{"id":"W7117107295","doi":"10.1016/j.jtcvs.2025.11.002","title":"Reply: Nothing can be said to be certain, except death and taxes","year":2025,"lang":"en","type":"article","venue":"Journal of Thoracic and Cardiovascular Surgery","topic":"Healthcare Systems and Challenges","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"","funders":"Blue Cross Blue Shield of Michigan Foundation; Alberta Blue Cross","keywords":"Nothing; Government (linguistics); Liability; Perspective (graphical)","routes":{"ca_aff":false,"ca_fund":true,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.003871569,0.0008886203,0.001273862,0.0007990756,0.003281564,0.003790827,0.001961709,0.04710206,0.01100405],"category_scores_gemma":[0.0309281,0.0009780113,0.001333594,0.0008597517,0.002726548,0.004544683,0.002514013,0.04836181,0.008622397],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002733486,"about_ca_system_score_gemma":0.006502815,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01223451,"about_ca_topic_score_gemma":0.01303004,"domain_scores_codex":[0.9976991,0.0005138533,0.0004319167,0.0003811166,0.0005241876,0.0004497905],"domain_scores_gemma":[0.9888878,0.005622419,0.0006068608,0.0003693167,0.003132599,0.001381031],"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":[0.00003571133,0.00001420539,0.0005135724,0.00006459657,0.00001715273,0.0001713086,0.0001162508,0.00003065162,0.00008778173,0.001564703,0.9953656,0.002018458],"study_design_scores_gemma":[0.0001079053,0.00004765828,0.003710958,0.0003929456,0.00006088174,0.0006447172,0.001712331,0.0001846219,0.0002946856,0.005255123,0.9874452,0.0001429412],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0001890549,0.0004926234,0.00005543715,0.9723105,0.0261937,0.000007762302,0.0001289292,0.00001275796,0.0006091771],"genre_scores_gemma":[0.0009616137,0.0003706579,0.00006951582,0.9849879,0.01050198,0.00001859306,0.00003732827,0.000008046886,0.003044313],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.04710206,"threshold_uncertainty_score":0.03681225,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.09775932760896455,"score_gpt":0.4088876774669504,"score_spread":0.3111283498579858,"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."}}