The coverage audit

Is this actuallya comprehensive index?

The 11 problems on this index were hand-seeded across a build session — not discovered. A curated list reflects the curator's blind spots. So instead of trusting that, we cross-checked the list against three taxonomies that were each built, independently, to be exhaustive over a domain — and counted what falls outside all three.

Taxonomy items directly matched by a problem on the index
6 of 37

Summed across the three taxonomies below. Partial matches and deliberate exclusions are not counted as covered — see each list for the full breakdown.

UN Sustainable Development Goals

source →

17 goals, negotiated by all UN member states in 2015 as an exhaustive frame for human development. Goal 17 (Partnerships) is a meta-goal about implementation, not a problem area, so it is excluded from scoring.

4 covered · 3 partial · 9 gap · 16 scored

No poverty

Direct match. extreme-poverty

covered
Zero hunger

Malnutrition and food insecurity are not on the index at all.

gap
Good health and well-being

Covers pandemics, three infectious diseases, and aging. Does not cover the top-DALY causes — see the GBD taxonomy below. infectious-disease, biosecurity, longevity

partial
Quality education

Direct match. pedagogy

covered
Gender equality

Not on the index.

gap
Clean water and sanitation

Not on the index. Waterborne disease kills more children under 5 than malaria.

gap
Affordable and clean energy

Direct match. energy-abundance

covered
Decent work and economic growth

Not on the index as its own problem.

gap
Industry, innovation and infrastructure

Housing covers physical infrastructure; scientific productivity covers innovation capacity. Broader industrial infrastructure is not covered. housing-construction, scientific-productivity

partial
Reduced inequalities

Not on the index as a distinct problem from poverty.

gap
Sustainable cities and communities

Housing overlaps but urban systems broadly (transit, air quality) are not covered. housing-construction

partial
Responsible consumption and production

Not on the index.

gap
Climate action

Direct match. climate-change

covered
Life below water

Ocean health / fisheries collapse is not on the index.

gap
Life on land

Biodiversity loss is not on the index.

gap
Peace, justice and strong institutions

War, conflict, and governance quality are not on the index.

gap
Partnerships for the goals

Meta-goal about implementation mechanics, not a problem area — excluded from scoring.

excluded

80,000 Hours problem profiles

source →

The longtermist/EA cause-prioritization canon — skewed hard toward existential and catastrophic risk, which is a deliberate and different bias from the SDGs or GBD. Only the profiles with a clear, non-speculative match to "a problem a company could attack" are scored; frontier/philosophical profiles (moral status of digital minds, whole brain emulation, s-risks) are listed as excluded rather than padded into gaps.

2 covered · 2 partial · 8 gap · 12 scored

Engineered pandemics

Direct match. biosecurity

covered
Climate change

Direct match. climate-change

covered
Global health

Same partial coverage as the SDG health goal. infectious-disease, longevity, biosecurity

partial
Power-seeking AI systems

Deliberately excluded this session by explicit editorial decision — not an oversight. Flagged here for the record, not as a recommendation to re-add.

gap
Extreme power concentration

Not on the index.

gap
Great power conflict

Not on the index.

gap
Nuclear weapons

Not on the index.

gap
Factory farming

Animal welfare is arguably out of scope for a "humanity" index — flagged, not necessarily a recommendation.

gap
Wild animal suffering

Same scope question as factory farming.

gap
Neglected mental health

Not on the index — distinct from loneliness, which frames the social dimension, not clinical illness.

gap
Immigration restrictions

Not on the index.

gap
High-leverage ways to speed up economic growth

Adjacent but not a direct match. scientific-productivity

partial
Moral status of digital minds

Speculative/frontier — not scored as a gap.

excluded
Gradual disempowerment

Speculative/frontier — not scored as a gap.

excluded
'S-risks'

Speculative/frontier — not scored as a gap.

excluded
Space governance

Speculative/frontier — not scored as a gap.

excluded
Whole brain emulation

Speculative/frontier — not scored as a gap.

excluded
Stable totalitarianism

Governance-risk profile, overlaps extreme power concentration — not double-counted.

excluded
Risks from malevolent actors

Governance-risk profile, overlaps extreme power concentration — not double-counted.

excluded
Atomically precise manufacturing

Speculative/frontier — not scored as a gap.

excluded

Global Burden of Disease, top causes

source →

Epidemiology ranked by DALYs (disability-adjusted life years) — the antidote to picking health causes by which ones get news coverage. This is the most damning cross-check: it is ranked by actual harm, and the index barely touches it.

