{"id":"W4412664514","doi":"10.12927/hcpap.2025.27645","title":"We Need to Do the Hard Work to Strengthen Public Healthcare","year":2025,"lang":"en","type":"article","venue":"A Nudge Too Far? A Nudge at All? On Paying People to Be Healthy","topic":"Public Health Policies and Education","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Canadian Medical Association","funders":"","keywords":"Work (physics); Health care; Public healthcare; Business; Public relations; Nursing; Public health; Sociology; Political science; Medicine; Engineering","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":[0.03230654,0.002355637,0.002645914,0.003797811,0.03779693,0.03410032,0.004957696,0.02469466,0.03690069],"category_scores_gemma":[0.07596123,0.001230024,0.002479139,0.003105617,0.05006602,0.02688873,0.02101396,0.04030335,0.01663462],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.04508417,"about_ca_system_score_gemma":0.296573,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.4750898,"about_ca_topic_score_gemma":0.5017954,"domain_scores_codex":[0.9603174,0.00922266,0.0008803752,0.002246122,0.01363629,0.01369717],"domain_scores_gemma":[0.8212437,0.02619453,0.004452183,0.01057211,0.0380329,0.09950448],"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":[0.00006354219,0.00023899,0.001979229,0.000624242,0.0001292105,0.0001862174,0.003530255,0.0003323877,0.0003528862,0.04666186,0.8707168,0.07518439],"study_design_scores_gemma":[0.00006218878,0.0001013636,0.003141462,0.001750874,0.00006634359,0.000104245,0.01322164,0.0001782254,0.0001933693,0.04874139,0.9323027,0.000136239],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0006566094,0.00469695,0.0008268161,0.9775609,0.00538309,0.000031565,0.00006165322,0.0001907253,0.01059161],"genre_scores_gemma":[0.06891126,0.01756017,0.01188391,0.8634374,0.008795681,0.000193595,0.0003022488,0.0003918335,0.02852391],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.4750898,"threshold_uncertainty_score":0.944649,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.137826510032397,"score_gpt":0.4393164673504161,"score_spread":0.301489957318019,"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."}}