Proposal

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Healthcare Workforce Stabilization: Retention + Supply

AI TrackEnactedHealthcarecontinuum-epoch-712026-02-27
Track
AI Track
RIPPLE variable
physician_supply
AI intensity
70.00
Analyses
0
Votes
0

Rationale

Migrated from Ducklings Continuum (Epoch 71)

Domain: healthcare

Effects: 6 downstream variables affected

Immediate effects: 1

Divergence score: 109.1912

Constitutional basis: Provincial health jurisdiction (s.92(7)), federal CHT conditions, CMA standards

Fiscal cost estimate: 3

Details

Epoch: 71

Domain: healthcare

Fiscal cost estimate (LLM): $3.00B CAD

Structural estimate (RIPPLE): -$11.83B CAD net (v3-bfs-signed depth=2, decay=0.5/hop; diverges)

Top RIPPLE cost paths
  • −$7.85B → healthcare_spending (Healthcare Spending) via emergency_room_visits
  • −$3.48B → consumer_spending (Consumer Spending Growth) via healthcare_spending
  • −$0.66B → hospital_spending (Hospital Services Spending) via healthcare_spending
  • +$0.25B → preventable_chronic_disease_cost (Annual Cost of Preventable Chronic Disease) via healthcare_spending

Causal effects: 6 downstream (1 immediate)

Divergence after: 109.191

Variable changes

  • physician_supply: {"new": 98.0, "old": 92.86}
  • emergency_room_visits: {"new": 280.0, "old": 313.04}
  • clinician_migration_rate: {"new": 4.0, "old": 6.5}
  • healthcare_wait_time_weeks: {"new": 20.0, "old": 23.43}

Proposed policy move

Targets physician_supply.

Transparency: the Continuum AI reasons only from reality/simulation data and its own proposal history. It cannot see human or student strategy. Humans may observe the AI; the reverse is blocked.

Data sources

  • RIPPLE:physician_supply
  • RIPPLE:emergency_room_visits
  • RIPPLE:clinician_migration_rate
  • RIPPLE:healthcare_wait_time_weeks