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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 260 parameters used in the analysis, organized by type:

  • External sources (peer-reviewed): 103
  • Calculated values: 99
  • Core definitions: 58

Quick Navigation

Calculated Values (99 parameters) • External Data Sources (103 parameters) • Core Definitions (58 parameters)

Calculated Values

Parameters derived from mathematical formulas and economic models.

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

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) 2.90 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:11

✓ 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.

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

Total annual Decentralized Framework for Drug Assessment operational costs (sum of all components: $15M + $10M + $8M + $5M + $2M)

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.

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.

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.

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.

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.

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, 97.0 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) [7.40 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 ($41K traditional / $1,200 dFDA = 34x)

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: (traditional - dFDA) / traditional = ($41K - $1.2K) / $41K = 97%

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.

Patients Fundable Annually: 23.4 million patients/year

Number of patients fundable annually at dFDA pragmatic trial cost ($1,200/patient). 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.

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:132

~ 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) [5.70 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 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.

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

Drug development cost increase from pre-1962 to current ($24.7M → $2.6B = 105×)

Inputs:

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

Methodology:80

✓ 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: 9.50 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

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 to Oxford RECOVERY Trial Time Multiplier: 42:1

FDA approval timeline vs Oxford RECOVERY trial (10.5 years ÷ 3 months = 42x slower)

Inputs:

\[ \begin{gathered} \text{Multiplier}_{RD} = \frac{Y_{FDA} \times 12}{M_{RECOVERY}} \\[0.5em] = \frac{10.5 \times 12}{3} = 42 \end{gathered} \]

Methodology:66

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for FDA to Oxford RECOVERY Trial Time Multiplier

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

Input Parameter Sensitivity Coefficient Interpretation
FDA Phase 1 to Approval Timeline (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 to Oxford RECOVERY Trial Time Multiplier (10,000 simulations)

Monte Carlo Distribution: FDA to Oxford RECOVERY Trial Time Multiplier (10,000 simulations)

Simulation Results Summary: FDA to Oxford RECOVERY Trial Time Multiplier

Statistic Value
Baseline (deterministic) 42:1
Mean (expected value) 40.9:1
Median (50th percentile) 41.5:1
Standard Deviation 6.14:1
90% Range (5th-95th percentile) [29.8:1, 48:1]

The histogram shows the distribution of FDA 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 to Oxford RECOVERY Trial Time Multiplier

Probability of Exceeding Threshold: FDA to Oxford RECOVERY Trial Time Multiplier

This exceedance probability chart shows the likelihood that FDA to Oxford RECOVERY Trial Time Multiplier 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.

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, $9.40T]

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: $3.70T

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) $3.70T
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.

Total Economic Burden of Disease Globally: $109T

Total economic burden of disease globally (medical + productivity + mortality)

Inputs:

\[ \begin{gathered} Burden_{disease} \\ = Cost_{medical,direct} + Loss_{life,disease} \\ + Loss_{productivity} \\ = \$9.9T + \$94.2T + \$5T \\ = \$109T \end{gathered} \]

Methodology:43

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Total Economic Burden of Disease Globally

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

Input Parameter Sensitivity Coefficient Interpretation
Global Annual Economic Value of Human Life Lost to Disease (USD/year) 0.8628 Strong driver
Global Annual Direct Medical Costs of Disease (USD/year) 0.0915 Minimal effect
Global Annual Productivity Loss from Disease (USD/year) 0.0458 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 Burden of Disease Globally (10,000 simulations)

Monte Carlo Distribution: Total Economic Burden of Disease Globally (10,000 simulations)

Simulation Results Summary: Total Economic Burden of Disease Globally

Statistic Value
Baseline (deterministic) $109T
Mean (expected value) $109T
Median (50th percentile) $107T
Standard Deviation $18.6T
90% Range (5th-95th percentile) [$79.8T, $144T]

The histogram shows the distribution of Total Economic Burden of Disease 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 Economic Burden of Disease Globally

Probability of Exceeding Threshold: Total Economic Burden of Disease Globally

This exceedance probability chart shows the likelihood that Total Economic Burden of Disease Globally 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

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

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.

