected value) 0.751%
Median (50th percentile) 0.711%
Standard Deviation 0.099%
90% Range (5th-95th percentile) [0.674%, 0.946%]

The histogram shows the distribution of Prize Pool Target as % of Household Wealth across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Prize Pool Target as % of Household Wealth

Probability of Exceeding Threshold: Prize Pool Target as % of Household Wealth

This exceedance probability chart shows the likelihood that Prize Pool Target as % of Household Wealth will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

RECOVERY Trial Cost Reduction Factor: 82x

Cost reduction factor demonstrated by RECOVERY trial (traditional Phase 3 cost / RECOVERY cost per patient)

Inputs:

\[ \begin{gathered} k_{RECOVERY} \\ = \frac{Cost_{P3,pt}}{Cost_{RECOVERY,pt}} \\ = \frac{\$41K}{\$500} \\ = 82 \end{gathered} \]

Methodology:71

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for RECOVERY Trial Cost Reduction Factor

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Recovery Trial Cost per Patient (USD/patient) -2.4783 Strong driver
Phase 3 Cost per Patient (USD/patient) 2.4635 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: RECOVERY Trial Cost Reduction Factor (10,000 simulations)

Monte Carlo Distribution: RECOVERY Trial Cost Reduction Factor (10,000 simulations)

Simulation Results Summary: RECOVERY Trial Cost Reduction Factor

Statistic Value
Baseline (deterministic) 82x
Mean (expected value) 71.2x
Median (50th percentile) 72.4x
Standard Deviation 15.3x
90% Range (5th-95th percentile) [50x, 94.1x]

The histogram shows the distribution of RECOVERY Trial Cost Reduction Factor across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: RECOVERY Trial Cost Reduction Factor

Probability of Exceeding Threshold: RECOVERY Trial Cost Reduction Factor

This exceedance probability chart shows the likelihood that RECOVERY Trial Cost Reduction Factor will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

RECOVERY Trial Total QALYs Generated: 5 million QALYs

Total QALYs generated by RECOVERY trial’s discoveries (lives saved × QALYs per life). Uses global impact methodology: counts all downstream health gains from the discovery.

Inputs:

\[ \begin{gathered} QALY_{RECOVERY} \\ = Lives_{RECOVERY} \times QALY_{COVID} \\ = 1M \times 5 \\ = 5M \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for RECOVERY Trial Total QALYs Generated

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
QALYs per COVID Death Averted (QALYs/death) 2.2404 Strong driver
RECOVERY Trial Global Lives Saved (lives) -1.2571 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: RECOVERY Trial Total QALYs Generated (10,000 simulations)

Monte Carlo Distribution: RECOVERY Trial Total QALYs Generated (10,000 simulations)

Simulation Results Summary: RECOVERY Trial Total QALYs Generated

Statistic Value
Baseline (deterministic) 5 million
Mean (expected value) 5.57 million
Median (50th percentile) 4.36 million
Standard Deviation 4.03 million
90% Range (5th-95th percentile) [1.51 million, 14.3 million]

The histogram shows the distribution of RECOVERY Trial Total QALYs Generated across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: RECOVERY Trial Total QALYs Generated

Probability of Exceeding Threshold: RECOVERY Trial Total QALYs Generated

This exceedance probability chart shows the likelihood that RECOVERY Trial Total QALYs Generated will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Sharing Breakeven (1 in N): 248M:1

Breakeven probability expressed as ‘1 in N’. Forwarding has positive expected value if you believe there is at least a 1-in-N chance the plan works. For context, lightning strike odds are ~1 in 1.2 million.

Inputs:

\[ N_{breakeven} = P_{breakeven} = 0 = 248M \] where: \[ \begin{gathered} P_{breakeven} \\ = \frac{C_{share}}{\Delta Y_{lifetime,treaty}} \\ = \frac{\$0.0599}{\$14.9M} \\ = 0 \end{gathered} \] where: \[ \begin{gathered} C_{share} \\ = t_{share} \times \bar{w}_{hour} \times 0.0167 \\ = 0.5 \times \$7.19 \times 0.0167 \\ = \$0.0599 \end{gathered} \] where: \[ \begin{gathered} \bar{w}_{hour} \\ = \frac{\bar{y}_{0}}{H_{work}} \\ = \frac{\$14.4K}{2{,}000} \\ = \$7.19 \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] where: \[ \begin{gathered} \Delta Y_{lifetime,treaty} \\ = Y_{cum,treaty} - Y_{cum,earth} \\ = \$16.1M - \$1.18M \\ = \$14.9M \end{gathered} \] where: \[ \begin{gathered} Y_{cum,treaty} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc})((1+g_{pc})^{20}-1)}{g_{pc}} \\ + \bar{y}_{treaty,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \] where: \[ \bar{y}_{treaty,20} = \frac{GDP_{treaty,20}}{Pop_{2045}} \] where: \[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Sharing Breakeven (1 in N)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Sharing Breakeven Probability (probability) -0.6036 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Sharing Breakeven (1 in N) (10,000 simulations)

Monte Carlo Distribution: Sharing Breakeven (1 in N) (10,000 simulations)

Simulation Results Summary: Sharing Breakeven (1 in N)

Statistic Value
Baseline (deterministic) 248M:1
Mean (expected value) 368M:1
Median (50th percentile) 246M:1
Standard Deviation 359M:1
90% Range (5th-95th percentile) [59.0M:1, 1157M:1]

The histogram shows the distribution of Sharing Breakeven (1 in N) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Sharing Breakeven (1 in N)

Probability of Exceeding Threshold: Sharing Breakeven (1 in N)

This exceedance probability chart shows the likelihood that Sharing Breakeven (1 in N) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Sharing Breakeven Probability: 4.03e-09 probability

Minimum probability that the plan works for forwarding to have positive expected value. EV > 0 when P(works) > cost_of_sharing / gain_if_works. Below this probability, not forwarding is rational. Above it, forwarding dominates. For context, the odds of being struck by lightning are ~1 in 1.2 million.

Inputs:

\[ \begin{gathered} P_{breakeven} \\ = \frac{C_{share}}{\Delta Y_{lifetime,treaty}} \\ = \frac{\$0.0599}{\$14.9M} \\ = 0 \end{gathered} \] where: \[ \begin{gathered} C_{share} \\ = t_{share} \times \bar{w}_{hour} \times 0.0167 \\ = 0.5 \times \$7.19 \times 0.0167 \\ = \$0.0599 \end{gathered} \] where: \[ \begin{gathered} \bar{w}_{hour} \\ = \frac{\bar{y}_{0}}{H_{work}} \\ = \frac{\$14.4K}{2{,}000} \\ = \$7.19 \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] where: \[ \begin{gathered} \Delta Y_{lifetime,treaty} \\ = Y_{cum,treaty} - Y_{cum,earth} \\ = \$16.1M - \$1.18M \\ = \$14.9M \end{gathered} \] where: \[ \begin{gathered} Y_{cum,treaty} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc})((1+g_{pc})^{20}-1)}{g_{pc}} \\ + \bar{y}_{treaty,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \] where: \[ \bar{y}_{treaty,20} = \frac{GDP_{treaty,20}}{Pop_{2045}} \] where: \[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Sharing Breakeven Probability

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Sharing Opportunity Cost (USD) 1.4801 Strong driver
Treaty Trajectory Lifetime Income Gain (Per Capita) (USD) 0.6709 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Sharing Breakeven Probability (10,000 simulations)

Monte Carlo Distribution: Sharing Breakeven Probability (10,000 simulations)

Simulation Results Summary: Sharing Breakeven Probability

Statistic Value
Baseline (deterministic) 4.03e-09
Mean (expected value) 5.71e-09
Median (50th percentile) 4.07e-09
Standard Deviation 5.09e-09
90% Range (5th-95th percentile) [8.64e-1, 1.7e-08]

The histogram shows the distribution of Sharing Breakeven Probability across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Sharing Breakeven Probability

Probability of Exceeding Threshold: Sharing Breakeven Probability

This exceedance probability chart shows the likelihood that Sharing Breakeven Probability will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Sharing Opportunity Cost: $0.06

Dollar cost of 30 seconds at global average hourly income. The maximum downside of forwarding the message if the plan is impossible.

Inputs:

\[ \begin{gathered} C_{share} \\ = t_{share} \times \bar{w}_{hour} \times 0.0167 \\ = 0.5 \times \$7.19 \times 0.0167 \\ = \$0.0599 \end{gathered} \] where: \[ \begin{gathered} \bar{w}_{hour} \\ = \frac{\bar{y}_{0}}{H_{work}} \\ = \frac{\$14.4K}{2{,}000} \\ = \$7.19 \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Sharing Opportunity Cost

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Average Hourly Income (USD/hour) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Sharing Opportunity Cost (10,000 simulations)

Monte Carlo Distribution: Sharing Opportunity Cost (10,000 simulations)

Simulation Results Summary: Sharing Opportunity Cost

Statistic Value
Baseline (deterministic) $0.06
Mean (expected value) $0.06
Median (50th percentile) $0.06
Standard Deviation $0.000732
90% Range (5th-95th percentile) [$0.059, $0.061]

The histogram shows the distribution of Sharing Opportunity Cost across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Sharing Opportunity Cost

Probability of Exceeding Threshold: Sharing Opportunity Cost

This exceedance probability chart shows the likelihood that Sharing Opportunity Cost will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Sharing Upside/Downside Ratio: 248.2Mx

Raw ratio of upside (lifetime income gain if plan works) to downside (cost of sharing if plan is impossible). Not expected value; see SHARING_BREAKEVEN_PROBABILITY_TREATY for the probability threshold that makes forwarding rational.

Inputs:

\[ \begin{gathered} k_{upside:downside} \\ = \frac{\Delta Y_{lifetime,treaty}}{C_{share}} \\ = \frac{\$14.9M}{\$0.0599} \\ = 248M \end{gathered} \] where: \[ \begin{gathered} \Delta Y_{lifetime,treaty} \\ = Y_{cum,treaty} - Y_{cum,earth} \\ = \$16.1M - \$1.18M \\ = \$14.9M \end{gathered} \] where: \[ \begin{gathered} Y_{cum,treaty} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc})((1+g_{pc})^{20}-1)}{g_{pc}} \\ + \bar{y}_{treaty,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] where: \[ \bar{y}_{treaty,20} = \frac{GDP_{treaty,20}}{Pop_{2045}} \] where: \[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] where: \[ \begin{gathered} C_{share} \\ = t_{share} \times \bar{w}_{hour} \times 0.0167 \\ = 0.5 \times \$7.19 \times 0.0167 \\ = \$0.0599 \end{gathered} \] where: \[ \begin{gathered} \bar{w}_{hour} \\ = \frac{\bar{y}_{0}}{H_{work}} \\ = \frac{\$14.4K}{2{,}000} \\ = \$7.19 \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Sharing Upside/Downside Ratio

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory Lifetime Income Gain (Per Capita) (USD) 1.0084 Strong driver
Sharing Opportunity Cost (USD) 0.0097 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Sharing Upside/Downside Ratio (10,000 simulations)

Monte Carlo Distribution: Sharing Upside/Downside Ratio (10,000 simulations)

Simulation Results Summary: Sharing Upside/Downside Ratio

Statistic Value
Baseline (deterministic) 248.2Mx
Mean (expected value) 368.4Mx
Median (50th percentile) 245.5Mx
Standard Deviation 358.8Mx
90% Range (5th-95th percentile) [59.0Mx, 1157.2Mx]

The histogram shows the distribution of Sharing Upside/Downside Ratio across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Sharing Upside/Downside Ratio

Probability of Exceeding Threshold: Sharing Upside/Downside Ratio

This exceedance probability chart shows the likelihood that Sharing Upside/Downside Ratio will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Status Quo Average Years to First Treatment: 222 years

Average years until first treatment discovered for a typical disease under current system. At current discovery rates, the average disease waits half the total exploration time (~443/2 = ~222 years).

Inputs:

\[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] Methodology:139

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Status Quo Average Years to First Treatment

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Status Quo Therapeutic Space Exploration Time (years) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Status Quo Average Years to First Treatment (10,000 simulations)

Monte Carlo Distribution: Status Quo Average Years to First Treatment (10,000 simulations)

Simulation Results Summary: Status Quo Average Years to First Treatment

Statistic Value
Baseline (deterministic) 222
Mean (expected value) 242
Median (50th percentile) 237
Standard Deviation 53.2
90% Range (5th-95th percentile) [162, 356]

The histogram shows the distribution of Status Quo Average Years to First Treatment across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Status Quo Average Years to First Treatment

Probability of Exceeding Threshold: Status Quo Average Years to First Treatment

This exceedance probability chart shows the likelihood that Status Quo Average Years to First Treatment will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Status Quo Therapeutic Space Exploration Time: 443 years

Years to explore the entire therapeutic search space under current system. At current discovery rate of ~15 diseases/year getting first treatments, finding treatments for all ~6,650 untreated diseases would take ~443 years.

Inputs:

\[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] Methodology:139

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Status Quo Therapeutic Space Exploration Time

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Diseases Without Effective Treatment (diseases) -0.7011 Strong driver
Diseases Getting First Treatment Per Year (diseases/year) -0.2360 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Status Quo Therapeutic Space Exploration Time (10,000 simulations)

Monte Carlo Distribution: Status Quo Therapeutic Space Exploration Time (10,000 simulations)

Simulation Results Summary: Status Quo Therapeutic Space Exploration Time

Statistic Value
Baseline (deterministic) 443
Mean (expected value) 485
Median (50th percentile) 475
Standard Deviation 106
90% Range (5th-95th percentile) [324, 712]

The histogram shows the distribution of Status Quo Therapeutic Space Exploration Time across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Status Quo Therapeutic Space Exploration Time

Probability of Exceeding Threshold: Status Quo Therapeutic Space Exploration Time

This exceedance probability chart shows the likelihood that Status Quo Therapeutic Space Exploration Time will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Thalidomide DALYs Per Event: 41.8 thousand DALYs

Total DALYs per US-scale thalidomide event (YLL + YLD)

Inputs:

\[ \begin{gathered} DALY_{thal} \\ = YLD_{thal} + YLL_{thal} \\ = 13{,}000 + 28{,}800 \\ = 41{,}800 \end{gathered} \] where: \[ \begin{gathered} YLD_{thal} \\ = DW_{thal} \times N_{thal,survive} \times LE_{thal} \\ = 0.4 \times 540 \times 60 \\ = 13{,}000 \end{gathered} \] where: \[ \begin{gathered} N_{thal,survive} \\ = N_{thal,US,prevent} \times (1 - Rate_{thal,mort}) \\ = 900 \times (1 - 40\%) \\ = 540 \end{gathered} \] where: \[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \] where: \[ \begin{gathered} YLL_{thal} \\ = Deaths_{thal} \times 80 \\ = 360 \times 80 \\ = 28{,}800 \end{gathered} \] where: \[ \begin{gathered} Deaths_{thal} \\ = Rate_{thal,mort} \times N_{thal,US,prevent} \\ = 40\% \times 900 \\ = 360 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Thalidomide DALYs Per Event

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Thalidomide YLL Per Event (years) 0.6300 Strong driver
Thalidomide YLD Per Event (years) 0.3701 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Thalidomide DALYs Per Event (10,000 simulations)

Monte Carlo Distribution: Thalidomide DALYs Per Event (10,000 simulations)

Simulation Results Summary: Thalidomide DALYs Per Event

Statistic Value
Baseline (deterministic) 41.8 thousand
Mean (expected value) 42.5 thousand
Median (50th percentile) 40.8 thousand
Standard Deviation 12.2 thousand
90% Range (5th-95th percentile) [24.8 thousand, 67.1 thousand]

The histogram shows the distribution of Thalidomide DALYs Per Event across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Thalidomide DALYs Per Event

Probability of Exceeding Threshold: Thalidomide DALYs Per Event

This exceedance probability chart shows the likelihood that Thalidomide DALYs Per Event will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Thalidomide Deaths Per Event: 360 deaths

Deaths per US-scale thalidomide event

Inputs:

\[ \begin{gathered} Deaths_{thal} \\ = Rate_{thal,mort} \times N_{thal,US,prevent} \\ = 40\% \times 900 \\ = 360 \end{gathered} \] where: \[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Thalidomide Deaths Per Event

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Thalidomide US Cases Prevented (cases) 1.5027 Strong driver
Thalidomide Mortality Rate (percentage) -0.5048 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Thalidomide Deaths Per Event (10,000 simulations)

Monte Carlo Distribution: Thalidomide Deaths Per Event (10,000 simulations)

Simulation Results Summary: Thalidomide Deaths Per Event

Statistic Value
Baseline (deterministic) 360
Mean (expected value) 364
Median (50th percentile) 353
Standard Deviation 95.8
90% Range (5th-95th percentile) [223, 556]

The histogram shows the distribution of Thalidomide Deaths Per Event across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Thalidomide Deaths Per Event

Probability of Exceeding Threshold: Thalidomide Deaths Per Event

This exceedance probability chart shows the likelihood that Thalidomide Deaths Per Event will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Thalidomide Survivors Per Event: 540 cases

Survivors per US-scale thalidomide event

Inputs:

\[ \begin{gathered} N_{thal,survive} \\ = N_{thal,US,prevent} \times (1 - Rate_{thal,mort}) \\ = 900 \times (1 - 40\%) \\ = 540 \end{gathered} \] where: \[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Thalidomide Survivors Per Event

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Thalidomide Mortality Rate (percentage) 0.5607 Strong driver
Thalidomide US Cases Prevented (cases) 0.4398 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Thalidomide Survivors Per Event (10,000 simulations)

Monte Carlo Distribution: Thalidomide Survivors Per Event (10,000 simulations)

Simulation Results Summary: Thalidomide Survivors Per Event

Statistic Value
Baseline (deterministic) 540
Mean (expected value) 537
Median (50th percentile) 531
Standard Deviation 86.3
90% Range (5th-95th percentile) [399, 698]

The histogram shows the distribution of Thalidomide Survivors Per Event across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Thalidomide Survivors Per Event

Probability of Exceeding Threshold: Thalidomide Survivors Per Event

This exceedance probability chart shows the likelihood that Thalidomide Survivors Per Event will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Thalidomide US Cases Prevented: 900 cases

Estimated US thalidomide cases prevented by FDA rejection

Inputs:

\[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Thalidomide US Cases Prevented

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Thalidomide Cases Worldwide (cases) 1.3746 Strong driver
US Population Share 1960 (percentage) -0.3756 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Thalidomide US Cases Prevented (10,000 simulations)

Monte Carlo Distribution: Thalidomide US Cases Prevented (10,000 simulations)

Simulation Results Summary: Thalidomide US Cases Prevented

Statistic Value
Baseline (deterministic) 900
Mean (expected value) 901
Median (50th percentile) 884
Standard Deviation 182
90% Range (5th-95th percentile) [622, 1.25 thousand]

The histogram shows the distribution of Thalidomide US Cases Prevented across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Thalidomide US Cases Prevented

Probability of Exceeding Threshold: Thalidomide US Cases Prevented

This exceedance probability chart shows the likelihood that Thalidomide US Cases Prevented will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Thalidomide YLD Per Event: 13 thousand years

Years Lived with Disability per thalidomide event

Inputs:

\[ \begin{gathered} YLD_{thal} \\ = DW_{thal} \times N_{thal,survive} \times LE_{thal} \\ = 0.4 \times 540 \times 60 \\ = 13{,}000 \end{gathered} \] where: \[ \begin{gathered} N_{thal,survive} \\ = N_{thal,US,prevent} \times (1 - Rate_{thal,mort}) \\ = 900 \times (1 - 40\%) \\ = 540 \end{gathered} \] where: \[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Thalidomide YLD Per Event

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Thalidomide Disability Weight (ratio) 28.4785 Strong driver
Thalidomide Survivor Lifespan (years) -23.4440 Strong driver
Thalidomide Survivors Per Event (cases) -4.0444 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Thalidomide YLD Per Event (10,000 simulations)

Monte Carlo Distribution: Thalidomide YLD Per Event (10,000 simulations)

Simulation Results Summary: Thalidomide YLD Per Event

Statistic Value
Baseline (deterministic) 13 thousand
Mean (expected value) 13.3 thousand
Median (50th percentile) 12.6 thousand
Standard Deviation 4.5 thousand
90% Range (5th-95th percentile) [6.94 thousand, 22.6 thousand]

The histogram shows the distribution of Thalidomide YLD Per Event across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Thalidomide YLD Per Event

Probability of Exceeding Threshold: Thalidomide YLD Per Event

This exceedance probability chart shows the likelihood that Thalidomide YLD Per Event will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Thalidomide YLL Per Event: 28.8 thousand years

Years of Life Lost per thalidomide event (infant deaths)

Inputs:

\[ \begin{gathered} YLL_{thal} \\ = Deaths_{thal} \times 80 \\ = 360 \times 80 \\ = 28{,}800 \end{gathered} \] where: \[ \begin{gathered} Deaths_{thal} \\ = Rate_{thal,mort} \times N_{thal,US,prevent} \\ = 40\% \times 900 \\ = 360 \end{gathered} \] where: \[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Thalidomide YLL Per Event

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Thalidomide Deaths Per Event (deaths) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Thalidomide YLL Per Event (10,000 simulations)

Monte Carlo Distribution: Thalidomide YLL Per Event (10,000 simulations)

Simulation Results Summary: Thalidomide YLL Per Event

Statistic Value
Baseline (deterministic) 28.8 thousand
Mean (expected value) 29.2 thousand
Median (50th percentile) 28.2 thousand
Standard Deviation 7.67 thousand
90% Range (5th-95th percentile) [17.9 thousand, 44.5 thousand]

The histogram shows the distribution of Thalidomide YLL Per Event across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Thalidomide YLL Per Event

Probability of Exceeding Threshold: Thalidomide YLL Per Event

This exceedance probability chart shows the likelihood that Thalidomide YLL Per Event will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Funding from 1% of Global Military Spending Redirected to DIH: $27.2B

Annual funding from 1% of global military spending redirected to DIH

Inputs:

\[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \]

✓ High confidence

Treaty System Benefit Multiplier vs Childhood Vaccination Programs: 11.5x

Treaty system benefit multiplier vs childhood vaccination programs

Inputs:

\[ \begin{gathered} k_{treaty:vax} \\ = \frac{Benefit_{peace+RD}}{Benefit_{vax,ann}} \\ = \frac{\$172B}{\$15B} \\ = 11.5 \end{gathered} \] where: \[ \begin{gathered} Benefit_{peace+RD} \\ = Benefit_{peace,soc} + Benefit_{RD,ann} \\ = \$114B + \$58.6B \\ = \$172B \end{gathered} \] where: \[ \begin{gathered} Benefit_{peace,soc} \\ = Cost_{war,total} \times Reduce_{treaty} \\ = \$11.4T \times 1\% \\ = \$114B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] where: \[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty System Benefit Multiplier vs Childhood Vaccination Programs

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Estimated Annual Global Economic Benefit from Childhood Vaccination Programs (USD/year) -1.1963 Strong driver
1% treaty Basic Annual Benefits (Peace + R&D Savings) (USD/year) 0.3259 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty System Benefit Multiplier vs Childhood Vaccination Programs (10,000 simulations)

Monte Carlo Distribution: Treaty System Benefit Multiplier vs Childhood Vaccination Programs (10,000 simulations)

Simulation Results Summary: Treaty System Benefit Multiplier vs Childhood Vaccination Programs

Statistic Value
Baseline (deterministic) 11.5x
Mean (expected value) 12.1x
Median (50th percentile) 11.8x
Standard Deviation 2.28x
90% Range (5th-95th percentile) [9x, 16.1x]

The histogram shows the distribution of Treaty System Benefit Multiplier vs Childhood Vaccination Programs across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty System Benefit Multiplier vs Childhood Vaccination Programs

Probability of Exceeding Threshold: Treaty System Benefit Multiplier vs Childhood Vaccination Programs

This exceedance probability chart shows the likelihood that Treaty System Benefit Multiplier vs Childhood Vaccination Programs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Amortized Annual Treaty Campaign Cost: $250M

Amortized annual campaign cost (total cost ÷ campaign duration)

Inputs:

\[ \begin{gathered} Cost_{camp,amort} \\ = \frac{Cost_{campaign}}{T_{campaign}} \\ = \frac{\$1B}{4} \\ = \$250M \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Amortized Annual Treaty Campaign Cost

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total 1% Treaty Campaign Cost (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Amortized Annual Treaty Campaign Cost (10,000 simulations)

Monte Carlo Distribution: Amortized Annual Treaty Campaign Cost (10,000 simulations)

Simulation Results Summary: Amortized Annual Treaty Campaign Cost

Statistic Value
Baseline (deterministic) $250M
Mean (expected value) $249M
Median (50th percentile) $237M
Standard Deviation $69.1M
90% Range (5th-95th percentile) [$158M, $379M]

The histogram shows the distribution of Amortized Annual Treaty Campaign Cost across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Amortized Annual Treaty Campaign Cost

Probability of Exceeding Threshold: Amortized Annual Treaty Campaign Cost

This exceedance probability chart shows the likelihood that Amortized Annual Treaty Campaign Cost will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Total 1% Treaty Campaign Cost: $1B

Total treaty campaign cost (100% VICTORY Incentive Alignment Bonds)

Inputs:

\[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total 1% Treaty Campaign Cost

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Political Lobbying Campaign: Direct Lobbying, Super Pacs, Opposition Research, Staff, Legal/Compliance (USD) 0.9016 Strong driver
Reserve Fund / Contingency Buffer (USD) 0.1026 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Total 1% Treaty Campaign Cost (10,000 simulations)

Monte Carlo Distribution: Total 1% Treaty Campaign Cost (10,000 simulations)

Simulation Results Summary: Total 1% Treaty Campaign Cost

Statistic Value
Baseline (deterministic) $1B
Mean (expected value) $996M
Median (50th percentile) $949M
Standard Deviation $276M
90% Range (5th-95th percentile) [$632M, $1.51B]

The histogram shows the distribution of Total 1% Treaty Campaign Cost across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Total 1% Treaty Campaign Cost

Probability of Exceeding Threshold: Total 1% Treaty Campaign Cost

This exceedance probability chart shows the likelihood that Total 1% Treaty Campaign Cost will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Target Voting Bloc Size for Campaign: 280 million of people

Target voting bloc size for campaign (3.5% of global population - critical mass for social change). Wide CI reflects uncertainty in applying Chenoweth’s national threshold to global treaty adoption.

