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Healthattica™

The Knowledge Cost Index

Missing context has a price. The Knowledge Cost Index measures one part of it — the time people lose to knowledge they can't find, trust or reuse.

Published July 2026

The headline figures

Conservative floor
>$55B
per year, publicly defensible
Base case
~$90B
per year
Full range
$55–140B
low to high scenario

We estimate, conservatively, that unmanaged medical knowledge costs healthcare more than $55 billion a year across the United States, the EU, Japan, China, and India — only the time skilled people lose finding, verifying, and reconciling knowledge, not the larger cost of decisions made on knowledge that turns out to be wrong.

Where the cost sits

Physicians
~$45B
Nurses
~$21B
Pharma
~$14B
Other
~$10B

~$90B is a conservative base, and >$55B is a floor we are confident stating publicly. The parts of the model most open to challenge are precisely the ones we set conservatively.

What is inside the full whitepaper

  • The formula and every input, with its source
  • Full workforce, cost, and time-lost tables across all five markets
  • Sector and market breakdowns, plus the conservative-to-high scenario range
  • What is officially sourced vs. estimated, and why
  • Every citation, linked

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Get your own number

The figures above are industry-wide. A Context Assessment runs the same method over one of your domains and reports an organisation-specific range across the four drivers: time lost to search and retrieval, decisions made on outdated knowledge, duplicated effort, and compliance exposure.

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