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updated home page
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01-problem.md

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* [**FIFTY-ONE**](https://en.wikipedia.org/wiki/Casualties\_of\_the\_September\_11\_attacks) September 11th attacks every day
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* [**NINE**](https://en.wikipedia.org/wiki/Casualties\_of\_the\_September\_11\_attacks) Holocausts every year
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![deaths from disease](../img/deaths-from-disease-vs-deaths-from-terrorism-chart.png)
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![deaths from disease](https://static.crowdsourcingcures.org/img/deaths-from-disease-vs-deaths-from-terrorism-chart.png)
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**Will throwing more money at the existing healthcare system save us?**
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**Is throwing more money at the existing healthcare system the solution?**
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Since 2014, healthcare spending per person has been [increasing faster than ever](https://fred.stlouisfed.org/series/HLTHSCPCHCSA) before.
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![health spending](../img/us-healthcare-expenditure.svg)
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![health spending](https://static.crowdsourcingcures.org/img/us-healthcare-expenditure.svg)
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Despite this additional spending, life expectancy has actually been declining.
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* The process takes over 10 years.
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* It costs [$36k](https://www.clinicalleader.com/doc/getting-a-handle-on-clinical-trial-costs-0001) per subject in Phase III clinical trials.
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![clinical trial cost](../img/cost-of-clinical-trials.png) [source: clinicalresearch.io](https://www.clinicalresearch.io/blog/industry-trends/cost-of-clinical-trials-breakdown/)
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![clinical trial cost](https://static.crowdsourcingcures.org/img/cost-of-clinical-trials.png) [source: clinicalresearch.io](https://www.clinicalresearch.io/blog/industry-trends/cost-of-clinical-trials-breakdown/)
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This high cost leads to the following problems:
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Under the current system of research, it costs [$41k](https://www.clinicalleader.com/doc/getting-a-handle-on-clinical-trial-costs-0001#:\~:text=The%20clinical%20trials%20cost%20a,and%20benchmarking%20clinical%20trial%20costs.) per subject in Phase III clinical trials. As a result, there is not a sufficient profit incentive for anyone to research the effects of any factor besides a molecule that can be patented.
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![how much we know](../img/how-much-we-know.png)
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![how much we know](https://static.crowdsourcingcures.org/img/how-much-we-know.png)
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**Lack of Incentive to Discover the Full Range of Applications for Off-Patent Treatments**
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* [70](https://www.ncbi.nlm.nih.gov/books/NBK50886/) patients per depression trial
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* [100](https://www.ncbi.nlm.nih.gov/books/NBK50886/) per diabetes trial
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![wellbutrin small sample size](../img/wellbutrin-effectiveness-small-sample-size.png)
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![wellbutrin small sample size](https://static.crowdsourcingcures.org/img/wellbutrin-effectiveness-small-sample-size.png)
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In the example in graphic above a drug is prescribed to millions of patients based on a study with only 36 subjects, where a representation of the general public is questionable.
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If this code was freely shared, everyone could build on what everyone else had done.
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Theoretically, this could increase the rate of progress by 350,000 times.
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![closed source competition vs open source collaboration](../img/closed-source-competition-vs-open-source-collaboration.sketch.png)
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![closed source competition vs open source collaboration](https://static.crowdsourcingcures.org/img/closed-source-competition-vs-open-source-collaboration.sketch.png)
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The obstacle has been the free-rider problem. Software Developers that open source their code give their closed-source competitors an unfair advantage. This increases their likelihood of bankruptcy even higher than the 90% failure rate they already faced.
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SITEMAP.md