Inputs:

\[ \begin{gathered} N_{voters,target} \\ = Pop_{global} \times Threshold_{activism} \\ = 8B \times 3.5\% \\ = 280M \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Target Voting Bloc Size for Campaign

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Critical Mass Threshold for Social Change (percent) 1.0166 Strong driver
Global Population in 2024 (of people) -0.0177 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Target Voting Bloc Size for Campaign (10,000 simulations)

Monte Carlo Distribution: Target Voting Bloc Size for Campaign (10,000 simulations)

Simulation Results Summary: Target Voting Bloc Size for Campaign

Statistic Value
Baseline (deterministic) 280 million
Mean (expected value) 277 million
Median (50th percentile) 232 million
Standard Deviation 169 million
90% Range (5th-95th percentile) [84.2 million, 639 million]

The histogram shows the distribution of Target Voting Bloc Size for Campaign across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Target Voting Bloc Size for Campaign

Probability of Exceeding Threshold: Target Voting Bloc Size for Campaign

This exceedance probability chart shows the likelihood that Target Voting Bloc Size for Campaign will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput): $0.00177

Cost per DALY averted from elimination of efficacy lag plus earlier treatment discovery from increased trial throughput. Only counts campaign cost; ignores economic benefits from funding and R&D savings.

Inputs:

\[ \begin{gathered} Cost_{treaty,DALY} \\ = \frac{Cost_{campaign}}{DALYs_{max}} \\ = \frac{\$1B}{565B} \\ = \$0.00177 \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total 1% Treaty Campaign Cost (USD) 0.6487 Strong driver
Total DALYs from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (DALYs) -0.3322 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput) (10,000 simulations)

Monte Carlo Distribution: Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput) (10,000 simulations)

Simulation Results Summary: Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput)

Statistic Value
Baseline (deterministic) $0.00177
Mean (expected value) $0.00186
Median (50th percentile) $0.00156
Standard Deviation $0.00109
90% Range (5th-95th percentile) [$0.000715, $0.00412]

The histogram shows the distribution of Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput)

Probability of Exceeding Threshold: Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput)

This exceedance probability chart shows the likelihood that Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Cumulative Treaty Funding over 20 Years with IAB Ratchet Expansion: $3.16T

Cumulative treaty funding over 20 years with IAB ratchet expansion following roadmap timeline. Expansion driven by bondholder lobbying incentives (10% of treaty inflows).

Inputs:

\[ \begin{gathered} Fund_{20yr,ratchet} \\ = Spending_{mil} \times 1.16 \\ = \$2.72T \times 1.16 \\ = \$3.16T \end{gathered} \]

✓ High confidence

Expected Cost per DALY (Risk-Adjusted): $0.177

Expected cost per DALY accounting for political success probability uncertainty. Monte Carlo samples from beta(0.1%, 10%) distribution. At the conservative 1% estimate, this is still more cost-effective than bed nets ($89.0/DALY).

Inputs:

\[ \begin{gathered} E[Cost_{DALY}] \\ = \frac{Cost_{treaty,DALY}}{P_{success}} \\ = \frac{\$0.00177}{1\%} \\ = \$0.177 \end{gathered} \] where: \[ \begin{gathered} Cost_{treaty,DALY} \\ = \frac{Cost_{campaign}}{DALYs_{max}} \\ = \frac{\$1B}{565B} \\ = \$0.00177 \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Expected Cost per DALY (Risk-Adjusted)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput) (USD/DALY) 0.5667 Strong driver
Political Success Probability (rate) -0.4439 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected Cost per DALY (Risk-Adjusted) (10,000 simulations)

Monte Carlo Distribution: Expected Cost per DALY (Risk-Adjusted) (10,000 simulations)

Simulation Results Summary: Expected Cost per DALY (Risk-Adjusted)

Statistic Value
Baseline (deterministic) $0.177
Mean (expected value) $1.06
Median (50th percentile) $0.778
Standard Deviation $1.12
90% Range (5th-95th percentile) [$0.029, $3.2]

The histogram shows the distribution of Expected Cost per DALY (Risk-Adjusted) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected Cost per DALY (Risk-Adjusted)

Probability of Exceeding Threshold: Expected Cost per DALY (Risk-Adjusted)

This exceedance probability chart shows the likelihood that Expected Cost per DALY (Risk-Adjusted) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Expected Treaty ROI (Risk-Adjusted): 848k:1

Expected ROI for 1% treaty accounting for political success probability uncertainty. Monte Carlo samples POLITICAL_SUCCESS_PROBABILITY from beta(0.1%, 10%) distribution to generate full expected value distribution. Central value uses 1% probability.

Inputs:

\[ \begin{gathered} E[ROI_{max}] \\ = ROI_{max} \times P_{success} \\ = 84.8M \times 1\% \\ = 848{,}000 \end{gathered} \] where: \[ \begin{gathered} ROI_{max} \\ = \frac{Value_{max}}{Cost_{campaign}} \\ = \frac{\$84800T}{\$1B} \\ = 84.8M \end{gathered} \] where: \[ \begin{gathered} Value_{max} \\ = DALYs_{max} \times Value_{QALY} \\ = 565B \times \$150K \\ = \$84800T \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] Methodology: Direct Calculation

? Low confidence

Sensitivity Analysis

Sensitivity Indices for Expected Treaty ROI (Risk-Adjusted)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Political Success Probability (rate) 0.9453 Strong driver
Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput (ratio) 0.1601 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected Treaty ROI (Risk-Adjusted) (10,000 simulations)

Monte Carlo Distribution: Expected Treaty ROI (Risk-Adjusted) (10,000 simulations)

Simulation Results Summary: Expected Treaty ROI (Risk-Adjusted)

Statistic Value
Baseline (deterministic) 848k:1
Mean (expected value) 963k:1
Median (50th percentile) 154k:1
Standard Deviation 1.80M:1
90% Range (5th-95th percentile) [58.0k:1, 4.76M:1]

The histogram shows the distribution of Expected Treaty ROI (Risk-Adjusted) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected Treaty ROI (Risk-Adjusted)

Probability of Exceeding Threshold: Expected Treaty ROI (Risk-Adjusted)

This exceedance probability chart shows the likelihood that Expected Treaty ROI (Risk-Adjusted) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Expected Cost-Effectiveness vs Bed Nets Multiplier: 503x

Expected value multiplier vs bed nets (accounts for political uncertainty at 1% success rate)

Inputs:

\[ \begin{gathered} E[k_{nets}] \\ = \frac{Cost_{nets}}{E[Cost_{DALY}]} \\ = \frac{\$89}{\$0.177} \\ = 503 \end{gathered} \] where: \[ \begin{gathered} E[Cost_{DALY}] \\ = \frac{Cost_{treaty,DALY}}{P_{success}} \\ = \frac{\$0.00177}{1\%} \\ = \$0.177 \end{gathered} \] where: \[ \begin{gathered} Cost_{treaty,DALY} \\ = \frac{Cost_{campaign}}{DALYs_{max}} \\ = \frac{\$1B}{565B} \\ = \$0.00177 \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Expected Cost-Effectiveness vs Bed Nets Multiplier

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Expected Cost per DALY (Risk-Adjusted) (USD/DALY) -0.4157 Moderate driver
Bed Nets Cost per DALY (USD/DALY) 0.0040 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected Cost-Effectiveness vs Bed Nets Multiplier (10,000 simulations)

Monte Carlo Distribution: Expected Cost-Effectiveness vs Bed Nets Multiplier (10,000 simulations)

Simulation Results Summary: Expected Cost-Effectiveness vs Bed Nets Multiplier

Statistic Value
Baseline (deterministic) 503x
Mean (expected value) 606x
Median (50th percentile) 109x
Standard Deviation 1.2kx
90% Range (5th-95th percentile) [30x, 3.0kx]

The histogram shows the distribution of Expected Cost-Effectiveness vs Bed Nets Multiplier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected Cost-Effectiveness vs Bed Nets Multiplier

Probability of Exceeding Threshold: Expected Cost-Effectiveness vs Bed Nets Multiplier

This exceedance probability chart shows the likelihood that Expected Cost-Effectiveness vs Bed Nets Multiplier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

1% treaty Basic Annual Benefits (Peace + R&D Savings): $172B

Basic annual benefits: peace dividend + Decentralized Framework for Drug Assessment R&D savings only (2 of 8 benefit categories, excludes regulatory delay value)

Inputs:

\[ \begin{gathered} Benefit_{peace+RD} \\ = Benefit_{peace,soc} + Benefit_{RD,ann} \\ = \$114B + \$58.6B \\ = \$172B \end{gathered} \] where: \[ \begin{gathered} Benefit_{peace,soc} \\ = Cost_{war,total} \times Reduce_{treaty} \\ = \$11.4T \times 1\% \\ = \$114B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] where: \[ \begin{gathered} Benefit_{RD,ann} \\ = Spending_{trials} \times Reduce_{pct} \\ = \$60B \times 97.7\% \\ = \$58.6B \end{gathered} \] where: \[ \begin{gathered} Reduce_{pct} \\ = 1 - \frac{Cost_{pragmatic,pt}}{Cost_{P3,pt}} \\ = 1 - \frac{\$929}{\$41K} \\ = 97.7\% \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for 1% treaty Basic Annual Benefits (Peace + R&D Savings)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Annual Peace Dividend from 1% Reduction in Total War Costs (USD/year) 0.6828 Strong driver
Decentralized Framework for Drug Assessment Annual Benefit: R&D Savings (USD/year) 0.3457 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: 1% treaty Basic Annual Benefits (Peace + R&D Savings) (10,000 simulations)

Monte Carlo Distribution: 1% treaty Basic Annual Benefits (Peace + R&D Savings) (10,000 simulations)

Simulation Results Summary: 1% treaty Basic Annual Benefits (Peace + R&D Savings)

Statistic Value
Baseline (deterministic) $172B
Mean (expected value) $172B
Median (50th percentile) $170B
Standard Deviation $22.2B
90% Range (5th-95th percentile) [$140B, $213B]

The histogram shows the distribution of 1% treaty Basic Annual Benefits (Peace + R&D Savings) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: 1% treaty Basic Annual Benefits (Peace + R&D Savings)

Probability of Exceeding Threshold: 1% treaty Basic Annual Benefits (Peace + R&D Savings)

This exceedance probability chart shows the likelihood that 1% treaty Basic Annual Benefits (Peace + R&D Savings) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput: 84.8M:1

Treaty ROI from elimination of efficacy lag plus earlier treatment discovery from increased trial throughput. Total one-time benefit divided by campaign cost. This is the primary ROI estimate for total health benefits.

Inputs:

\[ \begin{gathered} ROI_{max} \\ = \frac{Value_{max}}{Cost_{campaign}} \\ = \frac{\$84800T}{\$1B} \\ = 84.8M \end{gathered} \] where: \[ \begin{gathered} Value_{max} \\ = DALYs_{max} \times Value_{QALY} \\ = 565B \times \$150K \\ = \$84800T \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total 1% Treaty Campaign Cost (USD) -0.7930 Strong driver
Total Economic Benefit from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (USD) 0.3364 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput (10,000 simulations)

Monte Carlo Distribution: Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput (10,000 simulations)

Simulation Results Summary: Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

Statistic Value
Baseline (deterministic) 84.8M:1
Mean (expected value) 95.1M:1
Median (50th percentile) 96.0M:1
Standard Deviation 28.1M:1
90% Range (5th-95th percentile) [46.6M:1, 144M:1]

The histogram shows the distribution of Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

Probability of Exceeding Threshold: Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput

This exceedance probability chart shows the likelihood that Treaty ROI - Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory Average Income at Year 20: $339K

Average income (GDP per capita) at year 20 under the Treaty Trajectory.

Inputs:

\[ \bar{y}_{treaty,20} = \frac{GDP_{treaty,20}}{Pop_{2045}} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory Average Income at Year 20

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory GDP at Year 20 (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory Average Income at Year 20 (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory Average Income at Year 20 (10,000 simulations)

Simulation Results Summary: Treaty Trajectory Average Income at Year 20

Statistic Value
Baseline (deterministic) $339K
Mean (expected value) $462K
Median (50th percentile) $335K
Standard Deviation $384K
90% Range (5th-95th percentile) [$106K, $1.33M]

The histogram shows the distribution of Treaty Trajectory Average Income at Year 20 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory Average Income at Year 20

Probability of Exceeding Threshold: Treaty Trajectory Average Income at Year 20

This exceedance probability chart shows the likelihood that Treaty Trajectory Average Income at Year 20 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory CAGR (20 Years): 17.9%

Compound annual growth rate implied by Treaty Trajectory GDP trajectory over 20 years.

Inputs:

\[ \begin{gathered} g_{treaty,CAGR} \\ = \left(\frac{GDP_{treaty,20}}{GDP_0}\right)^{1/20} - 1 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory CAGR (20 Years)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory GDP at Year 20 (USD) 0.9212 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory CAGR (20 Years) (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory CAGR (20 Years) (10,000 simulations)

Simulation Results Summary: Treaty Trajectory CAGR (20 Years)

Statistic Value
Baseline (deterministic) 17.9%
Mean (expected value) 18.2%
Median (50th percentile) 17.9%
Standard Deviation 4.38%
90% Range (5th-95th percentile) [11.3%, 26.3%]

The histogram shows the distribution of Treaty Trajectory CAGR (20 Years) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory CAGR (20 Years)

Probability of Exceeding Threshold: Treaty Trajectory CAGR (20 Years)

This exceedance probability chart shows the likelihood that Treaty Trajectory CAGR (20 Years) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory Cumulative Lifetime Income (Per Capita): $16.1M

Cumulative per-capita income over an average remaining lifespan under Treaty Trajectory. Uses implied per-capita CAGR for years 1-20 (derived from known year-0 and year-20 per-capita incomes), then baseline growth from the year-20 level. Conservative: assumes no further treaty acceleration beyond year 20.

Inputs:

\[ \begin{gathered} Y_{cum,treaty} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc})((1+g_{pc})^{20}-1)}{g_{pc}} \\ + \bar{y}_{treaty,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory Cumulative Lifetime Income (Per Capita)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory Average Income at Year 20 (USD) 1.0527 Strong driver
Global Average Income (2025 Baseline) (USD) 0.2689 Weak driver
Average Remaining Years (Median Person) (years) 0.2061 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory Cumulative Lifetime Income (Per Capita) (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory Cumulative Lifetime Income (Per Capita) (10,000 simulations)

Simulation Results Summary: Treaty Trajectory Cumulative Lifetime Income (Per Capita)

Statistic Value
Baseline (deterministic) $16.1M
Mean (expected value) $23M
Median (50th percentile) $15.9M
Standard Deviation $21M
90% Range (5th-95th percentile) [$4.68M, $69.2M]

The histogram shows the distribution of Treaty Trajectory Cumulative Lifetime Income (Per Capita) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory Cumulative Lifetime Income (Per Capita)

Probability of Exceeding Threshold: Treaty Trajectory Cumulative Lifetime Income (Per Capita)

This exceedance probability chart shows the likelihood that Treaty Trajectory Cumulative Lifetime Income (Per Capita) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20): 16.5x

Treaty Trajectory GDP at year 20 as a multiple of current trajectory GDP at year 20.

Inputs:

\[ \begin{gathered} k_{treaty:base,20} \\ = \frac{GDP_{treaty,20}}{GDP_{base,20}} \\ = \frac{\$3110T}{\$188T} \\ = 16.5 \end{gathered} \] where: \[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory GDP at Year 20 (USD) 1.0000 Strong driver
Current Trajectory GDP at Year 20 (USD) -0.0000 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20) (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20) (10,000 simulations)

Simulation Results Summary: Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20)

Statistic Value
Baseline (deterministic) 16.5x
Mean (expected value) 22.6x
Median (50th percentile) 16.4x
Standard Deviation 18.8x
90% Range (5th-95th percentile) [5.17x, 64.9x]

The histogram shows the distribution of Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20)

Probability of Exceeding Threshold: Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20)

This exceedance probability chart shows the likelihood that Treaty Trajectory vs Current Trajectory GDP Multiplier (Year 20) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory GDP at Year 15: $1.33 quadrillion

Projected global GDP at year 15 under the Treaty Trajectory: military-to-science reallocation plus disease-burden recovery only. 3-year ramp at 50% intensity + 12 years full implementation. Excludes non-health dysfunction-capital reallocation.

Inputs:

\[ \begin{gathered} GDP_{treaty,15} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{12} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory GDP at Year 15

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
GDP Growth Boost at 30% Military Reallocation (rate) 1.9297 Strong driver
R&D Spillover Multiplier (x) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory GDP at Year 15 (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory GDP at Year 15 (10,000 simulations)

Simulation Results Summary: Treaty Trajectory GDP at Year 15

Statistic Value
Baseline (deterministic) $1.33 quadrillion
Mean (expected value) $1.58 quadrillion
Median (50th percentile) $1.32 quadrillion
Standard Deviation $925T
90% Range (5th-95th percentile) [$569T, $3.61 quadrillion]

The histogram shows the distribution of Treaty Trajectory GDP at Year 15 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory GDP at Year 15

Probability of Exceeding Threshold: Treaty Trajectory GDP at Year 15

This exceedance probability chart shows the likelihood that Treaty Trajectory GDP at Year 15 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory GDP at Year 20: $3.11 quadrillion

Projected global GDP at year 20 under the Treaty Trajectory: military-to-science reallocation plus disease-burden recovery only. Excludes non-health dysfunction-capital reallocation to isolate the lower-political-baggage channel.

Inputs:

\[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory GDP at Year 20

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
GDP Growth Boost at 30% Military Reallocation (rate) 1.8871 Strong driver
R&D Spillover Multiplier (x) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory GDP at Year 20 (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory GDP at Year 20 (10,000 simulations)

Simulation Results Summary: Treaty Trajectory GDP at Year 20

Statistic Value
Baseline (deterministic) $3.11 quadrillion
Mean (expected value) $4.25 quadrillion
Median (50th percentile) $3.08 quadrillion
Standard Deviation $3.54 quadrillion
90% Range (5th-95th percentile) [$974T, $12.2 quadrillion]

The histogram shows the distribution of Treaty Trajectory GDP at Year 20 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory GDP at Year 20

Probability of Exceeding Threshold: Treaty Trajectory GDP at Year 20

This exceedance probability chart shows the likelihood that Treaty Trajectory GDP at Year 20 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory Lifetime Income Gain (Per Capita): $14.9M

Lifetime per-capita income gain from Treaty Trajectory vs current trajectory. Cumulative treaty income minus cumulative earth income over average remaining lifespan. Uses global averages; individual gain scales with starting income.

Inputs:

\[ \begin{gathered} \Delta Y_{lifetime,treaty} \\ = Y_{cum,treaty} - Y_{cum,earth} \\ = \$16.1M - \$1.18M \\ = \$14.9M \end{gathered} \] where: \[ \begin{gathered} Y_{cum,treaty} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc})((1+g_{pc})^{20}-1)}{g_{pc}} \\ + \bar{y}_{treaty,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] where: \[ \bar{y}_{treaty,20} = \frac{GDP_{treaty,20}}{Pop_{2045}} \] where: \[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory Lifetime Income Gain (Per Capita)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory Cumulative Lifetime Income (Per Capita) (USD) 1.0035 Strong driver
Current Trajectory Cumulative Lifetime Income (Per Capita) (USD) -0.0039 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory Lifetime Income Gain (Per Capita) (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory Lifetime Income Gain (Per Capita) (10,000 simulations)

Simulation Results Summary: Treaty Trajectory Lifetime Income Gain (Per Capita)

Statistic Value
Baseline (deterministic) $14.9M
Mean (expected value) $21.8M
Median (50th percentile) $14.7M
Standard Deviation $21M
90% Range (5th-95th percentile) [$3.61M, $67.9M]

The histogram shows the distribution of Treaty Trajectory Lifetime Income Gain (Per Capita) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory Lifetime Income Gain (Per Capita)

Probability of Exceeding Threshold: Treaty Trajectory Lifetime Income Gain (Per Capita)

This exceedance probability chart shows the likelihood that Treaty Trajectory Lifetime Income Gain (Per Capita) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Trajectory Lifetime Income Multiplier: 13.5x

Ratio of cumulative lifetime income under Treaty Trajectory vs current trajectory. Income-agnostic: applies as a multiplier to any individual’s lifetime earnings.

Inputs:

\[ \begin{gathered} k_{lifetime,treaty:earth} \\ = \frac{Y_{cum,treaty}}{Y_{cum,earth}} \\ = \frac{\$16.1M}{\$1.18M} \\ = 13.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,treaty} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc})((1+g_{pc})^{20}-1)}{g_{pc}} \\ + \bar{y}_{treaty,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] where: \[ \bar{y}_{treaty,20} = \frac{GDP_{treaty,20}}{Pop_{2045}} \] where: \[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Trajectory Lifetime Income Multiplier

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Treaty Trajectory Cumulative Lifetime Income (Per Capita) (USD) 0.9538 Strong driver
Current Trajectory Cumulative Lifetime Income (Per Capita) (USD) 0.0513 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Trajectory Lifetime Income Multiplier (10,000 simulations)

Monte Carlo Distribution: Treaty Trajectory Lifetime Income Multiplier (10,000 simulations)

Simulation Results Summary: Treaty Trajectory Lifetime Income Multiplier

Statistic Value
Baseline (deterministic) 13.5x
Mean (expected value) 18.5x
Median (50th percentile) 13.4x
Standard Deviation 15.3x
90% Range (5th-95th percentile) [4.38x, 52.8x]

The histogram shows the distribution of Treaty Trajectory Lifetime Income Multiplier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Trajectory Lifetime Income Multiplier

Probability of Exceeding Threshold: Treaty Trajectory Lifetime Income Multiplier

This exceedance probability chart shows the likelihood that Treaty Trajectory Lifetime Income Multiplier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Cost-Effectiveness vs Bed Nets Multiplier: 50.3kx

How many times more cost-effective than bed nets (using bed net cost per DALY midpoint estimate)

Inputs:

\[ \begin{gathered} k_{treaty:nets} \\ = \frac{Cost_{nets}}{Cost_{treaty,DALY}} \\ = \frac{\$89}{\$0.00177} \\ = 50{,}300 \end{gathered} \] where: \[ \begin{gathered} Cost_{treaty,DALY} \\ = \frac{Cost_{campaign}}{DALYs_{max}} \\ = \frac{\$1B}{565B} \\ = \$0.00177 \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Cost-Effectiveness vs Bed Nets Multiplier

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Bed Nets Cost per DALY (USD/DALY) -0.8683 Strong driver
Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput) (USD/DALY) -0.0850 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Cost-Effectiveness vs Bed Nets Multiplier (10,000 simulations)

Monte Carlo Distribution: Cost-Effectiveness vs Bed Nets Multiplier (10,000 simulations)

Simulation Results Summary: Cost-Effectiveness vs Bed Nets Multiplier

Statistic Value
Baseline (deterministic) 50.3kx
Mean (expected value) 59.9kx
Median (50th percentile) 56.9kx
Standard Deviation 25.0kx
90% Range (5th-95th percentile) [23.8kx, 111.7kx]

The histogram shows the distribution of Cost-Effectiveness vs Bed Nets Multiplier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Cost-Effectiveness vs Bed Nets Multiplier

Probability of Exceeding Threshold: Cost-Effectiveness vs Bed Nets Multiplier

This exceedance probability chart shows the likelihood that Cost-Effectiveness vs Bed Nets Multiplier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Treaty Campaign Leverage vs Direct Funding: 476x

How many times more cost-effective the treaty campaign is vs direct funding. Treaty campaign unlocks government funding at scale, avoiding need for philanthropists/NIH to directly commit equivalent amounts. Both approaches achieve same DALY timeline shift benefit. Treaty spreads cost across governments while building sustainable public funding infrastructure.

