A manual for ending war and disease using financial incentives, pragmatic trials, and the radical assumption that humans respond to money. Spoiler: they do. 10.7 billion lives at stake.

What if we took 1% of global military spending ($27.2B/year) and used it to actually save lives? 10.7 billion deaths averted. The maths checks out. The species does not.

The FDA's efficacy testing kills 3,070 people for every 1 it saves. 102 million dead since 1962. That's 17 Holocausts, but with better paperwork.

6,650 diseases have zero FDA-approved treatments. Pragmatic trials cost $929 vs $41,000. Scale them up and you get $0.84 per DALY. That's cheaper than a Mars bar. Why haven't we done this?

The US spends 3% more of GDP on government than Switzerland yet lives 6.5 fewer years. What if we just... looked at what works elsewhere and did that? Causal inference says yes.

Voter preferences have near-zero effect on policy. Citizens want 45:1 medical research vs military spending, but get the reverse. RAPPA fixes this with a slider and a dream.