{"id":"W4408673851","doi":"10.12927/hcpap.2025.27528","title":"Medicare Makeover: Reimagining the Canada Health Act at 40","year":2025,"lang":"en","type":"article","venue":"A Nudge Too Far? A Nudge at All? On Paying People to Be Healthy","topic":"Canadian Policy and Governance","field":"Social Sciences","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Queen's University","funders":"","keywords":"Political science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01860788,0.00132014,0.001358217,0.002257406,0.01740076,0.0123091,0.005867449,0.03687327,0.01274848],"category_scores_gemma":[0.04973595,0.001188849,0.00247414,0.003098511,0.00874624,0.004211324,0.00552862,0.02224972,0.003147143],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.1046385,"about_ca_system_score_gemma":0.529268,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9853775,"about_ca_topic_score_gemma":0.9904585,"domain_scores_codex":[0.9684566,0.001916684,0.001025754,0.001274781,0.01828412,0.009042076],"domain_scores_gemma":[0.9464736,0.009757968,0.001426816,0.002208953,0.01797418,0.02215846],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00004181144,0.00004043724,0.00158046,0.00008873997,0.00001968947,0.0002105538,0.0009103488,0.0002502438,0.0002062552,0.04829985,0.9341596,0.01419201],"study_design_scores_gemma":[0.00006291945,0.00003891382,0.007932974,0.000335852,0.0000301553,0.00006688702,0.0007278082,0.0003473462,0.0001525246,0.005255934,0.9849561,0.00009247291],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.004612804,0.007571414,0.001180264,0.8920661,0.01068152,0.0002875922,0.003253023,0.0006013592,0.07974587],"genre_scores_gemma":[0.04625777,0.003685232,0.006071521,0.7964248,0.002287738,0.0003594726,0.0018156,0.0002941629,0.1428037],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.8953615,"threshold_uncertainty_score":0.7592093,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03005650601552106,"score_gpt":0.3341301076841978,"score_spread":0.3040736016686768,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}