Inputs:

\[ \begin{gathered} Leverage_{treaty} \\ = \frac{Cost_{direct,DALY}}{Cost_{treaty,DALY}} \\ = \frac{\$0.842}{\$0.00177} \\ = 476 \end{gathered} \] where: \[ \begin{gathered} Cost_{direct,DALY} \\ = \frac{NPV_{direct}}{DALYs_{max}} \\ = \frac{\$476B}{565B} \\ = \$0.842 \end{gathered} \] where: \[ NPV_{direct} = Funding_{ann} \times \frac{1 - (1+r)^{-T}}{r} \] where: \[ \begin{gathered} T_{queue,dFDA} \\ = \frac{T_{queue,SQ}}{k_{capacity}} \\ = \frac{443}{12.3} \\ = 36 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} Cost_{treaty,DALY} \\ = \frac{Cost_{campaign}}{DALYs_{max}} \\ = \frac{\$1B}{565B} \\ = \$0.00177 \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Treaty Campaign Leverage vs Direct Funding

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
dFDA Direct Funding Cost per DALY (USD/DALY) 4.1729 Strong driver
Cost per DALY Averted (Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Increased Trial Throughput) (USD/DALY) -3.7762 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Treaty Campaign Leverage vs Direct Funding (10,000 simulations)

Monte Carlo Distribution: Treaty Campaign Leverage vs Direct Funding (10,000 simulations)

Simulation Results Summary: Treaty Campaign Leverage vs Direct Funding

Statistic Value
Baseline (deterministic) 476x
Mean (expected value) 421x
Median (50th percentile) 438x
Standard Deviation 47.5x
90% Range (5th-95th percentile) [329x, 462x]

The histogram shows the distribution of Treaty Campaign Leverage vs Direct Funding across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Treaty Campaign Leverage vs Direct Funding

Probability of Exceeding Threshold: Treaty Campaign Leverage vs Direct Funding

This exceedance probability chart shows the likelihood that Treaty Campaign Leverage vs Direct Funding will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Cumulative Trial Capacity Years Over 20 Years: 247 years

Cumulative trial-capacity-equivalent years over 20-year period

Inputs:

\[ \begin{gathered} Capacity_{20yr} \\ = k_{capacity} \times 20 \\ = 12.3 \times 20 \\ = 247 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Cumulative Trial Capacity Years Over 20 Years

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Trial Capacity Multiplier (x) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Cumulative Trial Capacity Years Over 20 Years (10,000 simulations)

Monte Carlo Distribution: Cumulative Trial Capacity Years Over 20 Years (10,000 simulations)

Simulation Results Summary: Cumulative Trial Capacity Years Over 20 Years

Statistic Value
Baseline (deterministic) 247
Mean (expected value) 442
Median (50th percentile) 321
Standard Deviation 405
90% Range (5th-95th percentile) [84, 1.23 thousand]

The histogram shows the distribution of Cumulative Trial Capacity Years Over 20 Years across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Cumulative Trial Capacity Years Over 20 Years

Probability of Exceeding Threshold: Cumulative Trial Capacity Years Over 20 Years

This exceedance probability chart shows the likelihood that Cumulative Trial Capacity Years Over 20 Years will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Ratio of Type II Error Cost to Type I Error Benefit: 3.07k:1

Ratio of Type II error cost to Type I error benefit (harm from delay vs. harm prevented)

Inputs:

\[ \begin{gathered} Ratio_{TypeII} \\ = \frac{DALYs_{lag}}{DALY_{TypeI}} \\ = \frac{7.94B}{2.59M} \\ = 3{,}070 \end{gathered} \] where: \[ DALYs_{lag} = YLL_{lag} + YLD_{lag} = 7.07B + 873M = 7.94B \] where: \[ \begin{gathered} YLL_{lag} \\ = Deaths_{lag} \times (LE_{global} - Age_{death,delay}) \\ = 416M \times (79 - 62) \\ = 7.07B \end{gathered} \] where: \[ \begin{gathered} Deaths_{lag} \\ = T_{lag} \times Deaths_{disease,daily} \times 338 \\ = 8.2 \times 150{,}000 \times 338 \\ = 416M \end{gathered} \] where: \[ \begin{gathered} YLD_{lag} \\ = Deaths_{lag} \times T_{suffering} \times DW_{chronic} \\ = 416M \times 6 \times 0.35 \\ = 873M \end{gathered} \] where: \[ \begin{gathered} DALY_{TypeI} \\ = DALY_{thal} \times 62 \\ = 41{,}800 \times 62 \\ = 2.59M \end{gathered} \] where: \[ \begin{gathered} DALY_{thal} \\ = YLD_{thal} + YLL_{thal} \\ = 13{,}000 + 28{,}800 \\ = 41{,}800 \end{gathered} \] where: \[ \begin{gathered} YLD_{thal} \\ = DW_{thal} \times N_{thal,survive} \times LE_{thal} \\ = 0.4 \times 540 \times 60 \\ = 13{,}000 \end{gathered} \] where: \[ \begin{gathered} N_{thal,survive} \\ = N_{thal,US,prevent} \times (1 - Rate_{thal,mort}) \\ = 900 \times (1 - 40\%) \\ = 540 \end{gathered} \] where: \[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \] where: \[ \begin{gathered} YLL_{thal} \\ = Deaths_{thal} \times 80 \\ = 360 \times 80 \\ = 28{,}800 \end{gathered} \] where: \[ \begin{gathered} Deaths_{thal} \\ = Rate_{thal,mort} \times N_{thal,US,prevent} \\ = 40\% \times 900 \\ = 360 \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Ratio of Type II Error Cost to Type I Error Benefit

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total DALYs Lost from Disease Eradication Delay (DALYs) 7.2872 Strong driver
Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024) (DALYs) -7.1207 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Ratio of Type II Error Cost to Type I Error Benefit (10,000 simulations)

Monte Carlo Distribution: Ratio of Type II Error Cost to Type I Error Benefit (10,000 simulations)

Simulation Results Summary: Ratio of Type II Error Cost to Type I Error Benefit

Statistic Value
Baseline (deterministic) 3.07k:1
Mean (expected value) 3.05k:1
Median (50th percentile) 3.09k:1
Standard Deviation 101:1
90% Range (5th-95th percentile) [2.88k:1, 3.12k:1]

The histogram shows the distribution of Ratio of Type II Error Cost to Type I Error Benefit across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Ratio of Type II Error Cost to Type I Error Benefit

Probability of Exceeding Threshold: Ratio of Type II Error Cost to Type I Error Benefit

This exceedance probability chart shows the likelihood that Ratio of Type II Error Cost to Type I Error Benefit will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024): 2.59 million DALYs

Maximum DALYs saved by FDA preventing unsafe drugs over 62-year period 1962-2024 (extreme overestimate: one Thalidomide-scale event per year)

Inputs:

\[ \begin{gathered} DALY_{TypeI} \\ = DALY_{thal} \times 62 \\ = 41{,}800 \times 62 \\ = 2.59M \end{gathered} \] where: \[ \begin{gathered} DALY_{thal} \\ = YLD_{thal} + YLL_{thal} \\ = 13{,}000 + 28{,}800 \\ = 41{,}800 \end{gathered} \] where: \[ \begin{gathered} YLD_{thal} \\ = DW_{thal} \times N_{thal,survive} \times LE_{thal} \\ = 0.4 \times 540 \times 60 \\ = 13{,}000 \end{gathered} \] where: \[ \begin{gathered} N_{thal,survive} \\ = N_{thal,US,prevent} \times (1 - Rate_{thal,mort}) \\ = 900 \times (1 - 40\%) \\ = 540 \end{gathered} \] where: \[ \begin{gathered} N_{thal,US,prevent} \\ = N_{thal,global} \times Pct_{US,1960} \\ = 15{,}000 \times 6\% \\ = 900 \end{gathered} \] where: \[ \begin{gathered} YLL_{thal} \\ = Deaths_{thal} \times 80 \\ = 360 \times 80 \\ = 28{,}800 \end{gathered} \] where: \[ \begin{gathered} Deaths_{thal} \\ = Rate_{thal,mort} \times N_{thal,US,prevent} \\ = 40\% \times 900 \\ = 360 \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Thalidomide DALYs Per Event (DALYs) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024) (10,000 simulations)

Monte Carlo Distribution: Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024) (10,000 simulations)

Simulation Results Summary: Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024)

Statistic Value
Baseline (deterministic) 2.59 million
Mean (expected value) 2.63 million
Median (50th percentile) 2.53 million
Standard Deviation 754 thousand
90% Range (5th-95th percentile) [1.54 million, 4.16 million]

The histogram shows the distribution of Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024)

Probability of Exceeding Threshold: Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024)

This exceedance probability chart shows the likelihood that Maximum DALYs Saved by FDA Preventing Unsafe Drugs (1962-2024) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Unexplored Therapeutic Frontier: 99.7%

Fraction of possible drug-disease space that remains unexplored (>99%)

Inputs:

\[ \begin{gathered} Ratio_{unexplored} \\ = 1 - \frac{N_{tested}}{N_{combos}} \\ = 1 - \frac{32{,}500}{9.5M} \\ = 99.7\% \end{gathered} \] where: \[ \begin{gathered} N_{combos} \\ = N_{safe} \times N_{diseases,trial} \\ = 9{,}500 \times 1{,}000 \\ = 9.5M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Unexplored Therapeutic Frontier

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Tested Drug-Disease Relationships (relationships) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Unexplored Therapeutic Frontier (10,000 simulations)

Monte Carlo Distribution: Unexplored Therapeutic Frontier (10,000 simulations)

Simulation Results Summary: Unexplored Therapeutic Frontier

Statistic Value
Baseline (deterministic) 99.7%
Mean (expected value) 99.7%
Median (50th percentile) 99.7%
Standard Deviation 0.0868%
90% Range (5th-95th percentile) [99.5%, 99.8%]

The histogram shows the distribution of Unexplored Therapeutic Frontier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Unexplored Therapeutic Frontier

Probability of Exceeding Threshold: Unexplored Therapeutic Frontier

This exceedance probability chart shows the likelihood that Unexplored Therapeutic Frontier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Congress Full Advocacy Cost: $5.35B

Upper-bound advocacy cost to match career incentives for all 535 members of Congress

Inputs:

\[ \begin{gathered} Cost_{US,congress} \\ = N_{congress} \times V_{post-office} \\ = 535 \times \$10M \\ = \$5.35B \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

US Federal Spending per Capita: $20.3K

US federal spending per capita. $6.8T total federal spending divided by 335M population.

Inputs:

\[ \begin{gathered} Spend_{fed,pc} \\ = \frac{Spending_{federal}}{Pop_{US}} \\ = \frac{\$6.8T}{335M} \\ = \$20.3K \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for US Federal Spending per Capita

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Population in 2024 (people) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Federal Spending per Capita (10,000 simulations)

Monte Carlo Distribution: US Federal Spending per Capita (10,000 simulations)

Simulation Results Summary: US Federal Spending per Capita

Statistic Value
Baseline (deterministic) $20.3K
Mean (expected value) $20.3K
Median (50th percentile) $20.3K
Standard Deviation $148
90% Range (5th-95th percentile) [$20K, $20.6K]

The histogram shows the distribution of US Federal Spending per Capita across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Federal Spending per Capita

Probability of Exceeding Threshold: US Federal Spending per Capita

This exceedance probability chart shows the likelihood that US Federal Spending per Capita will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Discretionary Efficiency: 40.5%

US federal discretionary spending efficiency. What fraction of discretionary spending avoids direct waste (Cat 1 only: military overspend, corporate welfare, drug war, fossil/ag subsidies). ~41%. Some Cat 1 items (farm subsidies, tax expenditures) are technically mandatory/off-budget but are fungible policy choices.

Inputs:

\[ \begin{gathered} E_{US,disc} \\ = 1 - \frac{W_{cat1}}{Spending_{fed}} \\ = 1 - \frac{\$1.01T}{\$1.7T} \\ = 40.5\% \end{gathered} \] where: \[ \begin{gathered} W_{cat1} \\ = W_{military} + W_{corporate} + W_{drugs} + W_{fossil} \\ + W_{agriculture} \\ = \$615B + \$181B + \$90B + \$50B + \$75B \\ = \$1.01T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for US Discretionary Efficiency

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Category 1: Direct Spending Waste (USD) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Discretionary Efficiency (10,000 simulations)

Monte Carlo Distribution: US Discretionary Efficiency (10,000 simulations)

Simulation Results Summary: US Discretionary Efficiency

Statistic Value
Baseline (deterministic) 40.5%
Mean (expected value) 40.5%
Median (50th percentile) 41.3%
Standard Deviation 8.61%
90% Range (5th-95th percentile) [23.8%, 53.5%]

The histogram shows the distribution of US Discretionary Efficiency across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Discretionary Efficiency

Probability of Exceeding Threshold: US Discretionary Efficiency

This exceedance probability chart shows the likelihood that US Discretionary Efficiency will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Governance Efficiency (GDP): 83%

Total US governance efficiency: all 4 waste categories as share of GDP. 1 - ($4.9T / $28.78T) = ~83%. This broader metric captures direct spending waste, compliance burden, policy-induced GDP loss, and system inefficiency relative to total economic output.

Inputs:

\[ \begin{gathered} E_{US,GDP} \\ = 1 - \frac{W_{total,US}}{USGDP} \\ = 1 - \frac{\$4.9T}{\$28.8T} \\ = 83\% \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for US Governance Efficiency (GDP)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Government Waste (Total) (USD) -1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Governance Efficiency (GDP) (10,000 simulations)

Monte Carlo Distribution: US Governance Efficiency (GDP) (10,000 simulations)

Simulation Results Summary: US Governance Efficiency (GDP)

Statistic Value
Baseline (deterministic) 83%
Mean (expected value) 83%
Median (50th percentile) 83.3%
Standard Deviation 2.91%
90% Range (5th-95th percentile) [77.4%, 87.4%]

The histogram shows the distribution of US Governance Efficiency (GDP) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Governance Efficiency (GDP)

Probability of Exceeding Threshold: US Governance Efficiency (GDP)

This exceedance probability chart shows the likelihood that US Governance Efficiency (GDP) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Category 1: Direct Spending Waste: $1.01T

Category 1: Direct Federal Spending Waste. Actual federal budget allocations that could be redirected. Includes military overspend ($615B), corporate welfare ($181B), drug war ($90B), fossil fuel subsidies ($50B), and agricultural subsidies ($75B). Total: ~$1.01T annually. Solution: Budget reallocation.

Inputs:

\[ \begin{gathered} W_{cat1} \\ = W_{military} + W_{corporate} + W_{drugs} + W_{fossil} \\ + W_{agriculture} \\ = \$615B + \$181B + \$90B + \$50B + \$75B \\ = \$1.01T \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Category 1: Direct Spending Waste

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Military Overspend (USD) 0.4685 Moderate driver
Drug War Cost (USD) 0.1752 Weak driver
Agricultural Subsidies Deadweight Loss (USD) 0.1424 Weak driver
Corporate Welfare Waste (USD) 0.1265 Weak driver
Fossil Fuel Subsidies (Explicit) (USD) 0.0922 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Category 1: Direct Spending Waste (10,000 simulations)

Monte Carlo Distribution: Category 1: Direct Spending Waste (10,000 simulations)

Simulation Results Summary: Category 1: Direct Spending Waste

Statistic Value
Baseline (deterministic) $1.01T
Mean (expected value) $1.01T
Median (50th percentile) $998B
Standard Deviation $146B
90% Range (5th-95th percentile) [$790B, $1.3T]

The histogram shows the distribution of Category 1: Direct Spending Waste across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Category 1: Direct Spending Waste

Probability of Exceeding Threshold: Category 1: Direct Spending Waste

This exceedance probability chart shows the likelihood that Category 1: Direct Spending Waste will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Category 2: Compliance Burden: $1.13T

Category 2: Compliance Burden on Private Sector. Private sector resources consumed by government-imposed compliance requirements. Includes tax compliance ($546B) and regulatory red tape ($580B). Total: ~$1.13T annually. Solution: Simplification (tax code reform, regulatory streamlining).

Inputs:

\[ \begin{gathered} W_{cat2} \\ = W_{tax} + W_{regulatory} \\ = \$546B + \$580B \\ = \$1.13T \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Category 2: Compliance Burden

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Regulatory Red Tape Waste (USD) 0.7928 Strong driver
Tax Compliance Waste (USD) 0.2095 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Category 2: Compliance Burden (10,000 simulations)

Monte Carlo Distribution: Category 2: Compliance Burden (10,000 simulations)

Simulation Results Summary: Category 2: Compliance Burden

Statistic Value
Baseline (deterministic) $1.13T
Mean (expected value) $1.12T
Median (50th percentile) $1.09T
Standard Deviation $230B
90% Range (5th-95th percentile) [$775B, $1.58T]

The histogram shows the distribution of Category 2: Compliance Burden across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Category 2: Compliance Burden

Probability of Exceeding Threshold: Category 2: Compliance Burden

This exceedance probability chart shows the likelihood that Category 2: Compliance Burden will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Category 3: GDP Loss: $1.56T

Category 3: Policy-Induced GDP Loss. Economic output foregone due to policy constraints on markets. Includes housing/zoning restrictions ($1.4T) and tariffs ($160B). Total: ~$1.56T annually. Solution: Policy reform (zoning liberalization, trade policy).

Inputs:

\[ \begin{gathered} W_{cat3} \\ = W_{housing} + W_{tariffs} \\ = \$1.4T + \$160B \\ = \$1.56T \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Category 3: GDP Loss

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Housing/Zoning Restrictions Cost (USD) 0.8636 Strong driver
Tariff Cost (GDP Loss) (USD) 0.1372 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Category 3: GDP Loss (10,000 simulations)

Monte Carlo Distribution: Category 3: GDP Loss (10,000 simulations)

Simulation Results Summary: Category 3: GDP Loss

Statistic Value
Baseline (deterministic) $1.56T
Mean (expected value) $1.55T
Median (50th percentile) $1.52T
Standard Deviation $327B
90% Range (5th-95th percentile) [$1.05T, $2.18T]

The histogram shows the distribution of Category 3: GDP Loss across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Category 3: GDP Loss

Probability of Exceeding Threshold: Category 3: GDP Loss

This exceedance probability chart shows the likelihood that Category 3: GDP Loss will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Category 4: System Inefficiency: $1.2T

Category 4: Total System Inefficiency. Fundamental system design failures requiring structural redesign. Currently only healthcare system inefficiency ($1.2T). Solution: System redesign using competitive market models (Singapore’s catastrophic coverage + HSAs, Switzerland’s regulated competition).

Inputs:

\[ W_{cat4} = W_{health} = \$1.2T = \$1.2T \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Category 4: System Inefficiency

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Healthcare System Inefficiency (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Category 4: System Inefficiency (10,000 simulations)

Monte Carlo Distribution: Category 4: System Inefficiency (10,000 simulations)

Simulation Results Summary: Category 4: System Inefficiency

Statistic Value
Baseline (deterministic) $1.2T
Mean (expected value) $1.2T
Median (50th percentile) $1.2T
Standard Deviation $135B
90% Range (5th-95th percentile) [$1T, $1.45T]

The histogram shows the distribution of Category 4: System Inefficiency across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Category 4: System Inefficiency

Probability of Exceeding Threshold: Category 4: System Inefficiency

This exceedance probability chart shows the likelihood that Category 4: System Inefficiency will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Waste (% GDP): 17%

US government waste as percentage of GDP. ~$4.90T waste / $28.78T GDP = ~17%. This represents the ‘dysfunction tax’ that American citizens effectively pay through inefficient governance.

Inputs:

\[ \begin{gathered} W_{US,\%GDP} \\ = \frac{W_{total,US}}{USGDP} \\ = \frac{\$4.9T}{\$28.8T} \\ = 17\% \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for US Waste (% GDP)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Government Waste (Total) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Waste (% GDP) (10,000 simulations)

Monte Carlo Distribution: US Waste (% GDP) (10,000 simulations)

Simulation Results Summary: US Waste (% GDP)

Statistic Value
Baseline (deterministic) 17%
Mean (expected value) 17%
Median (50th percentile) 16.7%
Standard Deviation 2.91%
90% Range (5th-95th percentile) [12.6%, 22.6%]

The histogram shows the distribution of US Waste (% GDP) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Waste (% GDP)

Probability of Exceeding Threshold: US Waste (% GDP)

This exceedance probability chart shows the likelihood that US Waste (% GDP) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Waste (QALY Equivalents): 49 million QALYs

US government waste expressed as QALY equivalents. This is an economic equivalent, NOT epidemiological health outcomes. Dividing by QALY threshold yields a measure of foregone welfare.

Inputs:

\[ \begin{gathered} W_{US,QALY} \\ = \frac{W_{total,US}}{QALY_{threshold}} \\ = \frac{\$4.9T}{\$100K} \\ = 49M \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for US Waste (QALY Equivalents)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Government Waste (Total) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Waste (QALY Equivalents) (10,000 simulations)

Monte Carlo Distribution: US Waste (QALY Equivalents) (10,000 simulations)

Simulation Results Summary: US Waste (QALY Equivalents)

Statistic Value
Baseline (deterministic) 49 million
Mean (expected value) 48.9 million
Median (50th percentile) 48.1 million
Standard Deviation 8.38 million
90% Range (5th-95th percentile) [36.2 million, 65 million]

The histogram shows the distribution of US Waste (QALY Equivalents) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Waste (QALY Equivalents)

Probability of Exceeding Threshold: US Waste (QALY Equivalents)

This exceedance probability chart shows the likelihood that US Waste (QALY Equivalents) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Gov Waste (Raw Total): $4.9T

Raw sum of US government waste components before overlap discount: healthcare ($1.2T) + housing ($1.4T) + military ($615B) + regulatory ($580B) + tax ($546B) + corporate ($181B) + tariffs ($160B) + drug war ($90B) + fossil fuel ($50B) + agriculture ($75B) = ~$4.9T raw.

Inputs:

\[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for US Gov Waste (Raw Total)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Housing/Zoning Restrictions Cost (USD) 0.3376 Moderate driver
Regulatory Red Tape Waste (USD) 0.2172 Weak driver
Healthcare System Inefficiency (USD) 0.1614 Weak driver
Military Overspend (USD) 0.0819 Minimal effect
Tax Compliance Waste (USD) 0.0574 Minimal effect
Tariff Cost (GDP Loss) (USD) 0.0536 Minimal effect
Drug War Cost (USD) 0.0306 Minimal effect
Agricultural Subsidies Deadweight Loss (USD) 0.0249 Minimal effect
Corporate Welfare Waste (USD) 0.0221 Minimal effect
Fossil Fuel Subsidies (Explicit) (USD) 0.0161 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Gov Waste (Raw Total) (10,000 simulations)

Monte Carlo Distribution: US Gov Waste (Raw Total) (10,000 simulations)

Simulation Results Summary: US Gov Waste (Raw Total)

Statistic Value
Baseline (deterministic) $4.9T
Mean (expected value) $4.89T
Median (50th percentile) $4.81T
Standard Deviation $838B
90% Range (5th-95th percentile) [$3.62T, $6.5T]

The histogram shows the distribution of US Gov Waste (Raw Total) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Gov Waste (Raw Total)

Probability of Exceeding Threshold: US Gov Waste (Raw Total)

This exceedance probability chart shows the likelihood that US Gov Waste (Raw Total) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Recoverable Capital: $2.45T

Recoverable capital if US improved to OECD median efficiency. Current US efficiency ~38-48%; OECD median ~75-85%. Closing to ~80% would recover approximately half the gap.

Inputs:

\[ \begin{gathered} W_{US,recoverable} \\ = W_{total,US} \times 0.5 \\ = \$4.9T \times 0.5 \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ? Low confidence

Sensitivity Analysis

Sensitivity Indices for Recoverable Capital

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Government Waste (Total) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Recoverable Capital (10,000 simulations)

Monte Carlo Distribution: Recoverable Capital (10,000 simulations)

Simulation Results Summary: Recoverable Capital

Statistic Value
Baseline (deterministic) $2.45T
Mean (expected value) $2.44T
Median (50th percentile) $2.41T
Standard Deviation $419B
90% Range (5th-95th percentile) [$1.81T, $3.25T]

The histogram shows the distribution of Recoverable Capital across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Recoverable Capital

Probability of Exceeding Threshold: Recoverable Capital

This exceedance probability chart shows the likelihood that Recoverable Capital will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Government Waste (Total): $4.9T

Total annual US government waste (additive sum of components). Consolidates healthcare ($1.2T), housing ($1.4T), military ($615B), regulatory ($580B), tax ($546B), corporate ($181B), tariffs ($160B), drug war ($90B), fossil fuel ($50B), agriculture ($75B). Categories treated as additive; any overlap offset by excluded categories (state/local inefficiency, implicit subsidies, behavioral effects). ~$4.9T annually.

Inputs:

\[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for US Government Waste (Total)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Gov Waste (Raw Total) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Government Waste (Total) (10,000 simulations)

Monte Carlo Distribution: US Government Waste (Total) (10,000 simulations)

Simulation Results Summary: US Government Waste (Total)

Statistic Value
Baseline (deterministic) $4.9T
Mean (expected value) $4.89T
Median (50th percentile) $4.81T
Standard Deviation $838B
90% Range (5th-95th percentile) [$3.62T, $6.5T]

The histogram shows the distribution of US Government Waste (Total) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Government Waste (Total)

Probability of Exceeding Threshold: US Government Waste (Total)

This exceedance probability chart shows the likelihood that US Government Waste (Total) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Waste (VSL Equivalents): 357 thousand people

US government waste expressed as VSL equivalents. This is an economic equivalent, NOT literal deaths. Dividing the efficiency gap by VSL yields a measure of foregone welfare.

Inputs:

\[ \begin{gathered} W_{US,VSL} \\ = \frac{W_{total,US}}{VSL_{DOT}} \\ = \frac{\$4.9T}{\$13.7M} \\ = 357{,}000 \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for US Waste (VSL Equivalents)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Government Waste (Total) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Waste (VSL Equivalents) (10,000 simulations)

Monte Carlo Distribution: US Waste (VSL Equivalents) (10,000 simulations)

Simulation Results Summary: US Waste (VSL Equivalents)

Statistic Value
Baseline (deterministic) 357 thousand
Mean (expected value) 357 thousand
Median (50th percentile) 351 thousand
Standard Deviation 61.1 thousand
90% Range (5th-95th percentile) [264 thousand, 475 thousand]

The histogram shows the distribution of US Waste (VSL Equivalents) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Waste (VSL Equivalents)

Probability of Exceeding Threshold: US Waste (VSL Equivalents)

This exceedance probability chart shows the likelihood that US Waste (VSL Equivalents) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Efficiency Gap / Treaty Funding: 180:1

How many times the US government efficiency gap could fund the 1% Treaty. The efficiency gap represents capital that could fund transformative health research many times over.