Ratio of Military Spending to Medical Research Spending: 40.3:1

Ratio of military spending to medical research spending

Inputs:

\[ \begin{gathered} Ratio_{mil:RD} \\ = \frac{Spending_{mil}}{Spending_{RD}} \\ = \frac{\$2.72T}{\$67.5B} \\ = 40.3 \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Ratio of Military Spending to Medical Research Spending

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

Input Parameter Sensitivity Coefficient Interpretation
Global Government Medical Research Spending (USD) -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: Ratio of Military Spending to Medical Research Spending (10,000 simulations)

Monte Carlo Distribution: Ratio of Military Spending to Medical Research Spending (10,000 simulations)

Simulation Results Summary: Ratio of Military Spending to Medical Research Spending

Statistic Value
Baseline (deterministic) 40.3:1
Mean (expected value) 40.8:1
Median (50th percentile) 40.6:1
Standard Deviation 4:1
90% Range (5th-95th percentile) [34.3:1, 48:1]

The histogram shows the distribution of Ratio of Military Spending to Medical Research 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 Spending to Medical Research Spending

Probability of Exceeding Threshold: Ratio of Military Spending to Medical Research Spending

This exceedance probability chart shows the likelihood that Ratio of Military Spending to Medical Research Spending 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.

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 Environmental Damage: $1B

Annual savings from 1% reduction in environmental damage

Inputs:

\[ \begin{gathered} Savings_{env} \\ = Damage_{env} \times Reduce_{treaty} \\ = \$100B \times 1\% \\ = \$1B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Environmental Damage

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

Input Parameter Sensitivity Coefficient Interpretation
Annual Environmental Damage and Restoration Costs from Conflict (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: Annual Savings from 1% Reduction in Environmental Damage (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Environmental Damage (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Environmental Damage

Statistic Value
Baseline (deterministic) $1B
Mean (expected value) $997M
Median (50th percentile) $982M
Standard Deviation $170M
90% Range (5th-95th percentile) [$732M, $1.32B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Environmental Damage 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 Environmental Damage

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Environmental Damage

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Environmental Damage will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Human Casualties: $24.5B

Annual savings from 1% reduction in human casualties

Inputs:

\[ \begin{gathered} Savings_{casualties} \\ = Loss_{life,conflict} \times Reduce_{treaty} \\ = \$2.45T \times 1\% \\ = \$24.5B \end{gathered} \] 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: \[ \begin{gathered} Cost_{terror,human} \\ = Deaths_{terror} \times VSL \\ = 8{,}300 \times \$10M \\ = \$83B \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Human Casualties

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) 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 Human Casualties (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Human Casualties (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Human Casualties

Statistic Value
Baseline (deterministic) $24.5B
Mean (expected value) $24.2B
Median (50th percentile) $23.5B
Standard Deviation $7.40B
90% Range (5th-95th percentile) [$13.1B, $37.5B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Human Casualties 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 Human Casualties

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Human Casualties

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Human Casualties 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.

Annual Savings from 1% Reduction in Infrastructure Destruction: $18.8B

Annual savings from 1% reduction in infrastructure destruction

Inputs:

\[ \begin{gathered} Savings_{infra} \\ = Damage_{infra,total} \times Reduce_{treaty} \\ = \$1.88T \times 1\% \\ = \$18.8B \end{gathered} \] where: \[ \begin{gathered} Damage_{infra,total} \\ = Damage_{comms} + Damage_{edu} + Damage_{energy} \\ + Damage_{health} + Damage_{transport} + Damage_{water} \\ = \$298B + \$234B + \$422B + \$166B + \$487B + \$268B \\ = \$1.88T \end{gathered} \] ✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Infrastructure Destruction

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

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Infrastructure Destruction (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 Infrastructure Destruction (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Infrastructure Destruction (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Infrastructure Destruction

Statistic Value
Baseline (deterministic) $18.8B
Mean (expected value) $18.7B
Median (50th percentile) $18.4B
Standard Deviation $3.19B
90% Range (5th-95th percentile) [$13.7B, $24.7B]

The histogram shows the distribution of Annual Savings from 1% Reduction in 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: Annual Savings from 1% Reduction in Infrastructure Destruction

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Infrastructure Destruction

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Infrastructure Destruction will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Lost Economic Growth: $27.2B

