{
  "thresholds_rural_medians": {
    "EM": 9760.764350000001,
    "fixed": 60.084754335952084,
    "older": 74.10750140070203
  },
  "counts_all50statesDC": {
    "metro": 1186,
    "missing": 2,
    "other": 978,
    "ready": 394,
    "support": 584
  },
  "resident_estimates_not_patients": {
    "metro": 286514243.0,
    "missing": 243.0,
    "other": 30256481.0,
    "ready": 8333599.0,
    "support": 7282974.0
  },
  "need_proxy": "lower raw general E&M utilization; not proven need or cardiology-only",
  "readiness": "fixed subscription and older device/broadband at or above rural median; no skills or actual telehealth",
  "thresholds": "illustrative operational screen, not validated index; chosen without mortality optimization",
  "mapping": "Census county polygons, Albers, AK/HI separate scales; current county data absent in geometry shown unavailable; no inferred allocation",
  "not_integrated": "county telemedicine use unavailable; CMS state/RUCA not allocated to counties"
}