Inconsistent care is a really good point. I wasn't trying to be negative - hope it didn't come across that way. I was hoping to point out that systemic issues

Inconsistent care is a really good point. I wasn't trying to be negative - hope it didn't come across that way. I was hoping to point out that systemic issues in health care management, at least in a lot of countries, seems to be more of a problem that tech for things like this. Out of curiosity, how are you handling the data access and labelling issues here? I suspect that's the key issue that has limited the performance of the commercial offerings (hardly limited to this problem or this space). OTOH in terms of real impact, properly leveraging a more modestly successful algorithm will probably help more people than getting a few more %. With the (strong) caveat that in a space like this you really have to look at work-up rate and balance risks.