Inputs:

\[ \begin{gathered} k_{waste:treaty} \\ = \frac{W_{total,US}}{Funding_{treaty}} \\ = \frac{\$4.9T}{\$27.2B} \\ = 180 \end{gathered} \] where: \[ \begin{gathered} W_{total,US} \\ = W_{raw,US} \times US \\ = \$4.9T \times 1 \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} W_{raw,US} \\ = W_{health} + W_{housing} + W_{military} + W_{regulatory} \\ + W_{tax} + W_{corporate} + W_{tariffs} + W_{drugs} \\ + W_{fossil} + W_{agriculture} \\ = \$1.2T + \$1.4T + \$615B + \$580B + \$546B + \$181B + \$160B \\ + \$90B + \$50B + \$75B \\ = \$4.9T \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Efficiency Gap / Treaty Funding

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Government Waste (Total) (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Efficiency Gap / Treaty Funding (10,000 simulations)

Monte Carlo Distribution: Efficiency Gap / Treaty Funding (10,000 simulations)

Simulation Results Summary: Efficiency Gap / Treaty Funding

Statistic Value
Baseline (deterministic) 180:1
Mean (expected value) 180:1
Median (50th percentile) 177:1
Standard Deviation 30.8:1
90% Range (5th-95th percentile) [133:1, 239:1]

The histogram shows the distribution of Efficiency Gap / Treaty Funding across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Efficiency Gap / Treaty Funding

Probability of Exceeding Threshold: Efficiency Gap / Treaty Funding

This exceedance probability chart shows the likelihood that Efficiency Gap / Treaty Funding will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Current US Military Spending vs Pre-WW2 Baseline (Multiplier): 30.6x

Ratio of current US military spending to pre-WW2 baseline in constant dollars ($886B / $29B)

Inputs:

\[ \begin{gathered} Ratio_{US,2024:1939} \\ = \frac{Spending_{US,2024}}{Spending_{US,1939}} \\ = \frac{\$886B}{\$29B} \\ = 30.6 \end{gathered} \]

✓ High confidence

Monte Carlo Distribution

Monte Carlo Distribution: Current US Military Spending vs Pre-WW2 Baseline (Multiplier) (10,000 simulations)

Monte Carlo Distribution: Current US Military Spending vs Pre-WW2 Baseline (Multiplier) (10,000 simulations)

Simulation Results Summary: Current US Military Spending vs Pre-WW2 Baseline (Multiplier)

Statistic Value
Baseline (deterministic) 30.6x
Mean (expected value) 30.6x
Median (50th percentile) 30.6x
Standard Deviation 7.11e-15x
90% Range (5th-95th percentile) [30.6x, 30.6x]

The histogram shows the distribution of Current US Military Spending vs Pre-WW2 Baseline (Multiplier) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Current US Military Spending vs Pre-WW2 Baseline (Multiplier)

Probability of Exceeding Threshold: Current US Military Spending vs Pre-WW2 Baseline (Multiplier)

This exceedance probability chart shows the likelihood that Current US Military Spending vs Pre-WW2 Baseline (Multiplier) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

US Political Reform Investment (Total): $25.5B

Total upper-bound investment for US political reform: (campaign spending + 2 years lobbying) × effort multiplier + Congress career advocacy. Represents cost to achieve democratic parity with incumbent interests.

Inputs:

\[ \begin{gathered} Cost_{US,total} \\ = (Cost_{campaign} \\ + Cost_{lobby} \times 2) \times \mu_{effort} + Cost_{career} \end{gathered} \]

? Low confidence

Sensitivity Analysis

Sensitivity Indices for US Political Reform Investment (Total)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Political Effort Multiplier (US) (multiplier) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: US Political Reform Investment (Total) (10,000 simulations)

Monte Carlo Distribution: US Political Reform Investment (Total) (10,000 simulations)

Simulation Results Summary: US Political Reform Investment (Total)

Statistic Value
Baseline (deterministic) $25.5B
Mean (expected value) $25.4B
Median (50th percentile) $24.6B
Standard Deviation $5.54B
90% Range (5th-95th percentile) [$17.3B, $36.3B]

The histogram shows the distribution of US Political Reform Investment (Total) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: US Political Reform Investment (Total)

Probability of Exceeding Threshold: US Political Reform Investment (Total)

This exceedance probability chart shows the likelihood that US Political Reform Investment (Total) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Expected Value of a Vote (US): $0.000338

Expected monetary value of a single vote in a US presidential election. Calculated as the probability of being decisive (1 in 60M) times federal spending per capita (~$20,300). Represents the expected influence over government resource allocation from casting one vote.

Inputs:

\[ \begin{gathered} EV_{vote} \\ = P_{decisive} \times Spend_{fed,pc} \\ = 0 \times \$20.3K \\ = \$0.000338 \end{gathered} \] where: \[ \begin{gathered} Spend_{fed,pc} \\ = \frac{Spending_{federal}}{Pop_{US}} \\ = \frac{\$6.8T}{335M} \\ = \$20.3K \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Expected Value of a Vote (US)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
US Federal Spending per Capita (USD/person) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected Value of a Vote (US) (10,000 simulations)

Monte Carlo Distribution: Expected Value of a Vote (US) (10,000 simulations)

Simulation Results Summary: Expected Value of a Vote (US)

Statistic Value
Baseline (deterministic) $0.000338
Mean (expected value) $0.000338
Median (50th percentile) $0.000338
Standard Deviation $2.47e-06
90% Range (5th-95th percentile) [$0.000334, $0.000343]

The histogram shows the distribution of Expected Value of a Vote (US) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected Value of a Vote (US)

Probability of Exceeding Threshold: Expected Value of a Vote (US)

This exceedance probability chart shows the likelihood that Expected Value of a Vote (US) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual VICTORY Incentive Alignment Bond Payout: $2.72B

Annual VICTORY Incentive Alignment Bond payout (treaty funding × bond percentage)

Inputs:

\[ \begin{gathered} Payout_{bond,ann} \\ = Funding_{treaty} \times Pct_{bond} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] ✓ High confidence

Annual Return Percentage for VICTORY Incentive Alignment Bondholders: 272%

Annual return percentage for VICTORY Incentive Alignment Bondholders

Inputs:

\[ \begin{gathered} r_{bond} \\ = \frac{Payout_{bond,ann}}{Cost_{campaign}} \\ = \frac{\$2.72B}{\$1B} \\ = 272\% \end{gathered} \] where: \[ \begin{gathered} Payout_{bond,ann} \\ = Funding_{treaty} \times Pct_{bond} \\ = \$27.2B \times 10\% \\ = \$2.72B \end{gathered} \] where: \[ \begin{gathered} Funding_{treaty} \\ = Spending_{mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \] where: \[ \begin{gathered} Cost_{campaign} \\ = Budget_{viral,base} + Budget_{lobby,treaty} \\ + Budget_{reserve} \\ = \$250M + \$650M + \$100M \\ = \$1B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Return Percentage for VICTORY Incentive Alignment Bondholders

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total 1% Treaty Campaign Cost (USD) -0.9366 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Annual Return Percentage for VICTORY Incentive Alignment Bondholders (10,000 simulations)

Monte Carlo Distribution: Annual Return Percentage for VICTORY Incentive Alignment Bondholders (10,000 simulations)

Simulation Results Summary: Annual Return Percentage for VICTORY Incentive Alignment Bondholders

Statistic Value
Baseline (deterministic) 272%
Mean (expected value) 293%
Median (50th percentile) 287%
Standard Deviation 76.3%
90% Range (5th-95th percentile) [180%, 430%]

The histogram shows the distribution of Annual Return Percentage for VICTORY Incentive Alignment Bondholders across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Annual Return Percentage for VICTORY Incentive Alignment Bondholders

Probability of Exceeding Threshold: Annual Return Percentage for VICTORY Incentive Alignment Bondholders

This exceedance probability chart shows the likelihood that Annual Return Percentage for VICTORY Incentive Alignment Bondholders will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Lives Saved per Voter: 38.4 lives

Lives saved attributable to each voter if the treaty passes (total lives saved ÷ 3.5% voting bloc target)

Inputs:

\[ \begin{gathered} Lives_{voter} \\ = \frac{Lives_{max}}{N_{voters,target}} \\ = \frac{10.7B}{280M} \\ = 38.4 \end{gathered} \] where: \[ \begin{gathered} Lives_{max} \\ = Deaths_{disease,daily} \times T_{accel,max} \times 338 \\ = 150{,}000 \times 212 \times 338 \\ = 10.7B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} N_{voters,target} \\ = Pop_{global} \times Threshold_{activism} \\ = 8B \times 3.5\% \\ = 280M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Lives Saved per Voter

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Lives Saved from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (deaths) 1.8085 Strong driver
Target Voting Bloc Size for Campaign (of people) 0.9392 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Lives Saved per Voter (10,000 simulations)

Monte Carlo Distribution: Lives Saved per Voter (10,000 simulations)

Simulation Results Summary: Lives Saved per Voter

Statistic Value
Baseline (deterministic) 38.4
Mean (expected value) 65.8
Median (50th percentile) 50.3
Standard Deviation 51.3
90% Range (5th-95th percentile) [11.6, 195]

The histogram shows the distribution of Lives Saved per Voter across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Lives Saved per Voter

Probability of Exceeding Threshold: Lives Saved per Voter

This exceedance probability chart shows the likelihood that Lives Saved per Voter will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Suffering Hours Prevented per Voter: 6.9 million hours

Hours of suffering prevented attributable to each voter if the treaty passes (total suffering hours ÷ 3.5% voting bloc target)

Inputs:

\[ \begin{gathered} Hours_{suffer,voter} \\ = \frac{Hours_{suffer,max}}{N_{voters,target}} \\ = \frac{1930T}{280M} \\ = 6.9M \end{gathered} \] where: \[ \begin{gathered} Hours_{suffer,max} \\ = DALYs_{max} \times Pct_{YLD} \times 8760 \\ = 565B \times 0.39 \times 8760 \\ = 1930T \end{gathered} \] where: \[ \begin{gathered} DALYs_{max} \\ = DALYs_{global,ann} \times Pct_{avoid,DALY} \times T_{accel,max} \\ = 2.88B \times 92.6\% \times 212 \\ = 565B \end{gathered} \] where: \[ T_{accel,max} = T_{accel} + T_{lag} = 204 + 8.2 = 212 \] where: \[ \begin{gathered} T_{accel} \\ = T_{first,SQ} \times \left(1 - \frac{1}{k_{capacity}}\right) \\ = 222 \times \left(1 - \frac{1}{12.3}\right) \\ = 204 \end{gathered} \] where: \[ \begin{gathered} T_{first,SQ} \\ = T_{queue,SQ} \times 0.5 \\ = 443 \times 0.5 \\ = 222 \end{gathered} \] where: \[ \begin{gathered} T_{queue,SQ} \\ = \frac{N_{untreated}}{Treatments_{new,ann}} \\ = \frac{6{,}650}{15} \\ = 443 \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} N_{voters,target} \\ = Pop_{global} \times Threshold_{activism} \\ = 8B \times 3.5\% \\ = 280M \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Suffering Hours Prevented per Voter

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Suffering Hours Eliminated from Elimination of Efficacy Lag Plus Earlier Treatment Discovery from Higher Trial Throughput (hours) 0.4525 Moderate driver
Target Voting Bloc Size for Campaign (of people) -0.4350 Moderate driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Suffering Hours Prevented per Voter (10,000 simulations)

Monte Carlo Distribution: Suffering Hours Prevented per Voter (10,000 simulations)

Simulation Results Summary: Suffering Hours Prevented per Voter

Statistic Value
Baseline (deterministic) 6.9 million
Mean (expected value) 11.1 million
Median (50th percentile) 8.94 million
Standard Deviation 7.86 million
90% Range (5th-95th percentile) [2.23 million, 29.7 million]

The histogram shows the distribution of Suffering Hours Prevented per Voter across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Suffering Hours Prevented per Voter

Probability of Exceeding Threshold: Suffering Hours Prevented per Voter

This exceedance probability chart shows the likelihood that Suffering Hours Prevented per Voter will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Expected Number of Voters: 2.4 billion of people

Expected number of people who vote over the accumulation period (global population × participation rate). At the 30% point estimate, 2.4B voters exceed the Chenoweth passage threshold (280M) by ~8×.

Inputs:

\[ \begin{gathered} N_{voters,expected} \\ = Pop_{global} \times R_{vote} \\ = 8B \times 30\% \\ = 2.4B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Expected Number of Voters

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Expected Vote Participation Rate (percent) 0.9997 Strong driver
Global Population in 2024 (of people) 0.0217 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Expected Number of Voters (10,000 simulations)

Monte Carlo Distribution: Expected Number of Voters (10,000 simulations)

Simulation Results Summary: Expected Number of Voters

Statistic Value
Baseline (deterministic) 2.4 billion
Mean (expected value) 2.39 billion
Median (50th percentile) 2.22 billion
Standard Deviation 1.35 billion
90% Range (5th-95th percentile) [475 million, 4.91 billion]

The histogram shows the distribution of Expected Number of Voters across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Expected Number of Voters

Probability of Exceeding Threshold: Expected Number of Voters

This exceedance probability chart shows the likelihood that Expected Number of Voters will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

VOTE Token Potential Value: $12.3K

Expected value of a single VOTE token (projected pool size ÷ expected voters). Denominator is expected participants (30% of global population), not the Chenoweth passage threshold. CI captures uncertainty in pool size and participation rate.

Inputs:

\[ V_{vote} = \frac{Pool_{proj}}{N_{voters,expected}} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for VOTE Token Potential Value

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Prize Pool Projected Size (USD) 0.6975 Strong driver
Expected Number of Voters (of people) -0.1896 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: VOTE Token Potential Value (10,000 simulations)

Monte Carlo Distribution: VOTE Token Potential Value (10,000 simulations)

Simulation Results Summary: VOTE Token Potential Value

Statistic Value
Baseline (deterministic) $12.3K
Mean (expected value) $24.8K
Median (50th percentile) $3.43K
Standard Deviation $90.9K
90% Range (5th-95th percentile) [$228, $111K]

The histogram shows the distribution of VOTE Token Potential Value across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: VOTE Token Potential Value

Probability of Exceeding Threshold: VOTE Token Potential Value

This exceedance probability chart shows the likelihood that VOTE Token Potential Value will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Cumulative War Costs over 20 Years (Current Trajectory): $227T

Cumulative global war costs over 20 years if current spending levels continue. The price tag of the status quo trajectory.

Inputs:

\[ \begin{gathered} Cost_{war,20yr} \\ = Cost_{war,total} \times 20 \\ = \$11.4T \times 20 \\ = \$227T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Cumulative War Costs over 20 Years (Current Trajectory)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Cost of War Worldwide (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Cumulative War Costs over 20 Years (Current Trajectory) (10,000 simulations)

Monte Carlo Distribution: Cumulative War Costs over 20 Years (Current Trajectory) (10,000 simulations)

Simulation Results Summary: Cumulative War Costs over 20 Years (Current Trajectory)

Statistic Value
Baseline (deterministic) $227T
Mean (expected value) $226T
Median (50th percentile) $224T
Standard Deviation $30.3T
90% Range (5th-95th percentile) [$180T, $281T]

The histogram shows the distribution of Cumulative War Costs over 20 Years (Current Trajectory) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Cumulative War Costs over 20 Years (Current Trajectory)

Probability of Exceeding Threshold: Cumulative War Costs over 20 Years (Current Trajectory)

This exceedance probability chart shows the likelihood that Cumulative War Costs over 20 Years (Current Trajectory) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

War Costs Saved via Peace Trajectory (20yr): $13.2T

Cumulative war costs saved over 20 years as treaty expands via IAB ratchet. Assumes war costs decline proportionally to spending cuts (e=1.0). Conservative: Pape research suggests e>1.0 due to terrorism feedback loops.

Inputs:

\[ \begin{gathered} Savings_{war,20yr} \\ = Cost_{war,total} \times 1.16 \\ = \$11.4T \times 1.16 \\ = \$13.2T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,total} \\ = Cost_{war,direct} + Cost_{war,indirect} \\ = \$7.66T + \$3.7T \\ = \$11.4T \end{gathered} \] where: \[ \begin{gathered} Cost_{war,direct} \\ = Loss_{life,conflict} + Damage_{infra,total} \\ + Disruption_{trade} + Spending_{mil} \\ = \$2.45T + \$1.88T + \$616B + \$2.72T \\ = \$7.66T \end{gathered} \] where: \[ \begin{gathered} Loss_{life,conflict} \\ = Cost_{combat,human} + Cost_{state,human} \\ + Cost_{terror,human} \\ = \$2.34T + \$27B + \$83B \\ = \$2.45T \end{gathered} \] where: \[ \begin{gathered} Cost_{combat,human} \\ = Deaths_{combat} \times VSL \\ = 234{,}000 \times \$10M \\ = \$2.34T \end{gathered} \] where: \[ \begin{gathered} Cost_{state,human} \\ = Deaths_{state} \times VSL \\ = 2{,}700 \times \$10M \\ = \$27B \end{gathered} \] where: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] where: \[ \begin{gathered} Disruption_{trade} \\ = Disruption_{currency} + Disruption_{energy} \\ + Disruption_{shipping} + Disruption_{supply} \\ = \$57.4B + \$125B + \$247B + \$187B \\ = \$616B \end{gathered} \] where: \[ \begin{gathered} Cost_{war,indirect} \\ = Damage_{env} + Loss_{growth,mil} + Loss_{capital,conflict} \\ + Cost_{psych} + Cost_{refugee} + Cost_{vet} \\ = \$100B + \$2.72T + \$300B + \$232B + \$150B + \$200B \\ = \$3.7T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for War Costs Saved via Peace Trajectory (20yr)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Cost of War Worldwide (USD/year) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: War Costs Saved via Peace Trajectory (20yr) (10,000 simulations)

Monte Carlo Distribution: War Costs Saved via Peace Trajectory (20yr) (10,000 simulations)

Simulation Results Summary: War Costs Saved via Peace Trajectory (20yr)

Statistic Value
Baseline (deterministic) $13.2T
Mean (expected value) $13.1T
Median (50th percentile) $13T
Standard Deviation $1.76T
90% Range (5th-95th percentile) [$10.5T, $16.3T]

The histogram shows the distribution of War Costs Saved via Peace Trajectory (20yr) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: War Costs Saved via Peace Trajectory (20yr)

Probability of Exceeding Threshold: War Costs Saved via Peace Trajectory (20yr)

This exceedance probability chart shows the likelihood that War Costs Saved via Peace Trajectory (20yr) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Global Patients Willing to Participate in Clinical Trials: 1.08 billion people

Global chronic disease patients willing to participate in trials (2.4B × 44.8%)

Inputs:

\[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \]

~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Global Patients Willing to Participate in Clinical Trials

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Population with Chronic Diseases (people) 1.1065 Strong driver
Patient Willingness to Participate in Clinical Trials (percentage) -0.1072 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Global Patients Willing to Participate in Clinical Trials (10,000 simulations)

Monte Carlo Distribution: Global Patients Willing to Participate in Clinical Trials (10,000 simulations)

Simulation Results Summary: Global Patients Willing to Participate in Clinical Trials

Statistic Value
Baseline (deterministic) 1.08 billion
Mean (expected value) 1.08 billion
Median (50th percentile) 1.07 billion
Standard Deviation 145 million
90% Range (5th-95th percentile) [843 million, 1.34 billion]

The histogram shows the distribution of Global Patients Willing to Participate in Clinical Trials across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Global Patients Willing to Participate in Clinical Trials

Probability of Exceeding Threshold: Global Patients Willing to Participate in Clinical Trials

This exceedance probability chart shows the likelihood that Global Patients Willing to Participate in Clinical Trials will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Disease Cure Fraction (15yr, Full Implementation): 100%

Wishonia disease-cure fraction over 15 years under full implementation. Uses full trial-capacity scaling and applies an upper bound of 100% of untreated disease classes.

Inputs:

\[ \begin{gathered} f_{cure,15,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 15}{D_{untreated}}\right) \end{gathered} \]

✓ High confidence

Wishonia Disease Cure Fraction (20yr, Full Implementation): 100%

Wishonia disease-cure fraction over 20 years under full implementation. Uses full trial-capacity scaling and applies an upper bound of 100% of untreated disease classes.

Inputs:

\[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \]

✓ High confidence

Wishonia HALE Gain at Year 15: 15.7 years

HALE improvement at year 15 under Wishonia Trajectory. Full implementation cures a larger fraction of diseases, closing more of the HALE gap.

Inputs:

\[ \Delta HALE_{wish,15} = f_{cure,15,wish} \cdot \Delta_{HALE} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia HALE Gain at Year 15

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Life Expectancy (2024) (years) 4.0111 Strong driver
Global Healthy Life Expectancy (HALE) (years) -3.0122 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia HALE Gain at Year 15 (10,000 simulations)

Monte Carlo Distribution: Wishonia HALE Gain at Year 15 (10,000 simulations)

Simulation Results Summary: Wishonia HALE Gain at Year 15

Statistic Value
Baseline (deterministic) 15.7
Mean (expected value) 15.7
Median (50th percentile) 15.7
Standard Deviation 0.501
90% Range (5th-95th percentile) [14.9, 16.5]

The histogram shows the distribution of Wishonia HALE Gain at Year 15 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia HALE Gain at Year 15

Probability of Exceeding Threshold: Wishonia HALE Gain at Year 15

This exceedance probability chart shows the likelihood that Wishonia HALE Gain at Year 15 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Military Reallocation Physical Max Share: 87.6%

Maximum physically demonstrated military reallocation share, anchored to post-WW2 US demobilization.

Inputs:

\[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] ✓ High confidence

Wishonia Projected HALE at Year 15: 79 years

Projected global HALE at year 15 under Wishonia Trajectory. Full implementation closes the entire disease gap, pushing HALE toward life expectancy.

Inputs:

\[ HALE_{wish,15} = HALE_0 + \Delta HALE_{wish,15} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Projected HALE at Year 15

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Global Healthy Life Expectancy (HALE) (years) 0.7510 Strong driver
Wishonia HALE Gain at Year 15 (years) 0.2493 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Projected HALE at Year 15 (10,000 simulations)

Monte Carlo Distribution: Wishonia Projected HALE at Year 15 (10,000 simulations)

Simulation Results Summary: Wishonia Projected HALE at Year 15

Statistic Value
Baseline (deterministic) 79
Mean (expected value) 79
Median (50th percentile) 79
Standard Deviation 2.01
90% Range (5th-95th percentile) [75.7, 82.3]

The histogram shows the distribution of Wishonia Projected HALE at Year 15 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Projected HALE at Year 15

Probability of Exceeding Threshold: Wishonia Projected HALE at Year 15

This exceedance probability chart shows the likelihood that Wishonia Projected HALE at Year 15 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory Average Income at Year 15: $504K

Average income (GDP per capita) at year 15 under the Wishonia Trajectory.

Inputs:

\[ \bar{y}_{wish,15} = \frac{GDP_{wish,15}}{Pop_{2040}} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory Average Income at Year 15

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory GDP at Year 15 (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory Average Income at Year 15 (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory Average Income at Year 15 (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory Average Income at Year 15

Statistic Value
Baseline (deterministic) $504K
Mean (expected value) $690K
Median (50th percentile) $501K
Standard Deviation $536K
90% Range (5th-95th percentile) [$234K, $1.87M]

The histogram shows the distribution of Wishonia Trajectory Average Income at Year 15 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory Average Income at Year 15

Probability of Exceeding Threshold: Wishonia Trajectory Average Income at Year 15

This exceedance probability chart shows the likelihood that Wishonia Trajectory Average Income at Year 15 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory Average Income at Year 20: $1.16M

Average income (GDP per capita) at year 20 under the Wishonia Trajectory.

Inputs:

\[ \bar{y}_{wish,20} = \frac{GDP_{wish,20}}{Pop_{2045}} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory Average Income at Year 20

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory GDP at Year 20 (USD) 1.0000 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory Average Income at Year 20 (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory Average Income at Year 20 (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory Average Income at Year 20

Statistic Value
Baseline (deterministic) $1.16M
Mean (expected value) $1.87M
Median (50th percentile) $1.15M
Standard Deviation $1.98M
90% Range (5th-95th percentile) [$395K, $6.22M]

The histogram shows the distribution of Wishonia Trajectory Average Income at Year 20 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory Average Income at Year 20

Probability of Exceeding Threshold: Wishonia Trajectory Average Income at Year 20

This exceedance probability chart shows the likelihood that Wishonia Trajectory Average Income at Year 20 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory CAGR (20 Years): 25.4%

Compound annual growth rate implied by Wishonia Trajectory GDP trajectory over 20 years.

Inputs:

\[ \begin{gathered} g_{wish,CAGR} \\ = \left(\frac{GDP_{wish,20}}{GDP_0}\right)^{1/20} - 1 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory CAGR (20 Years)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory GDP at Year 20 (USD) 0.9015 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory CAGR (20 Years) (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory CAGR (20 Years) (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory CAGR (20 Years)

Statistic Value
Baseline (deterministic) 25.4%
Mean (expected value) 26.2%
Median (50th percentile) 25.4%
Standard Deviation 5.17%
90% Range (5th-95th percentile) [18.8%, 36.4%]

The histogram shows the distribution of Wishonia Trajectory CAGR (20 Years) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory CAGR (20 Years)

Probability of Exceeding Threshold: Wishonia Trajectory CAGR (20 Years)

This exceedance probability chart shows the likelihood that Wishonia Trajectory CAGR (20 Years) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory Cumulative Lifetime Income (Per Capita): $53.3M

Cumulative per-capita income over an average remaining lifespan under Wishonia Trajectory. Uses implied per-capita CAGR for years 1-20, then baseline growth from the year-20 level. Conservative: assumes no further acceleration beyond year 20.

Inputs:

\[ \begin{gathered} Y_{cum,wish} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc,wish})((1+g_{pc,wish})^{20}-1)}{g_{pc,wish}} \\ + \bar{y}_{wish,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory Cumulative Lifetime Income (Per Capita)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory Average Income at Year 20 (USD) 1.0282 Strong driver
Global Average Income (2025 Baseline) (USD) 0.2388 Weak driver
Average Remaining Years (Median Person) (years) 0.1987 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory Cumulative Lifetime Income (Per Capita) (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory Cumulative Lifetime Income (Per Capita) (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory Cumulative Lifetime Income (Per Capita)

Statistic Value
Baseline (deterministic) $53.3M
Mean (expected value) $91.7M
Median (50th percentile) $52.8M
Standard Deviation $107M
90% Range (5th-95th percentile) [$16.3M, $317M]

The histogram shows the distribution of Wishonia Trajectory Cumulative Lifetime Income (Per Capita) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory Cumulative Lifetime Income (Per Capita)

Probability of Exceeding Threshold: Wishonia Trajectory Cumulative Lifetime Income (Per Capita)

This exceedance probability chart shows the likelihood that Wishonia Trajectory Cumulative Lifetime Income (Per Capita) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15): 26.9x

Wishonia Trajectory GDP at year 15 as a multiple of current trajectory GDP at year 15.