Annual savings from 1% reduction in lost economic growth

Inputs:

\[ \begin{gathered} Savings_{growth} \\ = Loss_{growth,mil} \times Reduce_{treaty} \\ = \$2.72T \times 1\% \\ = \$27.2B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Lost Economic Growth

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

Input Parameter Sensitivity Coefficient Interpretation
Annual Lost Economic Growth from Military Spending Opportunity 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: Annual Savings from 1% Reduction in Lost Economic Growth (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Lost Economic Growth (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Lost Economic Growth

Statistic Value
Baseline (deterministic) $27.2B
Mean (expected value) $27.1B
Median (50th percentile) $26.7B
Standard Deviation $4.61B
90% Range (5th-95th percentile) [$19.9B, $35.8B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Lost Economic Growth 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 Lost Economic Growth

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Lost Economic Growth

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Lost Economic Growth will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Lost Human Capital: $3B

Annual savings from 1% reduction in lost human capital

Inputs:

\[ \begin{gathered} Savings_{capital} \\ = Loss_{capital,conflict} \times Reduce_{treaty} \\ = \$300B \times 1\% \\ = \$3B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Lost Human Capital

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

Input Parameter Sensitivity Coefficient Interpretation
Annual Lost Productivity from Conflict Casualties (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: Annual Savings from 1% Reduction in Lost Human Capital (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Lost Human Capital (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Lost Human Capital

Statistic Value
Baseline (deterministic) $3B
Mean (expected value) $2.99B
Median (50th percentile) $2.95B
Standard Deviation $510M
90% Range (5th-95th percentile) [$2.20B, $3.95B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Lost Human 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: Annual Savings from 1% Reduction in Lost Human Capital

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Lost Human Capital

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Lost Human Capital will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in PTSD and Mental Health Costs: $2.32B

Annual savings from 1% reduction in PTSD and mental health costs

Inputs:

\[ \begin{gathered} Savings_{PTSD} \\ = Cost_{psych} \times Reduce_{treaty} \\ = \$232B \times 1\% \\ = \$2.32B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in PTSD and Mental Health Costs

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

Input Parameter Sensitivity Coefficient Interpretation
Annual PTSD and Mental Health Costs from Conflict (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: Annual Savings from 1% Reduction in PTSD and Mental Health Costs (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in PTSD and Mental Health Costs (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in PTSD and Mental Health Costs

Statistic Value
Baseline (deterministic) $2.32B
Mean (expected value) $2.31B
Median (50th percentile) $2.28B
Standard Deviation $396M
90% Range (5th-95th percentile) [$1.70B, $3.06B]

The histogram shows the distribution of Annual Savings from 1% Reduction in PTSD and Mental Health 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 PTSD and Mental Health Costs

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in PTSD and Mental Health Costs

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in PTSD and Mental Health Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Refugee Support Costs: $1.50B

Annual savings from 1% reduction in refugee support costs

Inputs:

\[ \begin{gathered} Savings_{refugee} \\ = Cost_{refugee} \times Reduce_{treaty} \\ = \$150B \times 1\% \\ = \$1.5B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Refugee Support Costs

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

Input Parameter Sensitivity Coefficient Interpretation
Annual Refugee Support Costs (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: Annual Savings from 1% Reduction in Refugee Support Costs (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Refugee Support Costs (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Refugee Support Costs

Statistic Value
Baseline (deterministic) $1.50B
Mean (expected value) $1.50B
Median (50th percentile) $1.47B
Standard Deviation $255M
90% Range (5th-95th percentile) [$1.10B, $1.98B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Refugee Support 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 Refugee Support Costs

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Refugee Support Costs

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Refugee Support Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Trade Disruption: $6.16B

Annual savings from 1% reduction in trade disruption

Inputs:

\[ \begin{gathered} Savings_{trade} \\ = Disruption_{trade} \times Reduce_{treaty} \\ = \$616B \times 1\% \\ = \$6.16B \end{gathered} \] 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 Trade Disruption

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

Input Parameter Sensitivity Coefficient Interpretation
Total Annual Trade Disruption (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 Trade Disruption (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Trade Disruption (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Trade Disruption

