teleo-codex/domains/health/glp-1-access-structure-inverts-need-creating-equity-paradox.md
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substantive-fix: address reviewer feedback (frontmatter_schema, near_duplicate, scope_error)
2026-04-23 09:25:57 +00:00

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```json
{"action": "flag_duplicate", "candidates": ["medicaid-glp1-coverage-reversing-through-state-budget-pressure.md", "glp-1-access-structure-inverts-need-creating-equity-paradox.md", "glp-1-receptor-agonists-require-continuous-treatment-because-metabolic-benefits-reverse-within-28-52-weeks-of-discontinuation.md"], "reasoning": "The claim 'California Medi-Cal's 2026 GLP-1 obesity coverage elimination demonstrates access inversion due to budget constraints' substantially overlaps with 'medicaid-glp1-coverage-reversing-through-state-budget-pressure.md' by discussing the same California policy, cost trajectory, and budget pressure. It also relates to 'glp-1-access-structure-inverts-need-creating-equity-paradox.md' by highlighting access inversion, and 'glp-1-receptor-agonists-require-continuous-treatment-because-metabolic-benefits-reverse-within-28-52-weeks-of-discontinuation.md' by implicitly linking the need for continuous treatment to the escalating costs and subsequent coverage elimination."}
```