Inputs:

\[ \begin{gathered} k_{wish:base,15} \\ = \frac{GDP_{wish,15}}{GDP_{base,15}} \\ = \frac{\$4480T}{\$167T} \\ = 26.9 \end{gathered} \] where: \[ GDP_{wish,15}=GDP_0(1+g_{ramp})^3(1+g_{full})^{12} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,15,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 15}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ GDP_{base,15} = GDP_0(1+g_{base})^{15} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory GDP at Year 15 (USD) 1.0000 Strong driver
Current Trajectory GDP at Year 15 (USD) -0.0000 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15) (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15) (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15)

Statistic Value
Baseline (deterministic) 26.9x
Mean (expected value) 36.9x
Median (50th percentile) 26.8x
Standard Deviation 28.6x
90% Range (5th-95th percentile) [12.5x, 100x]

The histogram shows the distribution of Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15)

Probability of Exceeding Threshold: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15)

This exceedance probability chart shows the likelihood that Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 15) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20): 56.7x

Wishonia Trajectory GDP at year 20 as a multiple of current trajectory GDP at year 20.

Inputs:

\[ \begin{gathered} k_{wish:base,20} \\ = \frac{GDP_{wish,20}}{GDP_{base,20}} \\ = \frac{\$10700T}{\$188T} \\ = 56.7 \end{gathered} \] where: \[ GDP_{wish,20}=GDP_0(1+g_{ramp})^3(1+g_{full})^{17} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory GDP at Year 20 (USD) 1.0000 Strong driver
Current Trajectory GDP at Year 20 (USD) 0.0000 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20) (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20) (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20)

Statistic Value
Baseline (deterministic) 56.7x
Mean (expected value) 91.5x
Median (50th percentile) 56.2x
Standard Deviation 96.6x
90% Range (5th-95th percentile) [19.3x, 304x]

The histogram shows the distribution of Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20)

Probability of Exceeding Threshold: Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20)

This exceedance probability chart shows the likelihood that Wishonia Trajectory vs Current Trajectory GDP Multiplier (Year 20) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory GDP at Year 15: $4.48 quadrillion

Projected global GDP at year 15 under the Wishonia Trajectory. Applies all Wishonia policy channels including military reallocation, disease-burden recovery, and Political Dysfunction Tax elimination. 3-year ramp at 50% intensity + 12 years full.

Inputs:

\[ GDP_{wish,15}=GDP_0(1+g_{ramp})^3(1+g_{full})^{12} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory GDP at Year 15

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
R&D Spillover Multiplier (x) 0.9688 Strong driver
Global Science Opportunity Cost (USD) 0.6583 Strong driver
Global Migration Opportunity Cost (USD) 0.6124 Strong driver
Economic Multiplier for Healthcare Investment (x) -0.5906 Strong driver
Economic Multiplier for Military Spending (x) -0.3372 Moderate driver
GDP Growth Boost at 30% Military Reallocation (rate) -0.1451 Weak driver
Global Lead Poisoning Cost (USD) -0.1302 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory GDP at Year 15 (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory GDP at Year 15 (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory GDP at Year 15

Statistic Value
Baseline (deterministic) $4.48 quadrillion
Mean (expected value) $6.14 quadrillion
Median (50th percentile) $4.46 quadrillion
Standard Deviation $4.77 quadrillion
90% Range (5th-95th percentile) [$2.08 quadrillion, $16.7 quadrillion]

The histogram shows the distribution of Wishonia Trajectory GDP at Year 15 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory GDP at Year 15

Probability of Exceeding Threshold: Wishonia Trajectory GDP at Year 15

This exceedance probability chart shows the likelihood that Wishonia Trajectory GDP at Year 15 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory GDP at Year 20: $10.7 quadrillion

Projected global GDP at year 20 under the Wishonia Trajectory. Model applies all Wishonia policy channels and redirects the full Political Dysfunction Tax non-health opportunity pool to highest-marginal-value uses. Health recovery is modeled separately through disease burden removal to avoid overlap. Military and non-health reallocation effects are ramped at 50% intensity for the first 3 years, then 100% for years 4-20, reflecting implementation lag. Military reallocation uses a physically demonstrated upper bound (post-WW2 demobilization) rather than an arbitrary policy cap.

Inputs:

\[ GDP_{wish,20}=GDP_0(1+g_{ramp})^3(1+g_{full})^{17} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory GDP at Year 20

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Economic Multiplier for Healthcare Investment (x) -1.7151 Strong driver
R&D Spillover Multiplier (x) 1.3750 Strong driver
Global Science Opportunity Cost (USD) 0.9398 Strong driver
Global Migration Opportunity Cost (USD) 0.6829 Strong driver
GDP Growth Boost at 30% Military Reallocation (rate) -0.3425 Moderate driver
Global Lead Poisoning Cost (USD) 0.2431 Weak driver
Economic Multiplier for Military Spending (x) -0.1554 Weak driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory GDP at Year 20 (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory GDP at Year 20 (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory GDP at Year 20

Statistic Value
Baseline (deterministic) $10.7 quadrillion
Mean (expected value) $17.2 quadrillion
Median (50th percentile) $10.6 quadrillion
Standard Deviation $18.2 quadrillion
90% Range (5th-95th percentile) [$3.64 quadrillion, $57.2 quadrillion]

The histogram shows the distribution of Wishonia Trajectory GDP at Year 20 across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory GDP at Year 20

Probability of Exceeding Threshold: Wishonia Trajectory GDP at Year 20

This exceedance probability chart shows the likelihood that Wishonia Trajectory GDP at Year 20 will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory Lifetime Income Gain (Per Capita): $52.1M

Lifetime per-capita income gain from Wishonia Trajectory vs current trajectory. Cumulative Wishonia income minus cumulative current trajectory income over average remaining lifespan.

Inputs:

\[ \begin{gathered} \Delta Y_{lifetime,wish} \\ = Y_{cum,wish} - Y_{cum,earth} \\ = \$53.3M - \$1.18M \\ = \$52.1M \end{gathered} \] where: \[ \begin{gathered} Y_{cum,wish} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc,wish})((1+g_{pc,wish})^{20}-1)}{g_{pc,wish}} \\ + \bar{y}_{wish,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] where: \[ \bar{y}_{wish,20} = \frac{GDP_{wish,20}}{Pop_{2045}} \] where: \[ GDP_{wish,20}=GDP_0(1+g_{ramp})^3(1+g_{full})^{17} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory Lifetime Income Gain (Per Capita)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory Cumulative Lifetime Income (Per Capita) (USD) 1.0006 Strong driver
Current Trajectory Cumulative Lifetime Income (Per Capita) (USD) -0.0008 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory Lifetime Income Gain (Per Capita) (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory Lifetime Income Gain (Per Capita) (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory Lifetime Income Gain (Per Capita)

Statistic Value
Baseline (deterministic) $52.1M
Mean (expected value) $90.5M
Median (50th percentile) $51.6M
Standard Deviation $107M
90% Range (5th-95th percentile) [$15.3M, $316M]

The histogram shows the distribution of Wishonia Trajectory Lifetime Income Gain (Per Capita) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory Lifetime Income Gain (Per Capita)

Probability of Exceeding Threshold: Wishonia Trajectory Lifetime Income Gain (Per Capita)

This exceedance probability chart shows the likelihood that Wishonia Trajectory Lifetime Income Gain (Per Capita) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory Lifetime Income Multiplier: 45x

Ratio of cumulative lifetime income under Wishonia Trajectory vs current trajectory. Income-agnostic: applies as a multiplier to any individual’s lifetime earnings.

Inputs:

\[ \begin{gathered} k_{lifetime,wish:earth} \\ = \frac{Y_{cum,wish}}{Y_{cum,earth}} \\ = \frac{\$53.3M}{\$1.18M} \\ = 45 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,wish} \\ = \bar{y}_0 \cdot \frac{(1+g_{pc,wish})((1+g_{pc,wish})^{20}-1)}{g_{pc,wish}} \\ + \bar{y}_{wish,20} \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}-20}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{0} \\ = \frac{GDP_{global}}{Pop_{global}} \\ = \frac{\$115T}{8B} \\ = \$14.4K \end{gathered} \] where: \[ \bar{y}_{wish,20} = \frac{GDP_{wish,20}}{Pop_{2045}} \] where: \[ GDP_{wish,20}=GDP_0(1+g_{ramp})^3(1+g_{full})^{17} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} T_{remaining} \\ = LE_{global} - Age_{median} \\ = 79 - 30.5 \\ = 48.5 \end{gathered} \] where: \[ \begin{gathered} Y_{cum,earth} \\ = \bar{y}_0 \cdot \frac{(1+g_{base})((1+g_{base})^{T_{remaining}}-1)}{g_{base}} \end{gathered} \] where: \[ \begin{gathered} \bar{y}_{base,20} \\ = \frac{GDP_{base,20}}{Pop_{2045}} \\ = \frac{\$188T}{9.2B} \\ = \$20.5K \end{gathered} \] where: \[ GDP_{base,20} = GDP_0(1+g_{base})^{20} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory Lifetime Income Multiplier

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory Cumulative Lifetime Income (Per Capita) (USD) 0.9680 Strong driver
Current Trajectory Cumulative Lifetime Income (Per Capita) (USD) 0.0378 Minimal effect

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory Lifetime Income Multiplier (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory Lifetime Income Multiplier (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory Lifetime Income Multiplier

Statistic Value
Baseline (deterministic) 45x
Mean (expected value) 72.8x
Median (50th percentile) 44.6x
Standard Deviation 77.5x
90% Range (5th-95th percentile) [15.3x, 242x]

The histogram shows the distribution of Wishonia Trajectory Lifetime Income Multiplier across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory Lifetime Income Multiplier

Probability of Exceeding Threshold: Wishonia Trajectory Lifetime Income Multiplier

This exceedance probability chart shows the likelihood that Wishonia Trajectory Lifetime Income Multiplier will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20): 3.43x

Year-20 GDP multiplier from adding non-health dysfunction-capital reallocation on top of the Treaty Trajectory channels.

Inputs:

\[ \begin{gathered} k_{wish,full:core,20} \\ = \frac{GDP_{wish,20}}{GDP_{treaty,20}} \\ = \frac{\$10700T}{\$3110T} \\ = 3.43 \end{gathered} \] where: \[ GDP_{wish,20}=GDP_0(1+g_{ramp})^3(1+g_{full})^{17} \] where: \[ s_{mil,max} = Cut_{WW2} = 87.6\% = 87.6\% \] where: \[ \begin{gathered} Cut_{WW2} \\ = 1 - \frac{Spending_{US,1947}}{Spending_{US,1945}} \\ = 1 - \frac{\$176B}{\$1.42T} \\ = 87.6\% \end{gathered} \] where: \[ \begin{gathered} f_{cure,20,wish} \\ = \min\left(1,\frac{Treatments_{new,ann}\cdot k_{capacity,wish}\cdot 20}{D_{untreated}}\right) \end{gathered} \] where: \[ \begin{gathered} k_{capacity} \\ = \frac{N_{fundable,dFDA}}{Slots_{curr}} \\ = \frac{23.4M}{1.9M} \\ = 12.3 \end{gathered} \] where: \[ \begin{gathered} N_{fundable,dFDA} \\ = \frac{Subsidies_{dFDA,ann}}{Cost_{pragmatic,pt}} \\ = \frac{\$21.8B}{\$929} \\ = 23.4M \end{gathered} \] where: \[ \begin{gathered} Subsidies_{dFDA,ann} \\ = Funding_{dFDA,ann} - OPEX_{dFDA} \\ = \$21.8B - \$40M \\ = \$21.8B \end{gathered} \] where: \[ \begin{gathered} OPEX_{dFDA} \\ = Cost_{platform} + Cost_{staff} + Cost_{infra} \\ + Cost_{regulatory} + Cost_{community} \\ = \$15M + \$10M + \$8M + \$5M + \$2M \\ = \$40M \end{gathered} \] where: \[ \begin{gathered} k_{capacity,max} \\ = \frac{N_{willing}}{Slots_{curr}} \\ = \frac{1.08B}{1.9M} \\ = 566 \end{gathered} \] where: \[ \begin{gathered} N_{willing} \\ = N_{patients} \times Pct_{willing} \\ = 2.4B \times 44.8\% \\ = 1.08B \end{gathered} \] where: \[ \begin{gathered} N_{untreated} \\ = N_{rare} \times 0.95 \\ = 7{,}000 \times 0.95 \\ = 6{,}650 \end{gathered} \] where: \[ \begin{gathered} GDP_{treaty,20} \\ = GDP_0(1+g_{treaty,ramp})^3(1+g_{treaty,full})^{17} \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20)

Regression-based sensitivity showing which inputs explain the most variance in the output.

Input Parameter Sensitivity Coefficient Interpretation
Wishonia Trajectory GDP at Year 20 (USD) 2.1501 Strong driver
Treaty Trajectory GDP at Year 20 (USD) -1.2244 Strong driver

Interpretation: Standardized coefficients show the change in output (in SD units) per 1 SD change in input. Values near ±1 indicate strong influence; values exceeding ±1 may occur with correlated inputs.

Monte Carlo Distribution

Monte Carlo Distribution: Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20) (10,000 simulations)

Monte Carlo Distribution: Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20) (10,000 simulations)

Simulation Results Summary: Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20)

Statistic Value
Baseline (deterministic) 3.43x
Mean (expected value) 3.73x
Median (50th percentile) 3.58x
Standard Deviation 0.429x
90% Range (5th-95th percentile) [3.41x, 4.68x]

The histogram shows the distribution of Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20) across 10,000 Monte Carlo simulations. The CDF (right) shows the probability of the outcome exceeding any given value, which is useful for risk assessment.

Exceedance Probability

Probability of Exceeding Threshold: Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20)

Probability of Exceeding Threshold: Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20)

This exceedance probability chart shows the likelihood that Wishonia Trajectory vs Treaty Trajectory GDP Multiplier (Year 20) will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

External Data Sources

Parameters sourced from peer-reviewed publications, institutional databases, and authoritative reports.

ADAPTABLE Trial Cost per Patient: $929

Cost per patient in ADAPTABLE trial ($14M PCORI grant / 15,076 patients). Note: This is the direct grant cost; true cost including in-kind may be 10-40% higher.

Source:1

Uncertainty Range

Technical: 95% CI: [$929, $1.4K] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $929 and $1.4K (±25%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: ADAPTABLE Trial Cost per Patient

Probability Distribution: ADAPTABLE Trial Cost per Patient

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

ADAPTABLE Trial Total Cost: $14M

PCORI grant for ADAPTABLE trial (2016-2019). Note: Direct funding only; total costs including site overhead and in-kind contributions from health systems may be higher.

Source:1

Uncertainty Range

Technical: 95% CI: [$14M, $20M] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $14M and $20M (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: ADAPTABLE Trial Total Cost

Probability Distribution: ADAPTABLE Trial Total Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Antidepressant Trial Exclusion Rate: 86.1%

Mean exclusion rate in antidepressant trials (86.1% of real-world patients excluded)

Source:2

✓ High confidence

Average Annual Stock Market Return: 10%

Average annual stock market return (10%)

Source:3

✓ High confidence

Bed Nets Cost per DALY: $89

GiveWell cost per DALY for insecticide-treated bed nets (midpoint estimate, range $78-100). DALYs (Disability-Adjusted Life Years) measure disease burden by combining years of life lost and years lived with disability. Bed nets prevent malaria deaths and are considered a gold standard benchmark for cost-effective global health interventions - if an intervention costs less per DALY than bed nets, it’s exceptionally cost-effective. GiveWell synthesizes peer-reviewed academic research with transparent, rigorous methodology and extensive external expert review.

Source:5

Uncertainty Range

Technical: 95% CI: [$78, $100] • Distribution: Normal

What this means: This estimate has moderate uncertainty. The true value likely falls between $78 and $100 (±12%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Bed Nets Cost per DALY

Probability Distribution: Bed Nets Cost per DALY

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

Global Billionaire Count: 2.78 thousand people

Number of billionaires globally (Forbes 2024 count)

Source:7

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Estimated Annual Global Economic Benefit from Childhood Vaccination Programs: $15B

Estimated annual global economic benefit from childhood vaccination programs (measles, polio, etc.)

Source:8

Uncertainty Range

Technical: Distribution: Lognormal (SE: $4.5B)

Input Distribution

Probability Distribution: Estimated Annual Global Economic Benefit from Childhood Vaccination Programs

Probability Distribution: Estimated Annual Global Economic Benefit from Childhood Vaccination Programs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Return on Investment from Childhood Vaccination Programs: 13:1

Return on investment from childhood vaccination programs

Source:9

✓ High confidence

Disability Weight for Untreated Chronic Conditions: 0.35 weight

Disability weight for untreated chronic conditions (WHO Global Burden of Disease)

Source:4

Uncertainty Range

Technical: Distribution: Normal (SE: 0.07 weight)

Input Distribution

Probability Distribution: Disability Weight for Untreated Chronic Conditions

Probability Distribution: Disability Weight for Untreated Chronic Conditions

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence • 📊 Peer-reviewed

CPI Multiplier: 1980 to 2024: 3.8:1

CPI inflation multiplier from 1980 to 2024 (280.48% cumulative inflation)

Source:10

Uncertainty Range

Technical: 95% CI: [3.75:1, 3.85:1] • Distribution: Normal

What this means: We’re quite confident in this estimate. The true value likely falls between 3.75:1 and 3.85:1 (±1%). This represents a narrow range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: CPI Multiplier: 1980 to 2024

Probability Distribution: CPI Multiplier: 1980 to 2024

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Current Active Trials at Any Given Time: 10 thousand trials

Current active trials at any given time (3-5 year duration)

Source:11

✓ High confidence

Current Clinical Trial Participation Rate: 0.06%

Current clinical trial participation rate (0.06% of population)

Source:12

✓ High confidence

Global Population with Chronic Diseases: 2.4 billion people

Global population with chronic diseases

Source:13

Uncertainty Range

Technical: 95% CI: [2 billion people, 2.8 billion people] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 2 billion people and 2.8 billion people (±17%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Global Population with Chronic Diseases

Probability Distribution: Global Population with Chronic Diseases

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Average Annual New Drug Approvals Globally: 50 drugs/year

Average annual new drug approvals globally

Source:14

Uncertainty Range

Technical: 95% CI: [45 drugs/year, 60 drugs/year] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 45 drugs/year and 60 drugs/year (±15%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Average Annual New Drug Approvals Globally

Probability Distribution: Average Annual New Drug Approvals Globally

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Current Global Clinical Trials per Year: 3.3 thousand trials/year

Current global clinical trials per year

Source:17

Uncertainty Range

Technical: 95% CI: [2.64 thousand trials/year, 3.96 thousand trials/year] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 2.64 thousand trials/year and 3.96 thousand trials/year (±20%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Current Global Clinical Trials per Year

Probability Distribution: Current Global Clinical Trials per Year

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Current Trial Abandonment Rate: 40%

Current trial abandonment rate (40% never complete)

Source:15

✓ High confidence

Annual Global Clinical Trial Participants: 1.9 million patients/year

Annual global clinical trial participants (IQVIA 2022: 1.9M post-COVID normalization)

Source:16

Uncertainty Range

Technical: 95% CI: [1.5 million patients/year, 2.3 million patients/year] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 1.5 million patients/year and 2.3 million patients/year (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Global Clinical Trial Participants

Probability Distribution: Annual Global Clinical Trial Participants

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Defense Industry Lobbying Spending: $127M

Annual defense industry lobbying spending

Source:18

Uncertainty Range

Technical: 95% CI: [$100M, $160M]

What this means: This estimate has moderate uncertainty. The true value likely falls between $100M and $160M (±24%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Annual Defense Industry Lobbying Spending

Probability Distribution: Annual Defense Industry Lobbying Spending

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed • Updated 2024

Deworming Cost per DALY: $55

Cost per DALY for deworming programs (range $28-82, midpoint estimate). GiveWell notes this 2011 estimate is outdated and their current methodology focuses on long-term income effects rather than short-term health DALYs.

Source:19

? Low confidence

dFDA Pragmatic Trial Cost per Patient: $929

dFDA pragmatic trial cost per patient. Uses ADAPTABLE trial ($929) as DELIBERATELY CONSERVATIVE central estimate. Ramsberg & Platt (2018) reviewed 108 embedded pragmatic trials; 64 with cost data had median of only $97/patient - our estimate may overstate costs by 10x. Confidence interval spans meta-analysis median to complex chronic disease trials.

Source:1

Uncertainty Range

Technical: 95% CI: [$97, $3K] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $97 and $3K (±156%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: dFDA Pragmatic Trial Cost per Patient

Probability Distribution: dFDA Pragmatic Trial Cost per Patient

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Disease Burden as % of GDP: 13%

Fraction of GDP currently lost to disease (productivity losses + medical costs diverted from productive use). $5T productivity loss + $9.9T direct medical costs = $14.9T on $115T GDP = ~13%. As diseases are progressively cured, this drag is recovered as GDP growth. This is the missing factor that makes the treaty trajectory look like a singularity rather than a modest improvement.

Source:20

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

DOT VSL: $13.7M

DOT Value of Statistical Life (2024). Used by federal agencies to evaluate safety regulations and quantify the economic value of mortality risk reductions.

Source:21

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Drug Development Cost (1980s): $194M

Drug development cost in 1980s (compounded to approval, 1990 dollars)

Source:22

Uncertainty Range

Technical: 95% CI: [$146M, $242M] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $146M and $242M (±25%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Drug Development Cost (1980s)

Probability Distribution: Drug Development Cost (1980s)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Drug Discovery to Approval Timeline: 14 years

Full drug development timeline from discovery to FDA approval. Typical range is 12-15 years based on BIO 2021 and PMC meta-analyses. Breakdown: preclinical 4-6 years + clinical 10.5 years. Using 14 years as central estimate.

Source:23

Uncertainty Range

Technical: 95% CI: [12 years, 17 years]

What this means: This estimate has moderate uncertainty. The true value likely falls between 12 years and 17 years (±18%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Drug Discovery to Approval Timeline

Probability Distribution: Drug Discovery to Approval Timeline

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Drug Repurposing Success Rate: 30%

Percentage of drugs that gain at least one new indication after initial approval

Source:24

✓ High confidence

Economic Multiplier for Education Investment: 2.1x

Economic multiplier for education investment (2.1x ROI)

Source:25

✓ High confidence

Economic Multiplier for Healthcare Investment: 4.3x

Economic multiplier for healthcare investment (4.3x ROI). Literature range 3.0-6.0×.

Source:26

Uncertainty Range

Technical: 95% CI: [3x, 6x] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 3x and 6x (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Economic Multiplier for Healthcare Investment

Probability Distribution: Economic Multiplier for Healthcare Investment

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Economic Multiplier for Infrastructure Investment: 1.6x

Economic multiplier for infrastructure investment (1.6x ROI)

Source:27

✓ High confidence

Economic Multiplier for Military Spending: 0.6x

Economic multiplier for military spending (0.6x ROI). Literature range 0.4-1.0×.

Source:28

Uncertainty Range

Technical: 95% CI: [0.4x, 0.9x] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 0.4x and 0.9x (±42%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Economic Multiplier for Military Spending

Probability Distribution: Economic Multiplier for Military Spending

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Regulatory Delay for Efficacy Testing Post-Safety Verification: 8.2 years

Regulatory delay for efficacy testing (Phase II/III) post-safety verification. Based on BIO 2021 industry survey. Note: This is for drugs that COMPLETE the pipeline - survivor bias means actual delay for any given disease may be longer if candidates fail and must restart.

Source:23

Uncertainty Range

Technical: Distribution: Normal (SE: 2 years)

Input Distribution

Probability Distribution: Regulatory Delay for Efficacy Testing Post-Safety Verification

Probability Distribution: Regulatory Delay for Efficacy Testing Post-Safety Verification

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence • 📊 Peer-reviewed • Updated 2021

FDA-Approved Drug Products: 20 thousand products

Total FDA-approved drug products in the U.S.

Source:29

✓ High confidence

FDA-Approved Unique Active Ingredients: 1.65 thousand compounds

Unique active pharmaceutical ingredients in FDA-approved products (midpoint of 1,300-2,000 range)

Source:29

Uncertainty Range

Technical: 95% CI: [1.3 thousand compounds, 2 thousand compounds] • Distribution: Uniform

What this means: This estimate has moderate uncertainty. The true value likely falls between 1.3 thousand compounds and 2 thousand compounds (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: FDA-Approved Unique Active Ingredients

Probability Distribution: FDA-Approved Unique Active Ingredients

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

FDA GRAS Substances: 635 substances

FDA Generally Recognized as Safe (GRAS) substances (midpoint of 570-700 range)

Source:30

Uncertainty Range

Technical: 95% CI: [570 substances, 700 substances] • Distribution: Uniform

What this means: This estimate has moderate uncertainty. The true value likely falls between 570 substances and 700 substances (±10%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: FDA GRAS Substances

Probability Distribution: FDA GRAS Substances

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

FDA Phase 1 to Approval Timeline: 10.5 years

FDA timeline from Phase 1 start to approval. Derived from BIO 2021 industry survey: Phase 1 (2.3 years) + efficacy lag (8.2 years) = 10.5 years. Consistent with PMC meta-analysis finding 9.1 years median (95% CI: 8.2-10.0).

Source:23

Uncertainty Range

Technical: 95% CI: [6 years, 12 years] • Distribution: Gamma (SE: 2 years)

What this means: There’s significant uncertainty here. The true value likely falls between 6 years and 12 years (±29%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The gamma distribution means values follow a specific statistical pattern.

