{"id":"W4417331929","doi":"10.31478/202512b","title":"When Patients Lose Coverage, Clinicians Lose Heart","year":2025,"lang":"en","type":"article","venue":"NAM Perspectives","topic":"Healthcare Policy and Management","field":"Economics, Econometrics and Finance","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University Health Network","funders":"","keywords":"Legislation; Health care; Cornerstone; Burnout; Distress; MEDLINE; Control (management)","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"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":[0.005294811,0.0002977724,0.0005142277,0.001058604,0.00330443,0.006837299,0.00114233,0.008601016,0.01822226],"category_scores_gemma":[0.03033863,0.000272516,0.0006473829,0.001155211,0.004700944,0.0059964,0.002232702,0.009758142,0.002171835],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.004677647,"about_ca_system_score_gemma":0.005256028,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01210835,"about_ca_topic_score_gemma":0.01932442,"domain_scores_codex":[0.994197,0.002623379,0.0002898897,0.0005045776,0.001471909,0.0009132538],"domain_scores_gemma":[0.9842278,0.008821684,0.003138529,0.0004483681,0.001706914,0.001656716],"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":[0.00009428673,0.00004888825,0.005603797,0.0003126932,0.00004789149,0.0005919755,0.00289626,0.0001866879,0.0001700098,0.1896979,0.7521196,0.04822991],"study_design_scores_gemma":[0.00003789341,0.00006205094,0.00946037,0.001829603,0.00003682926,0.0006665349,0.007548164,0.0005418884,0.0002277255,0.09680425,0.8827245,0.00006023855],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.002574406,0.005692468,0.0006328973,0.975096,0.003922265,0.000006189548,0.0001034041,0.00001423046,0.01195807],"genre_scores_gemma":[0.158554,0.02879391,0.001150113,0.7662495,0.02424025,0.00005911654,0.0001960772,0.00006517043,0.02069184],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.01822226,"threshold_uncertainty_score":0.06095958,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03070056705858247,"score_gpt":0.3023987135555766,"score_spread":0.2716981464969941,"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."}}