One thing I'm having trouble parsing from the study relates to exactly the point you're raising. If it's assessed as like a national program applied to everyone

One thing I'm having trouble parsing from the study relates to exactly the point you're raising. If it's assessed as like a national program applied to everyone, that's one way of understanding its value. But if you believe yourself to be a part of a special at risk population and can have good reason for making that determination, to me it raises a new question about the wisdom of proceeding.