Input Distribution

Probability Distribution: FDA Phase 1 to Approval Timeline

Probability Distribution: FDA Phase 1 to Approval Timeline

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Givewell Cost per Life Saved (Maximum): $5.5K

GiveWell cost per life saved (Against Malaria Foundation)

Source:5

✓ High confidence

Givewell Cost per Life Saved (Minimum): $3.5K

GiveWell cost per life saved (Helen Keller International)

Source:5

✓ High confidence

Annual Deaths from Active Combat Worldwide: 234 thousand deaths/year

Annual deaths from active combat worldwide

Source:31

Uncertainty Range

Technical: 95% CI: [180 thousand deaths/year, 300 thousand deaths/year] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 180 thousand deaths/year and 300 thousand deaths/year (±26%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Deaths from Active Combat Worldwide

Probability Distribution: Annual Deaths from Active Combat Worldwide

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Deaths from State Violence: 2.7 thousand deaths/year

Annual deaths from state violence

Source:32

Uncertainty Range

Technical: 95% CI: [1.5 thousand deaths/year, 5 thousand deaths/year] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 1.5 thousand deaths/year and 5 thousand deaths/year (±65%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Deaths from State Violence

Probability Distribution: Annual Deaths from State Violence

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Deaths from Terror Attacks Globally: 8.3 thousand deaths/year

Annual deaths from terror attacks globally

Source:33

Uncertainty Range

Technical: 95% CI: [6 thousand deaths/year, 12 thousand deaths/year] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 6 thousand deaths/year and 12 thousand deaths/year (±36%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Deaths from Terror Attacks Globally

Probability Distribution: Annual Deaths from Terror Attacks Globally

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Annual DALY Burden: 2.88 billion DALYs/year

Global annual DALY burden from all diseases and injuries (WHO/IHME Global Burden of Disease 2021). Includes both YLL (years of life lost) and YLD (years lived with disability) from all causes.

Source:34

Uncertainty Range

Technical: Distribution: Normal (SE: 150 million DALYs/year)

Input Distribution

Probability Distribution: Global Annual DALY Burden

Probability Distribution: Global Annual DALY Burden

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

Annual Deaths from All Diseases and Aging Globally: 55 million deaths/year

Annual deaths from all diseases and aging globally

Source:4

Uncertainty Range

Technical: Distribution: Normal (SE: 5 million deaths/year)

Input Distribution

Probability Distribution: Annual Deaths from All Diseases and Aging Globally

Probability Distribution: Annual Deaths from All Diseases and Aging Globally

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Environmental Damage and Restoration Costs from Conflict: $100B

Annual environmental damage and restoration costs from conflict

Source:35

Uncertainty Range

Technical: 95% CI: [$70B, $140B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $70B and $140B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Environmental Damage and Restoration Costs from Conflict

Probability Distribution: Annual Environmental Damage and Restoration Costs from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Infrastructure Damage to Communications from Conflict: $298B

Annual infrastructure damage to communications from conflict

Source:35

Uncertainty Range

Technical: 95% CI: [$209B, $418B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $209B and $418B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Infrastructure Damage to Communications from Conflict

Probability Distribution: Annual Infrastructure Damage to Communications from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Infrastructure Damage to Education Facilities from Conflict: $234B

Annual infrastructure damage to education facilities from conflict

Source:35

Uncertainty Range

Technical: 95% CI: [$164B, $328B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $164B and $328B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Infrastructure Damage to Education Facilities from Conflict

Probability Distribution: Annual Infrastructure Damage to Education Facilities from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Infrastructure Damage to Energy Systems from Conflict: $422B

Annual infrastructure damage to energy systems from conflict

Source:35

Uncertainty Range

Technical: 95% CI: [$295B, $590B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $295B and $590B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Infrastructure Damage to Energy Systems from Conflict

Probability Distribution: Annual Infrastructure Damage to Energy Systems from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Infrastructure Damage to Healthcare Facilities from Conflict: $166B

Annual infrastructure damage to healthcare facilities from conflict

Source:35

Uncertainty Range

Technical: 95% CI: [$116B, $232B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $116B and $232B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Infrastructure Damage to Healthcare Facilities from Conflict

Probability Distribution: Annual Infrastructure Damage to Healthcare Facilities from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Infrastructure Damage to Transportation from Conflict: $487B

Annual infrastructure damage to transportation from conflict

Source:35

Uncertainty Range

Technical: 95% CI: [$340B, $680B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $340B and $680B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Infrastructure Damage to Transportation from Conflict

Probability Distribution: Annual Infrastructure Damage to Transportation from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Infrastructure Damage to Water Systems from Conflict: $268B

Annual infrastructure damage to water systems from conflict

Source:35

Uncertainty Range

Technical: 95% CI: [$187B, $375B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $187B and $375B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Infrastructure Damage to Water Systems from Conflict

Probability Distribution: Annual Infrastructure Damage to Water Systems from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Lost Economic Growth from Military Spending Opportunity Cost: $2.72T

Annual foregone economic output from military spending vs productive alternatives. This estimate implicitly captures fiscal multiplier differences (military ~0.6x vs healthcare ~4.3x GDP multiplier). Do not add separate GDP multiplier adjustment to avoid double-counting.

Source:37

Uncertainty Range

Technical: 95% CI: [$1.9T, $3.8T] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $1.9T and $3.8T (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Lost Economic Growth from Military Spending Opportunity Cost

Probability Distribution: Annual Lost Economic Growth from Military Spending Opportunity Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Lost Productivity from Conflict Casualties: $300B

Annual lost productivity from conflict casualties

Source:38

Uncertainty Range

Technical: 95% CI: [$210B, $420B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $210B and $420B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Lost Productivity from Conflict Casualties

Probability Distribution: Annual Lost Productivity from Conflict Casualties

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual PTSD and Mental Health Costs from Conflict: $232B

Annual PTSD and mental health costs from conflict

Source:39

Uncertainty Range

Technical: 95% CI: [$162B, $325B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $162B and $325B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual PTSD and Mental Health Costs from Conflict

Probability Distribution: Annual PTSD and Mental Health Costs from Conflict

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Refugee Support Costs: $150B

Annual refugee support costs (108.4M refugees × $1,384/year)

Source:40

Uncertainty Range

Technical: 95% CI: [$105B, $210B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $105B and $210B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Refugee Support Costs

Probability Distribution: Annual Refugee Support Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Trade Disruption Costs from Currency Instability: $57.4B

Annual trade disruption costs from currency instability

Source:41

Uncertainty Range

Technical: 95% CI: [$40B, $80B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $40B and $80B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Trade Disruption Costs from Currency Instability

Probability Distribution: Annual Trade Disruption Costs from Currency Instability

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Trade Disruption Costs from Energy Price Volatility: $125B

Annual trade disruption costs from energy price volatility

Source:41

Uncertainty Range

Technical: 95% CI: [$87B, $175B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $87B and $175B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Trade Disruption Costs from Energy Price Volatility

Probability Distribution: Annual Trade Disruption Costs from Energy Price Volatility

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Trade Disruption Costs from Shipping Disruptions: $247B

Annual trade disruption costs from shipping disruptions

Source:41

Uncertainty Range

Technical: 95% CI: [$173B, $346B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $173B and $346B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Trade Disruption Costs from Shipping Disruptions

Probability Distribution: Annual Trade Disruption Costs from Shipping Disruptions

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Trade Disruption Costs from Supply Chain Disruptions: $187B

Annual trade disruption costs from supply chain disruptions

Source:41

Uncertainty Range

Technical: 95% CI: [$131B, $262B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $131B and $262B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Trade Disruption Costs from Supply Chain Disruptions

Probability Distribution: Annual Trade Disruption Costs from Supply Chain Disruptions

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Veteran Healthcare Costs: $200B

Annual veteran healthcare costs (20-year projected)

Source:42

Uncertainty Range

Technical: 95% CI: [$140B, $280B] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $140B and $280B (±35%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Veteran Healthcare Costs

Probability Distribution: Annual Veteran Healthcare Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Days of Chronic Disease Therapy: 1.28 trillion days

Annual days of therapy for chronic conditions globally (diabetes, CVD, respiratory, cancer). IQVIA reports 1.8 trillion total days of therapy in 2019, with 71% for chronic conditions.

Source:43

Uncertainty Range

Technical: 95% CI: [1 trillion days, 1.5 trillion days] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 1 trillion days and 1.5 trillion days (±20%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Days of Chronic Disease Therapy

Probability Distribution: Annual Days of Chronic Disease Therapy

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Annual Global Spending on Clinical Trials: $60B

Annual global spending on clinical trials (Industry: $45-60B + Government: $3-6B + Nonprofits: $2-5B). Conservative estimate using 15-20% of $300B total pharma R&D, not inflated market size projections.

Source:44

Uncertainty Range

Technical: 95% CI: [$50B, $75B] • Distribution: Lognormal (SE: $10B)

What this means: This estimate has moderate uncertainty. The true value likely falls between $50B and $75B (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Global Spending on Clinical Trials

Probability Distribution: Annual Global Spending on Clinical Trials

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Cybercrime Cost CAGR: 15%

Compound annual growth rate of global cybercrime costs. Cybersecurity Ventures: $3T (2015) -> $6T (2021) -> $10.5T (2025). AI-enhanced attacks are accelerating this trend.

Source:45

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Global Cybercrime Costs (2025): $10.5T

Projected global cybercrime costs in 2025. Includes data theft, productivity loss, IP theft, fraud. More profitable than global trade of all major illegal drugs combined. If measured as a country, would be the 3rd largest economy after US and China.

Source:45

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Global Daily Deaths from Disease and Aging: 150 thousand deaths/day

Total global deaths per day from all disease and aging (WHO Global Burden of Disease 2024)

Source:4

Uncertainty Range

Technical: Distribution: Normal (SE: 7.5 thousand deaths/day)

Input Distribution

Probability Distribution: Global Daily Deaths from Disease and Aging

Probability Distribution: Global Daily Deaths from Disease and Aging

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

Global GDP (2025): $115T

Global nominal GDP (2025 estimate). From Political Dysfunction Tax paper citing StatisticsTimes/IMF World Economic Outlook. Used for calculating global opportunity costs as percentage of world economic output. Note: Latest IMF data shows $117T.

Source:46

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Annual Global Government Spending on Clinical Trials: $4.5B

Annual global government spending on interventional clinical trials (~5-10% of total)

Source:47

Uncertainty Range

Technical: 95% CI: [$3B, $6B] • Distribution: Lognormal (SE: $1B)

What this means: There’s significant uncertainty here. The true value likely falls between $3B and $6B (±33%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Global Government Spending on Clinical Trials

Probability Distribution: Annual Global Government Spending on Clinical Trials

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Healthy Life Expectancy (HALE): 63.3 years

Global healthy life expectancy at birth (HALE) from WHO Global Health Observatory, 2019 data (most recent available). HALE measures years lived in full health, adjusting for years lived with disability or disease.

Source:4

Uncertainty Range

Technical: Distribution: Normal (SE: 1.5 years)

Input Distribution

Probability Distribution: Global Healthy Life Expectancy (HALE)

Probability Distribution: Global Healthy Life Expectancy (HALE)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed • Updated 2019

Global Household Wealth: $454T

Total global household wealth (2022/2023 estimate)

Source:48

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Global Life Expectancy (2024): 79 years

Global life expectancy (2024)

Source:4

Uncertainty Range

Technical: Distribution: Normal (SE: 2 years)

Input Distribution

Probability Distribution: Global Life Expectancy (2024)

Probability Distribution: Global Life Expectancy (2024)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed • Updated 2024

Global Median Age (2024): 30.5 years

Global median age in 2024 from UN World Population Prospects 2024 revision.

Source:50

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Global Government Medical Research Spending: $67.5B

Global government medical research spending

Source:49

Uncertainty Range

Technical: 95% CI: [$54B, $81B] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $54B and $81B (±20%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Global Government Medical Research Spending

Probability Distribution: Global Government Medical Research Spending

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Military Spending in 2024: $2.72T

Global military spending in 2024

Source:51

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Military Spending Real CAGR (10-Year): 3.4%

Real compound annual growth rate of global military spending over the last decade (2014-2024). SIPRI reports 10 consecutive annual increases, with 2024 up 9.4% in real terms. The 10-year CAGR is approximately 3.4% real.

Source:52

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Global Population in 2024: 8 billion of people

Global population in 2024

Source:55

Uncertainty Range

Technical: 95% CI: [7.8 billion of people, 8.2 billion of people] • Distribution: Lognormal

What this means: We’re quite confident in this estimate. The true value likely falls between 7.8 billion of people and 8.2 billion of people (±2%). This represents a narrow range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Global Population in 2024

Probability Distribution: Global Population in 2024

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Population 2040 (Projected): 8.9 billion of people

UN World Population Prospects 2022 median projection for 2040. Interpolated midpoint between ~8.1B (2025) and 9.2B (2045).

Source:55

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Global Population 2045 (Projected): 9.2 billion of people

UN World Population Prospects 2022 median projection for 2045.

Source:55

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Critical Mass Threshold for Social Change: 3.5%

Critical mass threshold for social change (3.5% rule). Chenoweth studied national regime changes; applying to a global treaty adds uncertainty. Lower bound: some movements succeeded at ~1%. Upper bound: entrenched defense-industry opposition and weaker signal from digital signatures vs sustained protest may require up to 10%.

Source:56

Uncertainty Range

Technical: 95% CI: [1%, 10%] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 1% and 10% (±129%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Critical Mass Threshold for Social Change

Probability Distribution: Critical Mass Threshold for Social Change

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Gross Savings Rate: 27%

Global gross savings as share of GDP (World Bank, ~27% average 2023-2024)

Source:57

Uncertainty Range

Technical: 95% CI: [24%, 30%] • Distribution: Normal

What this means: This estimate has moderate uncertainty. The true value likely falls between 24% and 30% (±11%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Global Gross Savings Rate

Probability Distribution: Global Gross Savings Rate

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Global Spending on Symptomatic Disease Treatment: $8.2T

Annual global spending on symptomatic disease treatment

Source:20

Uncertainty Range

Technical: 95% CI: [$6.5T, $10T] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $6.5T and $10T (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Global Spending on Symptomatic Disease Treatment

Probability Distribution: Annual Global Spending on Symptomatic Disease Treatment

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

YLD Proportion of Total DALYs: 0.39 proportion

Proportion of global DALYs that are YLD (years lived with disability) vs YLL (years of life lost). From GBD 2021: 1.13B YLD out of 2.88B total DALYs = 39%.

Source:34

Uncertainty Range

Technical: Distribution: Normal (SE: 0.03 proportion)

Input Distribution

Probability Distribution: YLD Proportion of Total DALYs

Probability Distribution: YLD Proportion of Total DALYs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

Human Interactome Targeted by Drugs: 12%

Percentage of human interactome (protein-protein interactions) targeted by drugs

Source:59

✓ High confidence

Maximum Annual Lobbyist Salary Range: $2M

Maximum annual lobbyist salary range

Source:62

✓ High confidence

Minimum Annual Lobbyist Salary Range: $500K

Minimum annual lobbyist salary range

Source:62

✓ High confidence

Medical QALY Threshold: $100K

Medical cost-effectiveness QALY threshold. Standard threshold for evaluating whether health interventions are cost-effective. Interventions below $100K/QALY are generally considered cost-effective.

Source:64

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Diseases Getting First Treatment Per Year: 15 diseases/year

Number of diseases that receive their FIRST effective treatment each year under current system. ~9 rare diseases/year (based on 40 years of ODA: 350 with treatment ÷ 40 years), plus ~5-10 common diseases. Note: FDA approves ~50 drugs/year, but most are for diseases that already have treatments.

Source:67

Uncertainty Range

Technical: 95% CI: [8 diseases/year, 30 diseases/year] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 8 diseases/year and 30 diseases/year (±73%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Diseases Getting First Treatment Per Year

Probability Distribution: Diseases Getting First Treatment Per Year

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

? Low confidence

NIH Annual Budget: $47B

NIH annual budget (FY2024/2025)

Source:68

Uncertainty Range

Technical: 95% CI: [$45B, $50B]

What this means: We’re quite confident in this estimate. The true value likely falls between $45B and $50B (±5%). This represents a narrow range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: NIH Annual Budget

Probability Distribution: NIH Annual Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

NIH Clinical Trials Spending Percentage: 3.3%

Percentage of NIH budget spent on clinical trials (3.3%)

Source:69

Uncertainty Range

Technical: 95% CI: [2%, 5%] • Distribution: Beta

What this means: There’s significant uncertainty here. The true value likely falls between 2% and 5% (±45%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: NIH Clinical Trials Spending Percentage

Probability Distribution: NIH Clinical Trials Spending Percentage

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

NIH Standard Research Cost per QALY: $50K

Typical cost per QALY for standard NIH-funded medical research portfolio. Reflects the inefficiency of traditional RCTs and basic research-heavy allocation. See confidence_interval for range; ICER uses higher thresholds for value-based pricing.

Source:70

Uncertainty Range

Technical: 95% CI: [$20K, $100K] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $20K and $100K (±80%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: NIH Standard Research Cost per QALY

Probability Distribution: NIH Standard Research Cost per QALY

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Oxford RECOVERY Trial Duration: 3 months

Oxford RECOVERY trial duration (found life-saving treatment in 3 months)

Source:71

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Patient Willingness to Participate in Clinical Trials: 44.8%

Patient willingness to participate in drug trials (44.8% in surveys, 88% when actually approached)

Source:72

Uncertainty Range

Technical: 95% CI: [40%, 50%] • Distribution: Normal (SE: 2.5%)

What this means: This estimate has moderate uncertainty. The true value likely falls between 40% and 50% (±11%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Patient Willingness to Participate in Clinical Trials

Probability Distribution: Patient Willingness to Participate in Clinical Trials

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Pharma Drug Development Cost (Current System): $2.6B

Average cost to develop one drug in current system

Source:73

Uncertainty Range

Technical: 95% CI: [$1.5B, $4B] • Distribution: Lognormal (SE: $500M)

What this means: There’s significant uncertainty here. The true value likely falls between $1.5B and $4B (±48%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Pharma Drug Development Cost (Current System)

Probability Distribution: Pharma Drug Development Cost (Current System)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

Pharma Average Drug Revenue (Current System): $6.7B

Median lifetime revenue per successful drug (study of 361 FDA-approved drugs 1995-2014, median follow-up 13.2 years)

Source:74

✓ High confidence • 📊 Peer-reviewed

Annual Life-Years Saved by Pharmaceuticals: 149 million life-years

Annual life-years saved by pharmaceutical innovations globally. Lichtenberg (2019, NBER WP 25483) found that drugs launched after 1981 saved 148.7M life-years in 2013 across 22 countries using 3-way fixed-effects regression (disease-country-year). 95% CI [79.4M, 239.8M] propagated from Table 2 regression standard errors (β₀₋₁₁=-0.031±0.008, β₁₂₊=-0.057±0.013).

Source:75

Uncertainty Range

Technical: 95% CI: [79.4 million life-years, 240 million life-years] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 79.4 million life-years and 240 million life-years (±54%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Annual Life-Years Saved by Pharmaceuticals

Probability Distribution: Annual Life-Years Saved by Pharmaceuticals

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Pharma ROI (Current System): 1.2%

ROI for pharma R&D (2022 historic low from Deloitte study of top 20 pharma companies, down from 6.8% in 2021, recovered to 5.9% in 2024)

Source:76

✓ High confidence • 📊 Peer-reviewed

Pharma Drug Success Rate (Current System): 10%

Percentage of drugs that reach market in current system

Source:77

✓ High confidence • 📊 Peer-reviewed

Phase I-Passed Compounds Globally: 7.5 thousand compounds

Investigational compounds that have passed Phase I globally (midpoint of 5,000-10,000 range)

Source:23

Uncertainty Range

Technical: 95% CI: [5 thousand compounds, 10 thousand compounds] • Distribution: Uniform

What this means: There’s significant uncertainty here. The true value likely falls between 5 thousand compounds and 10 thousand compounds (±33%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: Phase I-Passed Compounds Globally

Probability Distribution: Phase I-Passed Compounds Globally

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Phase I Safety Trial Duration: 2.3 years

Phase I safety trial duration

Source:23

✓ High confidence • 📊 Peer-reviewed • Updated 2021

Phase 3 Trial Total Cost (Minimum): $20M

Phase 3 trial total cost (minimum)

Source:78

✓ High confidence

Pragmatic Trial Median Cost per Patient (PMC Review): $97

Median cost per patient in embedded pragmatic clinical trials (Ramsberg & Platt 2018: 108 trials reviewed, 64 with cost data). IQR: $19-$478 (2015 USD).

Source:79

Uncertainty Range

Technical: 95% CI: [$19, $478] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $19 and $478 (±237%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Pragmatic Trial Median Cost per Patient (PMC Review)

Probability Distribution: Pragmatic Trial Median Cost per Patient (PMC Review)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Fossil Fuel Subsidies: $1.3T

Global explicit fossil fuel subsidies (governments undercharging for energy supply costs). IMF 2022 estimate. These subsidies actively encourage consumption of negative-externality goods, working against climate goals. Note: IMF implicit subsidies (externalities) are much larger (~$7T).

Source:46

Uncertainty Range

Technical: 95% CI: [$1.1T, $1.5T] • Distribution: Normal (SE: $100B)

What this means: This estimate has moderate uncertainty. The true value likely falls between $1.1T and $1.5T (±15%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Global Fossil Fuel Subsidies

Probability Distribution: Global Fossil Fuel Subsidies

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Health Opportunity Cost: $34T

Annual opportunity cost of slow-motion regulatory environment for health innovation. Murphy-Topel (2006) valued cancer cure at $50T (inflation-adjusted ~$100T in 2025). Longevity dividend of 1 extra year = $38T globally. PCTs could accelerate cures by 10+ years; NPV of 10-year delay at 3% discount = ~$25T. Conservative estimate: $34T annually in lives lost and healthspan denied.

Source:46

Uncertainty Range

Technical: 95% CI: [$20T, $80T] • Distribution: Lognormal (SE: $15T)

What this means: This estimate is highly uncertain. The true value likely falls between $20T and $80T (±88%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Global Health Opportunity Cost

Probability Distribution: Global Health Opportunity Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

? Low confidence

Global Lead Poisoning Cost: $6T

Global cost of lead exposure: World Bank/Lancet estimate. 765 million IQ points lost annually, 5.5 million premature CVD deaths. Cost to eliminate lead from paint, spices, batteries is trivial compared to damage. This is an arbitrage opportunity of immense scale that governance has failed to execute.

Source:46

Uncertainty Range

Technical: 95% CI: [$4T, $8T] • Distribution: Normal (SE: $1T)

What this means: There’s significant uncertainty here. The true value likely falls between $4T and $8T (±33%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Global Lead Poisoning Cost

Probability Distribution: Global Lead Poisoning Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Global Migration Opportunity Cost: $57T

Unrealized output from migration restrictions. Clemens (2011) calculated eliminating labor mobility barriers could increase global GDP by 50-150%. At $115T global GDP, lower bound = $57T; upper bound = $170T. Even 5% workforce mobility would generate trillions, exceeding all foreign aid ever given. This is the largest single distortion in the global economy.

Source:46

Uncertainty Range

Technical: 95% CI: [$57T, $170T] • Distribution: Lognormal (SE: $30T)

What this means: This estimate is highly uncertain. The true value likely falls between $57T and $170T (±99%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Global Migration Opportunity Cost

Probability Distribution: Global Migration Opportunity Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

? Low confidence

Global Science Opportunity Cost: $4T

Annual opportunity cost from underfunding high-ROI science (fusion, AI safety). Human Genome Project: $3.8B cost, $796B-1T impact (141:1 ROI). Fusion DEMO plant: $5-10B could solve energy/climate permanently. AI safety: <5% of capabilities spending despite existential stakes. Reallocating $200B from military waste at 20x multiplier = $4T foregone growth.

Source:46

Uncertainty Range

Technical: 95% CI: [$2T, $10T] • Distribution: Lognormal (SE: $2T)

What this means: This estimate is highly uncertain. The true value likely falls between $2T and $10T (±100%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Global Science Opportunity Cost

Probability Distribution: Global Science Opportunity Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

? Low confidence

Political Success Probability: 1%

Estimated probability of treaty ratification and sustained implementation. Central estimate 1% is conservative. This assumes 99% chance of failure.

Source:81

Uncertainty Range

Technical: 95% CI: [0.1%, 10%] • Distribution: Beta (SE: 2%)

What this means: This estimate is highly uncertain. The true value likely falls between 0.1% and 10% (±495%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Political Success Probability

Probability Distribution: Political Success Probability

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

? Low confidence

Post-Office Career Value (per politician): $10M

Net present value of post-office career premium for average congressperson (10 years x $1M/year premium). Based on documented cases: Gephardt $7M/year, Daschle $2M+/year.

Source:82

Uncertainty Range

Technical: 95% CI: [$5M, $20M]

What this means: This estimate is highly uncertain. The true value likely falls between $5M and $20M (±75%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Post-Office Career Value (per politician)

Probability Distribution: Post-Office Career Value (per politician)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Post-1962 Drug Approval Reduction: 70%

Reduction in new drug approvals after 1962 Kefauver-Harris Amendment (70% drop from 43→17 drugs/year)

Source:83

✓ High confidence • Updated 1962-1970

Pre-1962 Drug Development Cost (1980 Dollars): $6.5M

Average drug development cost before 1962 FDA efficacy regulations, adjusted to 1980 dollars (Baily 1972)

Source:84

Uncertainty Range

Technical: 95% CI: [$5.2M, $7.8M] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $5.2M and $7.8M (±20%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Pre-1962 Drug Development Cost (1980 Dollars)

Probability Distribution: Pre-1962 Drug Development Cost (1980 Dollars)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

Pre-1962 Drug Development Cost (2024 Dollars): $24.7M

Pre-1962 drug development cost adjusted to 2024 dollars ($6.5M × 3.80 = $24.7M, CPI-adjusted from Baily 1972)

Source:84

Uncertainty Range

Technical: 95% CI: [$19.5M, $30M] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $19.5M and $30M (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Pre-1962 Drug Development Cost (2024 Dollars)

Probability Distribution: Pre-1962 Drug Development Cost (2024 Dollars)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

Pre-1962 Physician Count (Unverified): 144 thousand physicians

Estimated physicians conducting real-world efficacy trials pre-1962 (unverified estimate)

Source:85

? Low confidence

Total Number of Rare Diseases Globally: 7 thousand diseases

Total number of rare diseases globally

Source:86

Uncertainty Range

Technical: 95% CI: [6 thousand diseases, 10 thousand diseases] • Distribution: Normal

What this means: There’s significant uncertainty here. The true value likely falls between 6 thousand diseases and 10 thousand diseases (±29%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Total Number of Rare Diseases Globally

Probability Distribution: Total Number of Rare Diseases Globally

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Recovery Trial Cost per Patient: $500

RECOVERY trial cost per patient. Note: RECOVERY was an outlier - hospital-based during COVID emergency, minimal extra procedures, existing NHS infrastructure, streamlined consent. Replicating this globally will be harder.

