diff --git a/inbox/archive/2022-03-09-imf-costa-rica-ebais-primary-health-care.md b/inbox/archive/2022-03-09-imf-costa-rica-ebais-primary-health-care.md
index 3ffe2a64f..400dfbc51 100644
--- a/inbox/archive/2022-03-09-imf-costa-rica-ebais-primary-health-care.md
+++ b/inbox/archive/2022-03-09-imf-costa-rica-ebais-primary-health-care.md
@@ -7,9 +7,14 @@ date: 2022-03-09
 domain: health
 secondary_domains: []
 format: report
-status: unprocessed
+status: null-result
 priority: high
 tags: [costa-rica, ebais, primary-health-care, international-comparison, spending-efficiency, blue-zone]
+processed_by: vida
+processed_date: 2026-03-11
+enrichments_applied: ["medical care explains only 10-20 percent of health outcomes because behavioral social and genetic factors dominate as four independent methodologies confirm.md", "the healthcare attractor state is a prevention-first system where aligned payment continuous monitoring and AI-augmented care delivery create a flywheel that profits from health rather than sickness.md", "pace-demonstrates-integrated-care-averts-institutionalization-through-community-based-delivery-not-cost-reduction.md"]
+extraction_model: "anthropic/claude-sonnet-4.5"
+extraction_notes: "Two new claims extracted: (1) Costa Rica as proof-of-concept for prevention-first primary care at national scale achieving peer outcomes at fraction of US cost, (2) geographic empanelment as the structural mechanism enabling population health accountability. Three enrichments: confirms that medical care is not dominant factor in health outcomes, extends the healthcare attractor state claim by showing prevention-first is achievable without AI/continuous monitoring, extends PACE claim by demonstrating same model works at 50x scale under different political economy. The EBAIS-PACE comparison is the key insight: identical clinical model, radically different scale and adoption, suggesting the barrier to US implementation is political/structural rather than operational."
 ---
 
 ## Content
@@ -58,3 +63,13 @@ tags: [costa-rica, ebais, primary-health-care, international-comparison, spendin
 PRIMARY CONNECTION: [[medical care explains only 10-20 percent of health outcomes because behavioral social and genetic factors dominate as four independent methodologies confirm]]
 WHY ARCHIVED: First international health system deep-dive in the KB. Costa Rica is the strongest counterfactual to US healthcare spending.
 EXTRACTION HINT: The EBAIS-PACE comparison is where the real insight lives. Same model, same concept — wildly different scale. What's different? Political economy, not clinical design.
+
+
+## Key Facts
+- EBAIS introduced 1994 in Costa Rica
+- Costa Rica life expectancy: 81.5 years (female), 76.7 years (male)
+- Costa Rica ranks second in Americas for life expectancy behind Canada
+- EBAIS team composition: doctor, nurse, technical assistant, medical clerk, pharmacist
+- Universal coverage through CCSS (Caja Costarricense de Seguro Social)
+- Nicoya Peninsula is one of 5 global Blue Zones
+- PACE serves ~90,000 people in US vs EBAIS covering 5 million in Costa Rica