0 covered · 2 partial · 7 gap · 9 scored

Cardiovascular diseases

Hypertension now covers the largest modifiable cardiovascular risk and its delivery gap; lipids, acute cardiac care, congenital disease, and other cardiovascular causes remain unmodeled. hypertension

partial
Cancers

The second-largest cause of death worldwide. Zero presence on the index.

gap
Neonatal disorders / maternal mortality

Not on the index.

gap
Mental and substance use disorders

Depression, anxiety, and addiction are a top-5 DALY cause on their own — distinct from loneliness on the index, which frames the social dimension only.

gap
Respiratory infections (pneumonia etc.)

Infectious-disease on the index names malaria, TB, and HIV specifically — pneumonia, the single largest infectious killer of children, is not named. infectious-disease

partial
Diarrheal diseases

Not on the index — overlaps the clean-water SDG gap above.

gap
Diabetes

Not on the index.

gap
Musculoskeletal disorders

Not on the index — low-mortality but the single largest cause of years lived with disability globally.

gap
Road injuries, violence, and self-harm

Not on the index.

gap

What's actually missing

Nine candidates, ranked by how many lists agree.

Hand-curated from the gap rows above. A cause flagged by only one taxonomy might be that taxonomy's own bias; a cause flagged by two or three independent lists is a stronger claim that the index is actually missing something.

Cardiovascular disease beyond hypertensionflagged by 1/3

Hypertension control now covers the largest modifiable risk factor, but the index still lacks a complete cardiovascular model spanning lipids, smoking, acute care, and structural disease.

Cancerflagged by 1/3

Second-largest cause of death worldwide. Zero presence.

Mental health & substance use disordersflagged by 2/3

A top-5 global DALY cause and independently named by 80,000 Hours as neglected — flagged by both an outcomes-ranked list and a cause-prioritization canon.

Clean water & sanitationflagged by 2/3

Named directly by the SDGs; the resulting diarrheal disease burden is named directly by GBD. Two independent lists, same gap.

Malnutrition & hungerflagged by 1/3

Distinct from extreme-poverty’s income framing — hunger is a nutritional-outcome problem with its own solution space (fortification, supply chains, agricultural yield).

Maternal & neonatal mortalityflagged by 2/3

Named by the health SDG and a distinct top-level GBD cause cluster.

Governance quality & great-power conflictflagged by 2/3

Named by the SDGs (peace, justice, institutions) and by 80,000 Hours (great power conflict, extreme power concentration) — the least tractable-looking gap, but the most repeatedly flagged.

Gender inequalityflagged by 1/3

Named directly by the SDGs; not represented on the index in any form.

AI safety / power-seeking AI systemsflagged by 1/3

Named by 80,000 Hours as a top-tier problem. Explicitly and deliberately removed from this index by editorial decision this session — listed here for the record, not as a recommendation.

Why this isn't the whole answer

This is a snapshot, not a live check. The taxonomies here are hand-fetched and hand-mapped, same as the 11 problems themselves. It answers "what are we obviously missing", not "are we complete" — no finite set of taxonomies proves completeness, it only lowers the chance of an obvious blind spot.

There is a live path to closing this. The Exa Agent problem-sourcing pipeline already exists in code — it does open-ended web research and returns structured candidates to a review queue at /admin/candidates. It is currently in stub mode because it needs a database connection that has not been wired up yet. Once it is, discovery stops depending on this page being re-run by hand.

Three lists, three biases. The SDGs skew toward negotiated political consensus, 80,000 Hours skews toward existential and catastrophic risk, and GBD skews toward measurable mortality and disability. None of them alone would be a fair comprehensiveness check — together they cover most of the space any one of them would miss.

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