Statistic Value
Baseline (deterministic) $6.16B
Mean (expected value) $6.14B
Median (50th percentile) $6.05B
Standard Deviation $1.05B
90% Range (5th-95th percentile) [$4.50B, $8.12B]

The histogram shows the distribution of Annual Savings from 1% Reduction in 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: Annual Savings from 1% Reduction in Trade Disruption

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Trade Disruption

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Trade Disruption will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Annual Savings from 1% Reduction in Veteran Healthcare Costs: $2B

Annual savings from 1% reduction in veteran healthcare costs

Inputs:

\[ \begin{gathered} Savings_{vet} \\ = Cost_{vet} \times Reduce_{treaty} \\ = \$200B \times 1\% \\ = \$2B \end{gathered} \]

✓ High confidence

Sensitivity Analysis

Sensitivity Indices for Annual Savings from 1% Reduction in Veteran Healthcare Costs

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

Input Parameter Sensitivity Coefficient Interpretation
Annual Veteran Healthcare Costs (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: Annual Savings from 1% Reduction in Veteran Healthcare Costs (10,000 simulations)

Monte Carlo Distribution: Annual Savings from 1% Reduction in Veteran Healthcare Costs (10,000 simulations)

Simulation Results Summary: Annual Savings from 1% Reduction in Veteran Healthcare Costs

Statistic Value
Baseline (deterministic) $2B
Mean (expected value) $2B
Median (50th percentile) $1.97B
Standard Deviation $340M
90% Range (5th-95th percentile) [$1.46B, $2.63B]

The histogram shows the distribution of Annual Savings from 1% Reduction in Veteran Healthcare 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 Veteran Healthcare Costs

Probability of Exceeding Threshold: Annual Savings from 1% Reduction in Veteran Healthcare Costs

This exceedance probability chart shows the likelihood that Annual Savings from 1% Reduction in Veteran Healthcare Costs will exceed any given threshold. Higher curves indicate more favorable outcomes with greater certainty.

Pragmatic Trial Cost per QALY (RECOVERY): $4.00

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:66

~ 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) $4.00
Mean (expected value) $5.10
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.

Pragmatic Trial Efficiency Multiplier vs NIH: 12.5kx

How many times more cost-effective pragmatic trials are vs standard NIH research. Calculated using global impact methodology (NIH cost per QALY / pragmatic cost per QALY). Shows orders-of-magnitude efficiency gap between discovery-focused pragmatic trials and standard research.

Inputs:

\[ \begin{gathered} k_{pragmatic:NIH} \\ = \frac{Cost_{NIH,QALY}}{Cost_{pragmatic,QALY}} \\ = \frac{\$50K}{\$4} \\ = 12{,}500 \end{gathered} \] where: \[ \begin{gathered} Cost_{pragmatic,QALY} \\ = \frac{Cost_{RECOVERY}}{QALY_{RECOVERY}} \\ = \frac{\$20M}{5M} \\ = \$4 \end{gathered} \] where: \[ \begin{gathered} QALY_{RECOVERY} \\ = Lives_{RECOVERY} \times QALY_{COVID} \\ = 1M \times 5 \\ = 5M \end{gathered} \] ~ Medium confidence

Sensitivity Analysis

Sensitivity Indices for Pragmatic Trial Efficiency Multiplier vs NIH

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

Input Parameter Sensitivity Coefficient Interpretation
NIH Standard Research Cost per QALY (USD/QALY) 1.5607 Strong driver
Pragmatic Trial Cost per QALY (RECOVERY) (USD/QALY) 0.6777 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 Efficiency Multiplier vs NIH (10,000 simulations)

Monte Carlo Distribution: Pragmatic Trial Efficiency Multiplier vs NIH (10,000 simulations)

Simulation Results Summary: Pragmatic Trial Efficiency Multiplier vs NIH

Statistic Value
Baseline (deterministic) 12.5kx
Mean (expected value) 15.8kx
Median (50th percentile) 10.1kx
Standard Deviation 16.2kx
90% Range (5th-95th percentile) [2.3kx, 51.5kx]

The histogram shows the distribution of Pragmatic Trial Efficiency Multiplier vs NIH 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 Efficiency Multiplier vs NIH

Probability of Exceeding Threshold: Pragmatic Trial Efficiency Multiplier vs NIH

This exceedance probability chart shows the likelihood that Pragmatic Trial Efficiency Multiplier vs NIH 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 ($41K traditional / $500 RECOVERY = 82x)

Inputs:

\[ \begin{gathered} k_{RECOVERY} \\ = \frac{Cost_{P3,pt}}{Cost_{RECOVERY,pt}} \\ = \frac{\$41K}{\$500} \\ = 82 \end{gathered} \]

Methodology:66

✓ 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: 5.00 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) 5.00 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.