Source:87

Uncertainty Range

Technical: 95% CI: [$400, $2.5K] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $400 and $2.5K (±210%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Recovery Trial Cost per Patient

Probability Distribution: Recovery Trial Cost per Patient

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

RECOVERY Trial Global Lives Saved: 1 million lives

Estimated lives saved globally by RECOVERY trial’s dexamethasone discovery. NHS England estimate (March 2021). Based on Águas et al. Nature Communications 2021 methodology applying RECOVERY trial mortality reductions (36% ventilated, 18% oxygen) to global COVID hospitalizations. Wide uncertainty range reflects extrapolation assumptions.

Source:88

Uncertainty Range

Technical: 95% CI: [500 thousand lives, 2 million lives] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 500 thousand lives and 2 million lives (±75%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: RECOVERY Trial Global Lives Saved

Probability Distribution: RECOVERY Trial Global Lives Saved

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

RECOVERY Trial Total Cost: $20M

Total cost of UK RECOVERY trial. Enrolled tens of thousands of patients across multiple treatment arms. Discovered dexamethasone reduces COVID mortality by ~1/3 in severe cases.

Source:71

Uncertainty Range

Technical: 95% CI: [$15M, $25M] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $15M and $25M (±25%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: RECOVERY Trial Total Cost

Probability Distribution: RECOVERY Trial Total Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Mean Age of Preventable Death from Post-Safety Efficacy Delay: 62 years

Mean age of preventable death from post-safety efficacy testing regulatory delay (Phase 2-4)

Source:4

Uncertainty Range

Technical: Distribution: Normal (SE: 3 years)

Input Distribution

Probability Distribution: Mean Age of Preventable Death from Post-Safety Efficacy Delay

Probability Distribution: Mean Age of Preventable Death from Post-Safety Efficacy Delay

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence • 📊 Peer-reviewed

Pre-Death Suffering Period During Post-Safety Efficacy Delay: 6 years

Pre-death suffering period during post-safety efficacy testing delay (average years lived with untreated condition while awaiting Phase 2-4 completion)

Source:4

Uncertainty Range

Technical: 95% CI: [4 years, 9 years] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 4 years and 9 years (±42%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Pre-Death Suffering Period During Post-Safety Efficacy Delay

Probability Distribution: Pre-Death Suffering Period During Post-Safety Efficacy Delay

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence • 📊 Peer-reviewed

September 11 Deaths: 2.98 thousand people

Total deaths in the September 11, 2001 attacks. 2,977 victims (excluding 19 hijackers). Used as a reference point for scale comparisons.

Source:89

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Return on Investment from Smallpox Eradication Campaign: 280:1

Return on investment from smallpox eradication campaign

Source:93

✓ High confidence

Standard Economic Value per QALY: $150K

Standard economic value per QALY

Source:95

Uncertainty Range

Technical: Distribution: Normal (SE: $30K)

Input Distribution

Probability Distribution: Standard Economic Value per QALY

Probability Distribution: Standard Economic Value per QALY

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Annual Cost of Sugar Subsidies per Person: $10

Annual cost of sugar subsidies per person

Source:96

✓ High confidence

Switzerland’s Defense Spending as Percentage of GDP: 0.7%

Switzerland’s defense spending as percentage of GDP (0.7%)

Source:97

✓ High confidence

Switzerland GDP per Capita: $93K

Switzerland GDP per capita

Source:98

✓ High confidence

Deaths from 9/11 Terrorist Attacks: 3 thousand deaths

Deaths from 9/11 terrorist attacks

Source:101

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Thalidomide Cases Worldwide: 15 thousand cases

Total thalidomide birth defect cases worldwide (1957-1962)

Source:102

Uncertainty Range

Technical: 95% CI: [10 thousand cases, 20 thousand cases] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 10 thousand cases and 20 thousand cases (±33%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Thalidomide Cases Worldwide

Probability Distribution: Thalidomide Cases Worldwide

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Thalidomide Disability Weight: 0.4:1

Disability weight for thalidomide survivors (limb deformities, organ damage)

Source:103

Uncertainty Range

Technical: 95% CI: [0.32:1, 0.48:1] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 0.32:1 and 0.48:1 (±20%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Thalidomide Disability Weight

Probability Distribution: Thalidomide Disability Weight

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Thalidomide Mortality Rate: 40%

Mortality rate for thalidomide-affected infants (died within first year)

Source:102

Uncertainty Range

Technical: 95% CI: [35%, 45%] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 35% and 45% (±13%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Thalidomide Mortality Rate

Probability Distribution: Thalidomide Mortality Rate

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Thalidomide Survivor Lifespan: 60 years

Average lifespan for thalidomide survivors

Source:103

Uncertainty Range

Technical: 95% CI: [50 years, 70 years] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 50 years and 70 years (±17%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Thalidomide Survivor Lifespan

Probability Distribution: Thalidomide Survivor Lifespan

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

US Population Share 1960: 6%

US share of world population in 1960

Source:104

Uncertainty Range

Technical: 95% CI: [5.5%, 6.5%] • Distribution: Lognormal

What this means: We’re quite confident in this estimate. The true value likely falls between 5.5% and 6.5% (±8%). This represents a narrow range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: US Population Share 1960

Probability Distribution: US Population Share 1960

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Phase 3 Cost per Patient: $41K

Phase 3 cost per patient (median from FDA study)

Source:105

Uncertainty Range

Technical: 95% CI: [$20K, $120K] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $20K and $120K (±122%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Phase 3 Cost per Patient

Probability Distribution: Phase 3 Cost per Patient

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Treatment Disability Reduction: 0.25 weight

Average disability weight reduction from pharmaceutical treatment. Untreated chronic disease averages 0.35 disability weight, treated disease averages 0.10, difference is 0.25.

Source:106

Uncertainty Range

Technical: 95% CI: [0.15 weight, 0.35 weight] • Distribution: Normal

What this means: There’s significant uncertainty here. The true value likely falls between 0.15 weight and 0.35 weight (±40%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Treatment Disability Reduction

Probability Distribution: Treatment Disability Reduction

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence • 📊 Peer-reviewed

US Alzheimer’s Annual Cost: $355B

Annual US cost of Alzheimer’s disease (direct and indirect)

Source:107

Uncertainty Range

Technical: 95% CI: [$302B, $408B] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $302B and $408B (±15%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: US Alzheimer’s Annual Cost

Probability Distribution: US Alzheimer’s Annual Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

US Cancer Annual Cost: $208B

Annual US cost of cancer (direct and indirect)

Source:108

Uncertainty Range

Technical: 95% CI: [$177B, $239B] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $177B and $239B (±15%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: US Cancer Annual Cost

Probability Distribution: US Cancer Annual Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

US Diabetes Annual Cost: $327B

Annual US cost of diabetes (direct and indirect)

Source:110

Uncertainty Range

Technical: 95% CI: [$278B, $376B] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $278B and $376B (±15%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: US Diabetes Annual Cost

Probability Distribution: US Diabetes Annual Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

US Federal Spending (FY2024): $6.8T

US federal government spending in FY2024. CBO reports outlays of $6.8T (23.9% of GDP). Includes mandatory spending, discretionary spending, and net interest ($888B).

Source:111

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

US Federal Discretionary Spending (FY2024): $1.7T

US federal discretionary spending in FY2024. Approximately $886B defense + ~$814B non-defense discretionary = ~$1.7T. Used as denominator for discretionary efficiency rating (Cat 1 waste items are discretionary/fungible).

Source:111

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

US GDP (2024): $28.8T

US GDP in 2024 dollars for calculating policy costs as percentage of GDP.

Source:112

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Agricultural Subsidies Deadweight Loss: $75B

Deadweight loss from US agricultural subsidies. Direct subsidies ~$30B/yr but create larger distortions: overproduction, environmental damage, benefits concentrated in large farms (top 10% receive 78% of subsidies). Total welfare loss ~$75B. Textbook example of capture; very high economist consensus. [CATEGORY 1: Direct Spending]

Source:113

Uncertainty Range

Technical: 95% CI: [$50B, $120B] • Distribution: Lognormal (SE: $25B)

What this means: There’s significant uncertainty here. The true value likely falls between $50B and $120B (±47%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Agricultural Subsidies Deadweight Loss

Probability Distribution: Agricultural Subsidies Deadweight Loss

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Corporate Welfare Waste: $181B

Direct US federal corporate welfare: subsidies to agriculture ($16.4B), green energy tax credits, semiconductor aid, aviation support. Agricultural subsidies are highly regressive (top 10% receive 63%). Cato Institute forensic tally. [CATEGORY 1: Direct Spending]

Source:46

Uncertainty Range

Technical: 95% CI: [$150B, $220B] • Distribution: Normal (SE: $20B)

What this means: This estimate has moderate uncertainty. The true value likely falls between $150B and $220B (±19%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Corporate Welfare Waste

Probability Distribution: Corporate Welfare Waste

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Drug War Cost: $90B

Annual cost of drug war: ~$41B federal drug control budget, ~$10B state/local enforcement, ~$40B incarceration and lost productivity. After 50+ years and $1T+ spent, drug use is higher than ever. [CATEGORY 1: Direct Spending]

Source:114

Uncertainty Range

Technical: 95% CI: [$60B, $150B] • Distribution: Lognormal (SE: $30B)

What this means: There’s significant uncertainty here. The true value likely falls between $60B and $150B (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Drug War Cost

Probability Distribution: Drug War Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Fossil Fuel Subsidies (Explicit): $50B

US explicit fossil fuel subsidies (direct payments, tax breaks). IMF estimates US total subsidies at $649B but ~92% is implicit (externalities). This figure includes only explicit subsidies (~$50B) for defensibility. [CATEGORY 1: Direct Spending]

Source:115

Uncertainty Range

Technical: 95% CI: [$30B, $80B] • Distribution: Lognormal (SE: $15B)

What this means: There’s significant uncertainty here. The true value likely falls between $30B and $80B (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Fossil Fuel Subsidies (Explicit)

Probability Distribution: Fossil Fuel Subsidies (Explicit)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Healthcare System Inefficiency: $1.2T

US healthcare spending inefficiency. US spends ~$4.5T/yr (18% GDP) vs 9-11% in comparable OECD countries with similar/better outcomes. Papanicolas et al. (2018 JAMA) and multiple studies document $1-1.5T in excess spending from administrative complexity, high prices, and poor care coordination. Very high economist consensus. [CATEGORY 4: System Inefficiency]

Source:116

Uncertainty Range

Technical: 95% CI: [$1T, $1.5T] • Distribution: Normal (SE: $150B)

What this means: This estimate has moderate uncertainty. The true value likely falls between $1T and $1.5T (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Healthcare System Inefficiency

Probability Distribution: Healthcare System Inefficiency

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Housing/Zoning Restrictions Cost: $1.4T

GDP loss from housing/zoning restrictions. Original Hsieh-Moretti (2019 AEJ:Macro) estimate of 36% GDP growth reduction was substantially revised by Greaney (2023). Current $1.4T represents a moderate estimate; revised lower bound implies ~$500B. [CATEGORY 3: GDP Loss]

Source:117

Uncertainty Range

Technical: 95% CI: [$500B, $2T] • Distribution: Lognormal (SE: $300B)

What this means: This estimate is highly uncertain. The true value likely falls between $500B and $2T (±54%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Housing/Zoning Restrictions Cost

Probability Distribution: Housing/Zoning Restrictions Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Military Overspend: $615B

US military spending above ‘Strict Deterrence’ baseline. Current budget ~$900B supports global power projection (750+ bases). Strict Deterrence (nuclear triad $95B, Coast Guard $14B, National Guard $33B, Missile Defense $28B, Cyber $15B, defensive Navy/Air Force $100B) = ~$285B. Delta: $900B - $285B = $615B ‘Hegemony Tax’. [CATEGORY 1: Direct Spending]

Source:46

Uncertainty Range

Technical: 95% CI: [$500B, $750B] • Distribution: Normal (SE: $75B)

What this means: This estimate has moderate uncertainty. The true value likely falls between $500B and $750B (±20%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Military Overspend

Probability Distribution: Military Overspend

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Regulatory Red Tape Waste: $580B

Deadweight loss from US regulatory red tape (procedural friction without safety benefits). Competitive Enterprise Institute estimates total regulatory burden at $2.15T; European studies find red tape costs 0.1-4% of GDP. Conservative estimate: ~2% of US GDP = $580B. [CATEGORY 2: Compliance Burden]

Source:46

Uncertainty Range

Technical: 95% CI: [$290B, $1T] • Distribution: Lognormal (SE: $200B)

What this means: This estimate is highly uncertain. The true value likely falls between $290B and $1T (±61%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Regulatory Red Tape Waste

Probability Distribution: Regulatory Red Tape Waste

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Tariff Cost (GDP Loss): $160B

Annual GDP reduction from US tariffs and retaliation. Yale Budget Lab estimates 0.6% smaller GDP in long run, equivalent to $160B annually. Trade barriers reduce efficiency and raise consumer prices. [CATEGORY 3: GDP Loss]

Source:118

Uncertainty Range

Technical: 95% CI: [$90B, $250B] • Distribution: Normal (SE: $50B)

What this means: There’s significant uncertainty here. The true value likely falls between $90B and $250B (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Tariff Cost (GDP Loss)

Probability Distribution: Tariff Cost (GDP Loss)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Tax Compliance Waste: $546B

Annual cost of US tax code compliance: 7.9 billion hours of lost productivity ($413B) plus $133B in out-of-pocket costs. Equals nearly 2% of GDP. Could be largely eliminated with simplified tax code or return-free filing. [CATEGORY 2: Compliance Burden]

Source:119

Uncertainty Range

Technical: 95% CI: [$450B, $650B] • Distribution: Normal (SE: $50B)

What this means: This estimate has moderate uncertainty. The true value likely falls between $450B and $650B (±18%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Tax Compliance Waste

Probability Distribution: Tax Compliance Waste

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

US Heart Disease Annual Cost: $363B

Annual US cost of heart disease and stroke (direct and indirect)

Source:120

Uncertainty Range

Technical: 95% CI: [$309B, $417B] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between $309B and $417B (±15%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: US Heart Disease Annual Cost

Probability Distribution: US Heart Disease Annual Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence • 📊 Peer-reviewed

US Military Spending in 1939 (Constant 2024 Dollars): $29B

US military spending in 1939 (pre-WW2 baseline) in constant 2024 dollars

Source:125

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

US Military Spending at WW2 Peak (Constant 2024 Dollars): $1.42T

US military spending at WW2 peak (1945) in constant 2024 dollars

Source:125

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

US Military Spending in 1947 (Constant 2024 Dollars): $176B

US military spending in 1947 (post-WW2 trough, 2 years after peak) in constant 2024 dollars

Source:125

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

US Military Spending in 2024: $886B

US military spending in 2024 in constant dollars

Source:125

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

US Military Spending as Percentage of GDP: 3.5%

US military spending as percentage of GDP (2024)

Source:126

✓ High confidence

US Population in 2024: 335 million people

US population in 2024

Source:127

Uncertainty Range

Technical: 95% CI: [330 million people, 340 million people] • Distribution: Lognormal

What this means: We’re quite confident in this estimate. The true value likely falls between 330 million people and 340 million people (±1%). This represents a narrow range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: US Population in 2024

Probability Distribution: US Population in 2024

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Senators for Treaty Ratification: 67 senators

Senators needed for treaty ratification (2/3 majority per Article II, Section 2)

Source:128

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

US Federal Campaign Spending (2024): $20B

Total US federal election spending in 2024 cycle including presidential, congressional, party committees, and PACs. Source: FEC Statistical Summary 2024.

Source:129

Uncertainty Range

Technical: 95% CI: [$18B, $22B]

What this means: We’re quite confident in this estimate. The true value likely falls between $18B and $22B (±10%). This represents a narrow range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: US Federal Campaign Spending (2024)

Probability Distribution: US Federal Campaign Spending (2024)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

US Total Lobbying (2024): $4.4B

Total US federal lobbying expenditure in 2024 (record year). Source: OpenSecrets.

Source:130

Uncertainty Range

Technical: 95% CI: [$3.74B, $5.06B]

What this means: This estimate has moderate uncertainty. The true value likely falls between $3.74B and $5.06B (±15%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: US Total Lobbying (2024)

Probability Distribution: US Total Lobbying (2024)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Probability of Decisive Vote (US): 1.67e-08 probability

Probability of a single vote being decisive in a US presidential election. Gelman, Silver, and Edlin (2012) estimate roughly 1 in 60 million on average, varying by state from 1 in 10 million (swing states) to 1 in 1 billion (safe states).

Source:131

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Valley of Death Attrition Rate: 40%

Percentage of promising Phase 1-passed compounds abandoned primarily due to Phase 2/3 cost barriers (not scientific failure). Conservative estimate: many rare disease, natural compound, and low-margin drugs never tested.

Source:132

Uncertainty Range

Technical: 95% CI: [25%, 55%] • Distribution: Uniform

What this means: There’s significant uncertainty here. The true value likely falls between 25% and 55% (±38%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: Valley of Death Attrition Rate

Probability Distribution: Valley of Death Attrition Rate

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

~ Medium confidence

Value of Statistical Life: $10M

Value of Statistical Life (conservative estimate)

Source:133

Uncertainty Range

Technical: 95% CI: [$5M, $15M] • Distribution: Gamma (SE: $3M)

What this means: There’s significant uncertainty here. The true value likely falls between $5M and $15M (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The gamma distribution means values follow a specific statistical pattern.

Input Distribution

Probability Distribution: Value of Statistical Life

Probability Distribution: Value of Statistical Life

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

✓ High confidence

Vitamin A Supplementation Cost per DALY: $37

Cost per DALY for vitamin A supplementation programs (India: $23-50; Africa: $40-255; wide variation by region and baseline VAD prevalence). Using India midpoint as conservative estimate.

Source:134

~ Medium confidence

Return on Investment from Water Fluoridation Programs: 23:1

Return on investment from water fluoridation programs

Source:135

✓ High confidence

Cost-Effectiveness Threshold ($50,000/QALY): $50K

Cost-effectiveness threshold widely used in US health economics ($50,000/QALY, from 1980s dialysis costs)

Source:136

✓ High confidence

Core Definitions

Fundamental parameters and constants used throughout the analysis.

ADAPTABLE Trial Patients Enrolled: 15.1 thousand patients

Patients enrolled in ADAPTABLE trial (PCORnet 2016-2019). Enrolled across 40 clinical sites. Precise count from trial completion records.

Core definition

Annual Working Hours: 2 thousand hours/year

Standard annual working hours globally. Approximately 40 hours/week x 50 weeks. ILO estimates range from 1,800-2,200 across countries; 2,000 is conventional.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Approved Drug-Disease Pairings: 1.75 thousand pairings

Unique approved drug-disease pairings (FDA-approved uses, midpoint of 1,500-2,000 range)

Uncertainty Range

Technical: 95% CI: [1.5 thousand pairings, 2 thousand pairings] • Distribution: Uniform

What this means: This estimate has moderate uncertainty. The true value likely falls between 1.5 thousand pairings and 2 thousand pairings (±14%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: Approved Drug-Disease Pairings

Probability Distribution: Approved Drug-Disease Pairings

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Average Life Extension per Beneficiary: 12 years

Average years of life extension per person saved by pharmaceutical interventions. Assumption used to convert life-years saved to approximate lives saved. Based on Lichtenberg’s methodology where life-years are calculated from Years of Life Lost (YLL) reductions.

Uncertainty Range

Technical: 95% CI: [8 years, 18 years] • Distribution: Triangular

What this means: There’s significant uncertainty here. The true value likely falls between 8 years and 18 years (±42%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The triangular distribution means values cluster around a most-likely point but can range higher or lower.

Input Distribution

Probability Distribution: Average Life Extension per Beneficiary

Probability Distribution: Average Life Extension per Beneficiary

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Celebrity and Influencer Endorsements: $15M

Celebrity and influencer endorsements

Uncertainty Range

Technical: 95% CI: [$10.5M, $19.5M]

What this means: There’s significant uncertainty here. The true value likely falls between $10.5M and $19.5M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Celebrity and Influencer Endorsements

Probability Distribution: Celebrity and Influencer Endorsements

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Community Organizing and Ambassador Program Budget: $30M

Community organizing and ambassador program budget

Uncertainty Range

Technical: 95% CI: [$21M, $39M]

What this means: There’s significant uncertainty here. The true value likely falls between $21M and $39M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Community Organizing and Ambassador Program Budget

Probability Distribution: Community Organizing and Ambassador Program Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Contingency Fund for Unexpected Costs: $50M

Contingency fund for unexpected costs

Uncertainty Range

Technical: 95% CI: [$30M, $80M] • Distribution: Uniform

What this means: There’s significant uncertainty here. The true value likely falls between $30M and $80M (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: Contingency Fund for Unexpected Costs

Probability Distribution: Contingency Fund for Unexpected Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Defense Industry Conversion Program: $50M

Defense industry conversion program

Uncertainty Range

Technical: 95% CI: [$40M, $70M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $40M and $70M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Defense Industry Conversion Program

Probability Distribution: Defense Industry Conversion Program

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Budget for Co-Opting Defense Industry Lobbyists: $50M

Budget for co-opting defense industry lobbyists

Uncertainty Range

Technical: 95% CI: [$35M, $65M]

What this means: There’s significant uncertainty here. The true value likely falls between $35M and $65M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Budget for Co-Opting Defense Industry Lobbyists

Probability Distribution: Budget for Co-Opting Defense Industry Lobbyists

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Healthcare Industry Alignment and Partnerships: $35M

Healthcare industry alignment and partnerships

Uncertainty Range

Technical: 95% CI: [$24.5M, $45.5M]

What this means: There’s significant uncertainty here. The true value likely falls between $24.5M and $45.5M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Healthcare Industry Alignment and Partnerships

Probability Distribution: Healthcare Industry Alignment and Partnerships

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Campaign Operational Infrastructure: $20M

Campaign operational infrastructure

Uncertainty Range

Technical: 95% CI: [$14M, $26M]

What this means: There’s significant uncertainty here. The true value likely falls between $14M and $26M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Campaign Operational Infrastructure

Probability Distribution: Campaign Operational Infrastructure

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

EU Lobbying Campaign Budget: $40M

EU lobbying campaign budget

Uncertainty Range

Technical: 95% CI: [$28M, $52M]

What this means: There’s significant uncertainty here. The true value likely falls between $28M and $52M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: EU Lobbying Campaign Budget

Probability Distribution: EU Lobbying Campaign Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

G20 Countries Lobbying Budget: $35M

G20 countries lobbying budget

Core definition

US Lobbying Campaign Budget: $50M

US lobbying campaign budget

Uncertainty Range

Technical: 95% CI: [$35M, $65M]

What this means: There’s significant uncertainty here. The true value likely falls between $35M and $65M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: US Lobbying Campaign Budget

Probability Distribution: US Lobbying Campaign Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Maximum Mass Media Campaign Budget: $1B

Maximum mass media campaign budget

Uncertainty Range

Technical: 95% CI: [$700M, $1.3B]

What this means: There’s significant uncertainty here. The true value likely falls between $700M and $1.3B (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Maximum Mass Media Campaign Budget

Probability Distribution: Maximum Mass Media Campaign Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Minimum Mass Media Campaign Budget: $500M

Minimum mass media campaign budget

Uncertainty Range

Technical: 95% CI: [$350M, $650M]

What this means: There’s significant uncertainty here. The true value likely falls between $350M and $650M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Minimum Mass Media Campaign Budget

Probability Distribution: Minimum Mass Media Campaign Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Opposition Research and Rapid Response: $25M

Opposition research and rapid response

Uncertainty Range

Technical: 95% CI: [$17.5M, $32.5M]

What this means: There’s significant uncertainty here. The true value likely falls between $17.5M and $32.5M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Opposition Research and Rapid Response

Probability Distribution: Opposition Research and Rapid Response

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Phase 1 Campaign Budget: $200M

Phase 1 campaign budget (Foundation, Year 1)

Uncertainty Range

Technical: 95% CI: [$140M, $260M]

What this means: There’s significant uncertainty here. The true value likely falls between $140M and $260M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Phase 1 Campaign Budget

Probability Distribution: Phase 1 Campaign Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Phase 2 Campaign Budget: $500M

Phase 2 campaign budget (Scale & Momentum, Years 2-3)

Uncertainty Range

Technical: 95% CI: [$350M, $650M]

What this means: There’s significant uncertainty here. The true value likely falls between $350M and $650M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Phase 2 Campaign Budget

Probability Distribution: Phase 2 Campaign Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Pilot Program Testing in Small Countries: $30M

Pilot program testing in small countries

Uncertainty Range

Technical: 95% CI: [$21M, $39M]

What this means: There’s significant uncertainty here. The true value likely falls between $21M and $39M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Pilot Program Testing in Small Countries

Probability Distribution: Pilot Program Testing in Small Countries

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Voting Platform and Technology Development: $35M

Voting platform and technology development

Uncertainty Range

Technical: 95% CI: [$25M, $50M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $25M and $50M (±36%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Voting Platform and Technology Development

Probability Distribution: Voting Platform and Technology Development

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Regulatory Compliance and Navigation: $20M

Regulatory compliance and navigation

Uncertainty Range

Technical: 95% CI: [$14M, $26M]

What this means: There’s significant uncertainty here. The true value likely falls between $14M and $26M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Regulatory Compliance and Navigation

Probability Distribution: Regulatory Compliance and Navigation

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Scaling Preparation and Blueprints: $30M

Scaling preparation and blueprints

Uncertainty Range

Technical: 95% CI: [$21M, $39M]

What this means: There’s significant uncertainty here. The true value likely falls between $21M and $39M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Scaling Preparation and Blueprints

Probability Distribution: Scaling Preparation and Blueprints

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Campaign Core Team Staff Budget: $40M

Campaign core team staff budget

Uncertainty Range

Technical: 95% CI: [$28M, $52M]

What this means: There’s significant uncertainty here. The true value likely falls between $28M and $52M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Campaign Core Team Staff Budget

Probability Distribution: Campaign Core Team Staff Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Super PAC Campaign Expenditures: $30M

Super PAC campaign expenditures

Uncertainty Range

Technical: 95% CI: [$21M, $39M]

What this means: There’s significant uncertainty here. The true value likely falls between $21M and $39M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Super PAC Campaign Expenditures

Probability Distribution: Super PAC Campaign Expenditures

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Tech Industry Partnerships and Infrastructure: $25M

Tech industry partnerships and infrastructure

Uncertainty Range

Technical: 95% CI: [$17.5M, $32.5M]

What this means: There’s significant uncertainty here. The true value likely falls between $17.5M and $32.5M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Tech Industry Partnerships and Infrastructure

Probability Distribution: Tech Industry Partnerships and Infrastructure

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Post-Victory Treaty Implementation Support: $40M

Post-victory treaty implementation support

Uncertainty Range

Technical: 95% CI: [$30M, $55M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $30M and $55M (±31%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Post-Victory Treaty Implementation Support

Probability Distribution: Post-Victory Treaty Implementation Support

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Viral Marketing Content Creation Budget: $40M

Viral marketing content creation budget

Uncertainty Range

Technical: 95% CI: [$28M, $52M]

What this means: There’s significant uncertainty here. The true value likely falls between $28M and $52M (±30%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Viral Marketing Content Creation Budget

Probability Distribution: Viral Marketing Content Creation Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Dismissal Rate: 90%

Probability someone dismisses the idea without engaging (the ‘institutionalization rate’)

Uncertainty Range

Technical: 95% CI: [80%, 97%] • Distribution: Beta

What this means: We’re quite confident in this estimate. The true value likely falls between 80% and 97% (±9%). This represents a narrow range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Dismissal Rate

Probability Distribution: Dismissal Rate

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Effective R: 0.15:1

Effective reproduction number per cascade generation: fraction of viewers who share (5%) x average forwards per sharer (3). CI spans pessimistic (2% x 2 = 0.04) to optimistic (10% x 8 = 0.80).