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---
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title: DFDA Wiki Sitemap
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description: Comprehensive navigation structure for the DFDA Wiki
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lastUpdated: '2024-02-09'
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status: live
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---
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# DFDA Wiki Sitemap
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## Core Documentation
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- [Home](home.md) - Overview and main entry point
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- [README](README.md) - Project introduction and setup
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- [Implementation Plan](strategy/implementation-plan.md) - Execution strategy
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- [Roadmap](strategy/roadmap.md) - Development timeline and milestones
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## Regulatory Framework
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- [Disease Eradication Act](disease-eradication-act/disease-eradication-act.md)
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- [Summary](disease-eradication-act/disease-eradication-act-summary.md)
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- [Details](disease-eradication-act/disease-eradication-act-details.md)
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- [Cost-Benefit Analysis](disease-eradication-act/disease-eradication-act-cost-benefit-analysis.md)
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- [Right to Trial Act](proposals/right-to-trial-act.md)
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- [Cure Acceleration Act](cure-acceleration-act.md)
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- [DFDA Executive Order](dfda-executive-order.md)
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## Economic Models
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- [Cost-Benefit Analyses](economic-models/)
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- [Claude Analysis](economic-models/dfda-cost-benefit-analysis-claude-3.5-sonnet.md)
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- [GPT Analysis](economic-models/dfda-cost-benefit-analysis-chatgpt-o1.md)
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- [Gemini Analysis](economic-models/dfda-cost-benefit-analysis-gemini-2-thinking.md)
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- [DeepSeek Analysis](economic-models/dfda-cost-benefit-analysis-deepseek-r1.md)
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- [Perplexity Analysis](economic-models/dfda-cost-benefit-analysis-perplexity-r1.md)
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## Clinical Trials
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- [Protocols](clinical-trials/protocols/)
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- [Crowdsourcing Research](clinical-trials/protocols/crowdsourcing-longevity-research.md)
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- [Decentralized Methods](clinical-trials/decentralized-methods/)
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- [DeSci AI DAO](clinical-trials/decentralized-methods/desci-ai-dao.md)
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## Features & Plugins
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- [Root Cause Analysis](features/root-cause-analysis-plugin.md)
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- [Real-time Notifications](features/optomitron-real-time-notifications-plugin.md)
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- [Life Force Score NFT](features/life-force-score-nft.md)
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## AI Agents
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- [Study Review Agent](agents/study-review-agent.md)
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## Community
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- [Contributing Guide](community_directory/CONTRIBUTING.md)
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- [Projects](community_directory/projects/README.md)
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- [Patient Advocacy](community_directory/patient_advocacy/README.md)
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- [Open Source Projects](community_directory/open-source-projects/open-source-projects.md)
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- [Developers](community_directory/developers/README.md)
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## Benefits
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- [Patient Participation](benefits/patient-participation.md)
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- [Lower Drug Prices](benefits/lower-drug-prices.md)
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## Reference & Research
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- [Cost Barriers](reference/cost-barriers/)
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- [Executive Summary](reference/cost-barriers/executive-summary/e2-analysis-of-costs.md)
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- [Data Sources](reference/cost-barriers/21-data-sources.md)
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- [Conceptual Framework](reference/cost-barriers/22-conceptual-framework.md)
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- [History of Medical Regulation](history-of-medical-regulation-and-clinical-research.md)
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- [History of the FDA](reference/history-of-the-fda.md)
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- [Problems in Clinical Research](problems-in-clinical-research.md)
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## Technical Documentation
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- [Data Standards](data-standards/)
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- [Analytics](analytics/)
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- [API Documentation](openapi-huge.yml)
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## Additional Resources
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- [Strategy Comparison](strategy/strategy-comparison.md)
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- [War on Disease Strategy](proposals/war-on-disease-strategy.md)
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- [Futarchy](futarchy.md)
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- [Privacy Policy](privacy.md)
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---
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*Note: This sitemap is automatically generated and maintained. Last updated: 2024-02-09*

agents/study-review-agent.md

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- Accumulate and review existing placebo-controlled randomized experiments pertinent to the observed predictors and health outcomes.
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- Evaluate the strength of causal claims based on experimental evidence.
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## Safety Validation with LLM IRB
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- Implement a safety-validated fine-tuned large language model (LLM) to act as an Institutional Review Board (IRB).
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- Utilize the LLM IRB to evaluate study protocols for safety before proceeding with further review.
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- The LLM IRB will assess protocols based on established safety guidelines and ethical considerations.
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- Protocols will be submitted to the LLM IRB, which will provide a safety assessment, indicating whether the protocol is deemed safe or unsafe, and highlighting any potential safety concerns.
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- This safety validation step will be integrated into the beginning of the study review process to ensure that all studies are evaluated for safety before undergoing other forms of review.

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