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Record W4408673840 · doi:10.12927/hcpap.2025.27559

Medicare Makeover: A Response to Peer Commentaries

2025· article· en· W4408673840 on OpenAlexaffvenueabout
Colleen M. Flood, Bryan Thomas

Bibliographic record

VenueA Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · 2025
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsQueen's University
Fundersnot available
KeywordsPeer reviewPsychologyComputer sciencePolitical scienceLaw

Abstract

fetched live from OpenAlex

reforms proposed in Medicare Makeover, our peers provide valuable insights and suggestions. We appreciate, for instance, underscoring complexities inherent in implementing our call for evidence-based processes to define publicly-funded services and concerns regarding variation in accessibility and coverage standards across Canada. While some responses advocate for greater federal direction, we argue that fractured accountabilities have contributed to current challenges. It is essential that reforms establish a clear line of accountability: the federal government must ensure provinces, territories and Indigenous governments implement transparent processes to set standards for reasonable access and coverage and, in turn, provincial, territorial and Indigenous governments must be accountable for delivering on those standards to their voters.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.040
metaresearch head score (Gemma)0.226
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.066
Threshold uncertainty score0.213

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0400.226
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0020.003
Science and technology studies0.0120.007
Scholarly communication0.0110.009
Open science0.0060.008
Research integrity0.0660.050
Insufficient payload (model declined to judge)0.0190.006

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.067
GPT teacher head0.329
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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