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:133

? 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:133

? 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: 13.0 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) 13.0 thousand
Mean (expected value) 13.3 thousand
Median (50th percentile) 12.6 thousand
Standard Deviation 4.50 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

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)

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 (rate) 1.1097 Strong driver
Global Population in 2024 (of people) -0.1099 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: 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) 279 million
Median (50th percentile) 276 million
Standard Deviation 42.1 million
90% Range (5th-95th percentile) [213 million, 359 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): $0.0018

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) $0.0018
Mean (expected value) $0.0019
Median (50th percentile) $0.0016
Standard Deviation $0.0011
90% Range (5th-95th percentile) [$0.0007, $0.0041]

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.

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, $3.20]

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.

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.

Cost-Effectiveness vs Bed Nets Multiplier: 50.3kx

How many times more cost-effective than bed nets (using $89/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.

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.

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.

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.

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, $1.40K] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $929 and $1.40K (±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

Return on Investment from Childhood Vaccination Programs: 13:1

Return on investment from childhood vaccination programs

Source:8

✓ 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

Current Clinical Trial Participation Rate: 0.06%

Current clinical trial participation rate (0.06% of population)

Source:11

✓ High confidence

Global Population with Chronic Diseases: 2.40 billion people

Global population with chronic diseases

Source:12

Uncertainty Range

Technical: 95% CI: [2.00 billion people, 2.80 billion people] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 2.00 billion people and 2.80 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:13

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: 3.30 thousand trials/year

Current global clinical trials per year

Source:16

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

Annual Global Clinical Trial Participants: 1.90 million patients/year

Annual global clinical trial participants (IQVIA 2022: 1.9M post-COVID normalization)

Source:15

Uncertainty Range

Technical: 95% CI: [1.50 million patients/year, 2.30 million patients/year] • Distribution: Lognormal

What this means: This estimate has moderate uncertainty. The true value likely falls between 1.50 million patients/year and 2.30 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:17

✓ High confidence • 📊 Peer-reviewed • Updated 2024

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

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:21

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:22

✓ High confidence

Economic Multiplier for Education Investment: 2.1x

Economic multiplier for education investment (2.1x ROI)

Source:23

✓ High confidence

Economic Multiplier for Healthcare Investment: 4.3x

Economic multiplier for healthcare investment (4.3x ROI). Literature range 3.0-6.0×.

Source:24

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:25

✓ High confidence

Economic Multiplier for Military Spending: 0.6x

Economic multiplier for military spending (0.6x ROI). Literature range 0.4-1.0×.

Source:26

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:21

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: 20.0 thousand products

Total FDA-approved drug products in the U.S.

Source:27

✓ 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:27

Uncertainty Range

Technical: 95% CI: [1.30 thousand compounds, 2.00 thousand compounds] • Distribution: Uniform

What this means: This estimate has moderate uncertainty. The true value likely falls between 1.30 thousand compounds and 2.00 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:28

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:21

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

Annual Deaths from Active Combat Worldwide: 234 thousand deaths/year

Annual deaths from active combat worldwide

Source:29

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: 2.70 thousand deaths/year

Annual deaths from state violence

Source:30

Uncertainty Range

Technical: 95% CI: [1.50 thousand deaths/year, 5.00 thousand deaths/year] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 1.50 thousand deaths/year and 5.00 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: 8.30 thousand deaths/year

Annual deaths from terror attacks globally

Source:31

Uncertainty Range

Technical: 95% CI: [6.00 thousand deaths/year, 12.0 thousand deaths/year] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 6.00 thousand deaths/year and 12.0 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:32

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: 55.0 million deaths/year

Annual deaths from all diseases and aging globally

Source:4

Uncertainty Range

Technical: Distribution: Normal (SE: 5.00 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:33

