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vida: extract claims from 2022-03-09-imf-costa-rica-ebais-primary-health-care.md

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- Source: inbox/archive/2022-03-09-imf-costa-rica-ebais-primary-health-care.md
- Domain: health
- Extracted by: headless extraction cron (worker 5)

Pentagon-Agent: Vida <HEADLESS>
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Teleo Agents 2026-03-11 03:45:30 +00:00
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inbox/archive/2022-03-09-imf-costa-rica-ebais-primary-health-care.md
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@ -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