Uncertainty Range

Technical: 95% CI: [0.04:1, 0.8:1] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 0.04:1 and 0.8:1 (±253%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Effective R

Probability Distribution: Effective R

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Model Horizon: 3 years

Conservative upper bound for cascade propagation (social media cascades propagate in weeks; 3 years allows for slower channels and multiple cascade waves)

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Implementer Orbit Size: 1 thousand people

Information-orbit size per implementer: people whose recommendation would reach them (staff, advisors, active social media feeds, professional contacts). Lower bound: Dunbar’s 150; upper: corporate C-suite intake funnel.

Uncertainty Range

Technical: 95% CI: [150 people, 5 thousand people] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 150 people and 5 thousand people (±242%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Implementer Orbit Size

Probability Distribution: Implementer Orbit Size

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Initial Audience: 50 thousand people

Conservative initial audience size (readers, website visitors, conference attendees)

Uncertainty Range

Technical: 95% CI: [10 thousand people, 500 thousand people] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 10 thousand people and 500 thousand people (±490%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Initial Audience

Probability Distribution: Initial Audience

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

World Leader Count: 195 countries

Number of sovereign heads of state/government

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Concentrated Interest Sector Market Cap: $5T

Estimated combined market capitalization of concentrated interest opposition (defense, fossil fuel, etc.)

Core definition

Cumulative Military Spending (Fed Era): $170T

Cumulative global military spending since 1913 (Fed era) in constant 2024 dollars. Built from: SIPRI 1988-2024 ($65-72T), Cold War 1946-1987 ($50-70T reconstructed), WWI+WWII+interwar ($33T from Harrison). Range: $150-190T.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Percentage of Budget Defense Sector Keeps Under 1% treaty: 99%

Percentage of budget defense sector keeps under 1% treaty

Core definition

dFDA Annual Trial Funding: $21.8B

Assumed annual funding for dFDA pragmatic clinical trials (~$21.8B/year). Source-agnostic: could come from military reallocation, philanthropy, or government appropriation.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Years to Reach Full Decentralized Framework for Drug Assessment Adoption: 5 years

Years to reach full Decentralized Framework for Drug Assessment adoption

Core definition

Decentralized Framework for Drug Assessment Core framework Annual OPEX: $18.9M

Decentralized Framework for Drug Assessment Core framework annual opex (midpoint of $11-26.5M)

Uncertainty Range

Technical: 95% CI: [$11M, $26.5M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $11M and $26.5M (±41%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Decentralized Framework for Drug Assessment Core framework Annual OPEX

Probability Distribution: Decentralized Framework for Drug Assessment Core framework Annual OPEX

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Decentralized Framework for Drug Assessment Core framework Build Cost: $40M

Decentralized Framework for Drug Assessment Core framework build cost

Uncertainty Range

Technical: 95% CI: [$25M, $65M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $25M and $65M (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Decentralized Framework for Drug Assessment Core framework Build Cost

Probability Distribution: Decentralized Framework for Drug Assessment Core framework Build Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Stage 1 Observational Analysis Cost per Patient: $0.1

Order-of-magnitude estimate for Stage 1 observational signal detection (PIS calculation). Validated by FDA Sentinel benchmark (~$1/patient/year for similar drug safety analysis at 100M+ scale). True cost varies with scale and complexity; exact value less important than order-of-magnitude difference vs pragmatic trials (~$500-929/patient) and traditional Phase 3 (~$41,000/patient).

Uncertainty Range

Technical: 95% CI: [$0.03, $1] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $0.03 and $1 (±485%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Stage 1 Observational Analysis Cost per Patient

Probability Distribution: Stage 1 Observational Analysis Cost per Patient

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Decentralized Framework for Drug Assessment Community Support Costs: $2M

Decentralized Framework for Drug Assessment community support costs

Uncertainty Range

Technical: 95% CI: [$1M, $3M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $1M and $3M (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Decentralized Framework for Drug Assessment Community Support Costs

Probability Distribution: Decentralized Framework for Drug Assessment Community Support Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Decentralized Framework for Drug Assessment Infrastructure Costs: $8M

Decentralized Framework for Drug Assessment infrastructure costs (cloud, security)

Uncertainty Range

Technical: 95% CI: [$5M, $12M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $5M and $12M (±44%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Decentralized Framework for Drug Assessment Infrastructure Costs

Probability Distribution: Decentralized Framework for Drug Assessment Infrastructure Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Decentralized Framework for Drug Assessment Maintenance Costs: $15M

Decentralized Framework for Drug Assessment maintenance costs

Uncertainty Range

Technical: 95% CI: [$10M, $22M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $10M and $22M (±40%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Decentralized Framework for Drug Assessment Maintenance Costs

Probability Distribution: Decentralized Framework for Drug Assessment Maintenance Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Decentralized Framework for Drug Assessment Regulatory Coordination Costs: $5M

Decentralized Framework for Drug Assessment regulatory coordination costs

Uncertainty Range

Technical: 95% CI: [$3M, $8M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $3M and $8M (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Decentralized Framework for Drug Assessment Regulatory Coordination Costs

Probability Distribution: Decentralized Framework for Drug Assessment Regulatory Coordination Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Decentralized Framework for Drug Assessment Staff Costs: $10M

Decentralized Framework for Drug Assessment staff costs (minimal, AI-assisted)

Uncertainty Range

Technical: 95% CI: [$7M, $15M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $7M and $15M (±40%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Decentralized Framework for Drug Assessment Staff Costs

Probability Distribution: Decentralized Framework for Drug Assessment Staff Costs

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Decentralized Framework for Drug Assessment Target Cost per Patient in USD: $1K

Target cost per patient in USD (same as DFDA_TARGET_COST_PER_PATIENT but in dollars)

Core definition

Decentralized Framework for Drug Assessment One-Time Build Cost: $40M

Decentralized Framework for Drug Assessment one-time build cost (central estimate)

Core definition

Decentralized Framework for Drug Assessment One-Time Build Cost (Maximum): $46M

Decentralized Framework for Drug Assessment one-time build cost (high estimate)

Core definition

DIH Broader Initiatives Annual OPEX: $21.1M

DIH broader initiatives annual opex (medium case)

Uncertainty Range

Technical: 95% CI: [$14M, $32M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $14M and $32M (±43%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: DIH Broader Initiatives Annual OPEX

Probability Distribution: DIH Broader Initiatives Annual OPEX

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

DIH Broader Initiatives Upfront Cost: $230M

DIH broader initiatives upfront cost (medium case)

Uncertainty Range

Technical: 95% CI: [$150M, $350M] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $150M and $350M (±44%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: DIH Broader Initiatives Upfront Cost

Probability Distribution: DIH Broader Initiatives Upfront Cost

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Eventually Avoidable DALY Percentage: 92.6%

Percentage of DALYs that are eventually avoidable with sufficient biomedical research. Uses same methodology as EVENTUALLY_AVOIDABLE_DEATH_PCT. Most non-fatal chronic conditions (arthritis, depression, chronic pain) are also addressable through research, so the percentage is similar to deaths.

Uncertainty Range

Technical: 95% CI: [50%, 98%] • Distribution: Beta

What this means: There’s significant uncertainty here. The true value likely falls between 50% and 98% (±26%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Eventually Avoidable DALY Percentage

Probability Distribution: Eventually Avoidable DALY Percentage

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Eventually Avoidable Death Percentage: 92.6%

Percentage of deaths that are eventually avoidable with sufficient biomedical research and technological advancement. Central estimate ~92% based on ~7.9% fundamentally unavoidable (primarily accidents). Wide uncertainty reflects debate over: (1) aging as addressable vs. fundamental, (2) asymptotic difficulty of last diseases, (3) multifactorial disease complexity.

Uncertainty Range

Technical: 95% CI: [50%, 98%] • Distribution: Beta

What this means: There’s significant uncertainty here. The true value likely falls between 50% and 98% (±26%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Eventually Avoidable Death Percentage

Probability Distribution: Eventually Avoidable Death Percentage

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Minimum Investment for Family Offices: $5M

Minimum investment for family offices

Core definition

Fundamentally Unavoidable Death Percentage: 7.37%

Percentage of deaths that are fundamentally unavoidable even with perfect biotechnology (primarily accidents). Calculated as Σ(disease_burden × (1 - max_cure_potential)) across all disease categories.

Core definition

Baseline Global GDP Growth Rate: 2.5%

Status-quo baseline annual global GDP growth rate.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Global-to-US Political Cost Ratio: 5:1

Ratio of global to US political reform costs. Based on discretionary spending ratio (~9x) discounted by ~50% for less transparent/expensive non-US political systems. Range 3-8 reflects uncertainty about non-US political dynamics and hidden influence channels.

Uncertainty Range

Technical: 95% CI: [3:1, 8:1] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 3:1 and 8:1 (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Global-to-US Political Cost Ratio

Probability Distribution: Global-to-US Political Cost Ratio

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

IAB Mechanism Annual Cost (High Estimate): $750M

Estimated annual cost of the IAB mechanism (high-end estimate including regulatory defense)

Uncertainty Range

Technical: 95% CI: [$160M, $750M]

What this means: There’s significant uncertainty here. The true value likely falls between $160M and $750M (±39%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: IAB Mechanism Annual Cost (High Estimate)

Probability Distribution: IAB Mechanism Annual Cost (High Estimate)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

IAB Political Incentive Funding Percentage: 10%

Percentage of treaty funding allocated to Incentive Alignment Bond mechanism for political incentives (independent expenditures/PACs, post-office fellowships, Public Good Score infrastructure)

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Minimum Investment for Institutional Investors: $10M

Minimum investment for institutional investors

Core definition

Average Commitment per Lead Principal: $350M

Average capital commitment from a persuaded lead principal toward launching the treaty campaign

Uncertainty Range

Technical: 95% CI: [$100M, $750M] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $100M and $750M (±93%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Average Commitment per Lead Principal

Probability Distribution: Average Commitment per Lead Principal

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Execution Rate Given Persuasion: 65%

Probability a persuaded high-alignment principal is willing and able to move capital, staff, and institutions

Uncertainty Range

Technical: 95% CI: [30%, 90%] • Distribution: Beta

What this means: There’s significant uncertainty here. The true value likely falls between 30% and 90% (±46%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Execution Rate Given Persuasion

Probability Distribution: Execution Rate Given Persuasion

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

High-Alignment Lead Principals: 30 people

Number of unusually aligned, implementation-capable principals globally for whom the treaty thesis is a natural fit

Uncertainty Range

Technical: 95% CI: [8 people, 100 people] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 8 people and 100 people (±153%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: High-Alignment Lead Principals

Probability Distribution: High-Alignment Lead Principals

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Persuasion Rate Given Reach: 60%

Probability a reached high-alignment principal accepts the launch thesis after meaningful review

Uncertainty Range

Technical: 95% CI: [25%, 85%] • Distribution: Beta

What this means: There’s significant uncertainty here. The true value likely falls between 25% and 85% (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Persuasion Rate Given Reach

Probability Distribution: Persuasion Rate Given Reach

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Reach Probability for High-Alignment Principals: 50%

Probability a high-alignment principal meaningfully encounters the launch thesis within the model horizon

Uncertainty Range

Technical: 95% CI: [20%, 85%] • Distribution: Beta

What this means: This estimate is highly uncertain. The true value likely falls between 20% and 85% (±65%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Reach Probability for High-Alignment Principals

Probability Distribution: Reach Probability for High-Alignment Principals

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Launch Redundancy Factor: 1.25x

Funding redundancy above bare minimum required to survive defections, delay, and ordinary political friction

Uncertainty Range

Technical: 95% CI: [1x, 2x] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 1x and 2x (±40%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Launch Redundancy Factor

Probability Distribution: Launch Redundancy Factor

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Maximum Bond Investment for Lobbyist Incentives: $20M

Maximum bond investment for lobbyist incentives

Core definition

GDP Growth Boost at 30% Military Reallocation: 5.5%

Historical calibration target: 30% military reallocation maps to ~5.5 percentage points annual GDP growth boost.

Uncertainty Range

Technical: 95% CI: [3.5%, 7.5%] • Distribution: Normal (SE: 1%)

What this means: There’s significant uncertainty here. The true value likely falls between 3.5% and 7.5% (±36%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: GDP Growth Boost at 30% Military Reallocation

Probability Distribution: GDP Growth Boost at 30% Military Reallocation

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Money-Printer War Deaths: 97 million deaths

Cumulative deaths from 6 wars funded by money printing: Napoleonic (5M), Civil War (750K), WWI (20M), WWII (60M), Korea (3M), Vietnam (3M), post-9/11 (4.5M). Mid-range estimates; conservative total exceeds 110M.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Standard Discount Rate for NPV Analysis: 3%

Standard discount rate for NPV analysis (3% annual, social discount rate)

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Standard Time Horizon for NPV Analysis: 10 years

Standard time horizon for NPV analysis

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Direct Fiscal Savings from 1% Military Spending Reduction: $27.2B

Direct fiscal savings from 1% military spending reduction (high confidence)

Core definition

Pharma Phase 2/3 Cost Barrier Per Drug: $1.56B

Average Phase 2/3 efficacy testing cost per drug that pharma must fund (~60% of total drug development cost)

Uncertainty Range

Technical: Distribution: Normal (SE: $200M)

Input Distribution

Probability Distribution: Pharma Phase 2/3 Cost Barrier Per Drug

Probability Distribution: Pharma Phase 2/3 Cost Barrier Per Drug

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Pre-1962 Validation Years: 77 years

Years of empirical validation for physician-led pragmatic trials (1883-1960)

Core definition

Prize Escrow Accumulation Period: 15 years

Assumed accumulation period for escrowed prize contributions before threshold determination

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Prize Escrow Annual Yield Rate: 10%

Annual yield rate on escrowed prize contributions via rolling locked stablecoin staking (Binance 120-day USDT locked staking benchmark, March 2026)

Uncertainty Range

Technical: 95% CI: [5%, 15%] • Distribution: Normal

What this means: There’s significant uncertainty here. The true value likely falls between 5% and 15% (±50%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: Prize Escrow Annual Yield Rate

Probability Distribution: Prize Escrow Annual Yield Rate

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

PRIZE Share of Global Savings: 3%

Share of global savings that flows into PRIZE tokens. Point estimate matches the deposit rate needed to hit the dysfunction tax target (~3%). Lower bound reflects early-adopter phase; upper bound reflects PRIZE tokens becoming a dominant savings vehicle (comparable to index fund adoption rates).

Uncertainty Range

Technical: 95% CI: [0.1%, 50%] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 0.1% and 50% (±832%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: PRIZE Share of Global Savings

Probability Distribution: PRIZE Share of Global Savings

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

QALYs per COVID Death Averted: 5 QALYs/death

Average QALYs gained per COVID death averted. Conservative estimate reflecting older age distribution of COVID mortality. See confidence_interval for range.

Uncertainty Range

Technical: 95% CI: [3 QALYs/death, 10 QALYs/death] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 3 QALYs/death and 10 QALYs/death (±70%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: QALYs per COVID Death Averted

Probability Distribution: QALYs per COVID Death Averted

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

R&D Spillover Multiplier: 2x

R&D spillover multiplier: each $1 in directed medical research produces $2 in adjacent sector GDP growth (biotech, AI, computing, materials science, manufacturing). Conservative estimate; military R&D spillover produced the internet, GPS, jet engines. Medical R&D spillover already produced CRISPR, mRNA platforms, AI protein folding.

Uncertainty Range

Technical: 95% CI: [1.5x, 2.5x] • Distribution: Normal (SE: 0.25x)

What this means: This estimate has moderate uncertainty. The true value likely falls between 1.5x and 2.5x (±25%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The normal distribution means values cluster around the center with equal chances of being higher or lower.

Input Distribution

Probability Distribution: R&D Spillover Multiplier

Probability Distribution: R&D Spillover Multiplier

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Safe Compounds Available for Testing: 9.5 thousand compounds

Total safe compounds available for repurposing (FDA-approved + GRAS substances, midpoint of 7,000-12,000 range)

Uncertainty Range

Technical: 95% CI: [7 thousand compounds, 12 thousand compounds] • Distribution: Uniform

What this means: There’s significant uncertainty here. The true value likely falls between 7 thousand compounds and 12 thousand compounds (±26%). This represents a wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: Safe Compounds Available for Testing

Probability Distribution: Safe Compounds Available for Testing

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Sharing Time: 0.5 minutes

Time to copy, paste, and send the recruitment message. 30 seconds.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Tested Drug-Disease Relationships: 32.5 thousand relationships

Estimated drug-disease relationships actually tested (approved uses + repurposed + failed trials, midpoint of 15,000-50,000 range)

Uncertainty Range

Technical: 95% CI: [15 thousand relationships, 50 thousand relationships] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 15 thousand relationships and 50 thousand relationships (±54%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Tested Drug-Disease Relationships

Probability Distribution: Tested Drug-Disease Relationships

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Political Lobbying Campaign: Direct Lobbying, Super Pacs, Opposition Research, Staff, Legal/Compliance: $650M

Political lobbying campaign: direct lobbying (US/EU/G20), Super PACs, opposition research, staff, legal/compliance. Budget exceeds combined pharma ($300M/year) and military-industrial complex ($150M/year) lobbying to ensure competitive positioning. Referendum relies on grassroots mobilization and earned media, while lobbying requires matching or exceeding opposition spending for political viability.

Uncertainty Range

Technical: 95% CI: [$325M, $1.3B] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $325M and $1.3B (±75%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Political Lobbying Campaign: Direct Lobbying, Super Pacs, Opposition Research, Staff, Legal/Compliance

Probability Distribution: Political Lobbying Campaign: Direct Lobbying, Super Pacs, Opposition Research, Staff, Legal/Compliance

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Reserve Fund / Contingency Buffer: $100M

Reserve fund / contingency buffer (10% of total campaign cost). Using industry standard 10% for complex campaigns with potential for unforeseen legal challenges, opposition response, or regulatory delays. Conservative lower bound of $20M (2%) reflects transparent budget allocation and predictable referendum/lobbying costs.

Uncertainty Range

Technical: 95% CI: [$20M, $150M] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $20M and $150M (±65%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Reserve Fund / Contingency Buffer

Probability Distribution: Reserve Fund / Contingency Buffer

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Treaty Campaign Duration: 4 years

Treaty campaign duration (3-5 year range, using midpoint)

Uncertainty Range

Technical: 95% CI: [3 years, 5 years] • Distribution: Triangular

What this means: This estimate has moderate uncertainty. The true value likely falls between 3 years and 5 years (±25%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The triangular distribution means values cluster around a most-likely point but can range higher or lower.

Input Distribution

Probability Distribution: Treaty Campaign Duration

Probability Distribution: Treaty Campaign Duration

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Viral Referendum Budget: $250M

Viral referendum budget for 280M verified votes (base: $250M realistic with $0.50/vote avg, range: $150M optimistic $0.20/vote to $410M worst-case $1.05/vote). Components: platform ($35M), verification infrastructure (280M × friction × $0.18-0.20), tiered referral payments (varies by virality and marginal cost curve per diffusion theory), marketing seed ($5-15M). Based on PayPal referral economics ($18-36 inflation-adjusted) and biometric verification pricing ($0.15-0.25 at 300M+ scale).

Uncertainty Range

Technical: 95% CI: [$150M, $410M]

What this means: This estimate is highly uncertain. The true value likely falls between $150M and $410M (±52%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

Input Distribution

Probability Distribution: Viral Referendum Budget

Probability Distribution: Viral Referendum Budget

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

1% Reduction in Military Spending/War Costs from Treaty: 1%

1% reduction in military spending/war costs from treaty

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Trial-Relevant Diseases: 1 thousand diseases

Consolidated count of trial-relevant diseases worth targeting (after grouping ICD-10 codes)

Uncertainty Range

Technical: 95% CI: [800 diseases, 1.2 thousand diseases] • Distribution: Uniform

What this means: This estimate has moderate uncertainty. The true value likely falls between 800 diseases and 1.2 thousand diseases (±20%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The uniform distribution means any value in the range is equally likely.

Input Distribution

Probability Distribution: Trial-Relevant Diseases

Probability Distribution: Trial-Relevant Diseases

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

US Congress Members: 535 members

Total members of US Congress (100 senators + 435 representatives)

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Overlap Discount Factor: 1:1

Overlap discount factor between US government waste categories. Set to 1.0 (no discount). Categories are treated as additive, recognizing that any overlap is offset by excluded categories (state/local inefficiency, implicit subsidies, behavioral effects).

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Political Effort Multiplier (US): 0.7x

Fraction of campaign + lobbying spending needed to achieve policy reform. Accounts for efficiency gains from coordination, message clarity, and public interest alignment. Range 0.4-1.2 reflects uncertainty about political dynamics.

Uncertainty Range

Technical: 95% CI: [0.4x, 1.2x] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 0.4x and 1.2x (±57%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The lognormal distribution means values can’t go negative and have a longer tail toward higher values (common for costs and populations).

Input Distribution

Probability Distribution: Political Effort Multiplier (US)

Probability Distribution: Political Effort Multiplier (US)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Switzerland-US Life Expectancy Gap: 6.5 years

Life expectancy gap: Switzerland vs US. Switzerland achieves 6.5 extra years of life while spending 3% LESS of GDP on government.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

US-Switzerland Spending Gap: 300%

Government spending gap: US spends 3 percentage points MORE of GDP than Switzerland yet achieves worse outcomes.

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Percentage of Captured Dividend Funding VICTORY Incentive Alignment Bonds: 10%

Percentage of captured dividend funding VICTORY Incentive Alignment Bonds (10%)

Uncertainty Range

Technical: Distribution: Fixed

Core definition

Expected Vote Participation Rate: 30%

Expected share of global population that votes over the 15-year accumulation period. Global election turnout runs 50-65% despite strictly worse incentives on every axis: hours of effort vs. 30 seconds, no financial reward vs. a token value roughly equal to global average annual income (see VOTE_TOKEN_POTENTIAL_VALUE), 1-in-30M chance of influencing outcome vs. direct payout proportional to contribution. The 30% point estimate is conservative, accounting for 15-year ramp-up, regional skepticism, and low digital infrastructure. The token value drives awareness virally and solves access barriers (people travel to villages with phones when the expected payout exceeds local annual income). Upper CI (70%) reflects a mature campaign where token incentives have driven near-universal awareness.

Uncertainty Range

Technical: 95% CI: [3%, 70%] • Distribution: Beta

What this means: This estimate is highly uncertain. The true value likely falls between 3% and 70% (±112%). This represents a very wide range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Expected Vote Participation Rate

Probability Distribution: Expected Vote Participation Rate

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition

Wishonia Trajectory Probability (Year 20 EV Model): 90%

Probability that the world follows the Wishonia Trajectory (Treaty + dysfunction-tax elimination) rather than the Moronia collapse path in the expected-value framing.

Uncertainty Range

Technical: 95% CI: [60%, 98%] • Distribution: Beta

What this means: This estimate has moderate uncertainty. The true value likely falls between 60% and 98% (±21%). This represents a reasonable range that our Monte Carlo simulations account for when calculating overall uncertainty in the results.

The beta distribution means values are bounded and can skew toward one end.

Input Distribution

Probability Distribution: Wishonia Trajectory Probability (Year 20 EV Model)

Probability Distribution: Wishonia Trajectory Probability (Year 20 EV Model)

This chart shows the assumed probability distribution for this parameter. The shaded region represents the 95% confidence interval where we expect the true value to fall.

Core definition