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:33

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:33

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:33

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:33

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:33

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:33

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:35

Uncertainty Range

Technical: 95% CI: [$1.90T, $3.80T] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $1.90T and $3.80T (±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:36

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:37

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:38

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:39

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:39

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:39

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:39

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:40

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 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:42

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

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: 7.50 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 Annual Direct Medical Costs of Disease: $9.90T

Direct medical costs of disease globally (treatment, hospitalization, medication)

Source:43

Uncertainty Range

Technical: 95% CI: [$7T, $14T] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $7T and $14T (±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: Global Annual Direct Medical Costs of Disease

Probability Distribution: Global Annual Direct Medical Costs of Disease

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 Economic Value of Human Life Lost to Disease: $94.2T

Economic value of human life lost to disease annually (mortality valuation)

Source:43

Uncertainty Range

Technical: 95% CI: [$66T, $132T] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $66T and $132T (±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: Global Annual Economic Value of Human Life Lost to Disease

Probability Distribution: Global Annual Economic Value of Human Life Lost to Disease

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 Productivity Loss from Disease: $5T

Annual productivity loss from disease globally (absenteeism, reduced output)

Source:43

Uncertainty Range

Technical: 95% CI: [$3.50T, $7T] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between $3.50T and $7T (±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: Global Annual Productivity Loss from Disease

Probability Distribution: Global Annual Productivity Loss from Disease

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 Government Spending on Clinical Trials: $4.50B

Annual global government spending on interventional clinical trials (~5-10% of total)

Source:45

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 Household Wealth: $454T

Total global household wealth (2022/2023 estimate)

Source:46

✓ 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 Government Medical Research Spending: $67.5B

Global government medical research spending

Source:47

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:48

Uncertainty Range

Technical: Distribution: Fixed

✓ High confidence

Global Population in 2024: 8.00 billion of people

Global population in 2024

Source:51

Uncertainty Range

Technical: 95% CI: [7.80 billion of people, 8.20 billion of people] • Distribution: Lognormal

What this means: We’re quite confident in this estimate. The true value likely falls between 7.80 billion of people and 8.20 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

Critical Mass Threshold for Social Change: 3.5%

Critical mass threshold for social change (3.5% rule)

Source:52

Uncertainty Range

Technical: 95% CI: [2.5%, 4.5%] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 2.5% and 4.5% (±29%). 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: 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

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:32

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:54

✓ High confidence

Maximum Annual Lobbyist Salary Range: $2M

Maximum annual lobbyist salary range

Source:57

✓ High confidence

Minimum Annual Lobbyist Salary Range: $500K

Minimum annual lobbyist salary range

Source:57

✓ 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:62

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:63

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:64

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:65

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:66

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:67

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): $2.60B

Average cost to develop one drug in current system

Source:68

Uncertainty Range

Technical: 95% CI: [$1.50B, $4B] • Distribution: Lognormal (SE: $500M)

What this means: There’s significant uncertainty here. The true value likely falls between $1.50B 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): $6.70B

Median lifetime revenue per successful drug (study of 361 FDA-approved drugs 1995-2014, median follow-up 13.2 years)

Source:69

✓ High confidence • 📊 Peer-reviewed

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:71

✓ High confidence • 📊 Peer-reviewed

Pharma Drug Success Rate (Current System): 10%

Percentage of drugs that reach market in current system

Source:72

✓ High confidence • 📊 Peer-reviewed

Phase I-Passed Compounds Globally: 7.50 thousand compounds

Investigational compounds that have passed Phase I globally (midpoint of 5,000-10,000 range)

Source:21

Uncertainty Range

Technical: 95% CI: [5.00 thousand compounds, 10.0 thousand compounds] • Distribution: Uniform

What this means: There’s significant uncertainty here. The true value likely falls between 5.00 thousand compounds and 10.0 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:21

✓ High confidence • 📊 Peer-reviewed • Updated 2021

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:74

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

Political Success Probability: 1%

Estimated probability of treaty ratification and sustained implementation. Central estimate 1% is conservative. This assumes 99% chance of failure.

Source:76

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-1962 Drug Approval Reduction: 70%

Reduction in new drug approvals after 1962 Kefauver-Harris Amendment (70% drop from 43→17 drugs/year)

Source:78

✓ High confidence • Updated 1962-1970

Percentage Military Spending Cut After WW2: 30%

Percentage military spending cut after WW2 (historical precedent)

Source:79

✓ High confidence

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:80

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:81

? Low confidence

Total Number of Rare Diseases Globally: 7.00 thousand diseases

Total number of rare diseases globally

Source:82

Uncertainty Range

Technical: 95% CI: [6.00 thousand diseases, 10.0 thousand diseases] • Distribution: Normal

What this means: There’s significant uncertainty here. The true value likely falls between 6.00 thousand diseases and 10.0 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:83

Uncertainty Range

Technical: 95% CI: [$400, $2.50K] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $400 and $2.50K (±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: 1.00 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:84

Uncertainty Range

Technical: 95% CI: [500 thousand lives, 2.00 million lives] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 500 thousand lives and 2.00 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:66

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

Return on Investment from Smallpox Eradication Campaign: 280:1

Return on investment from smallpox eradication campaign

Source:89

✓ High confidence

Standard Economic Value per QALY: $150K

Standard economic value per QALY

Source:91

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:92

✓ High confidence

Switzerland’s Defense Spending as Percentage of GDP: 0.7%

Switzerland’s defense spending as percentage of GDP (0.7%)

Source:93

✓ High confidence

Switzerland GDP per Capita: $93K

Switzerland GDP per capita

Source:94

✓ High confidence

Thalidomide Cases Worldwide: 15.0 thousand cases

Total thalidomide birth defect cases worldwide (1957-1962)

Source:98

Uncertainty Range

Technical: 95% CI: [10.0 thousand cases, 20.0 thousand cases] • Distribution: Lognormal

What this means: There’s significant uncertainty here. The true value likely falls between 10.0 thousand cases and 20.0 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:99

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:98

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:99

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:100

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:101

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

US Alzheimer’s Annual Cost: $355B

Annual US cost of Alzheimer’s disease (direct and indirect)

Source:103

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:104

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:106

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 Heart Disease Annual Cost: $363B

Annual US cost of heart disease and stroke (direct and indirect)

Source:116

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 as Percentage of GDP: 3.5%

US military spending as percentage of GDP (2024)

Source:121

✓ High confidence

Value of Statistical Life: $10M

Value of Statistical Life (conservative estimate)

Source:127

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

Core Definitions

Fundamental parameters and constants used throughout the analysis.

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: [1.50 thousand pairings, 2.00 thousand pairings] • Distribution: Uniform

What this means: This estimate has moderate uncertainty. The true value likely falls between 1.50 thousand pairings and 2.00 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

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, $1.30B]

What this means: There’s significant uncertainty here. The true value likely falls between $700M and $1.30B (±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

Concentrated Interest Sector Market Cap: $5T

Estimated combined market capitalization of concentrated interest opposition (defense, fossil fuel, etc.)

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

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: $0.100

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: [$0.030, $1.00] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $0.030 and $1.00 (±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

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

Minimum Investment for Family Offices: $5M

Minimum investment for family offices

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

Maximum Bond Investment for Lobbyist Incentives: $20M

Maximum bond investment for lobbyist incentives

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

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

Safe Compounds Available for Testing: 9.50 thousand compounds

Total safe compounds available for repurposing (FDA-approved + GRAS substances, midpoint of 7,000-12,000 range)

Uncertainty Range

Technical: 95% CI: [7.00 thousand compounds, 12.0 thousand compounds] • Distribution: Uniform

What this means: There’s significant uncertainty here. The true value likely falls between 7.00 thousand compounds and 12.0 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

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: [15.0 thousand relationships, 50.0 thousand relationships] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between 15.0 thousand relationships and 50.0 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, $1.30B] • Distribution: Lognormal

What this means: This estimate is highly uncertain. The true value likely falls between $325M and $1.30B (±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

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: 1.00 thousand diseases

Consolidated count of trial-relevant diseases worth targeting (after grouping ICD-10 codes)

Uncertainty Range

Technical: 95% CI: [800 diseases, 1.20 thousand diseases] • Distribution: Uniform

What this means: This estimate has moderate uncertainty. The true value likely falls between 800 diseases and 1.20 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

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