{
 "schema_version": 1,
 "metric_id": "I4",
 "name": "Unmet need for medical care",
 "domain": "I",
 "tier": "v1",
 "grade": "B",
 "frequency": "A",
 "harmonized_international": true,
 "caveats": "NL sits at the statistical floor (well under 1%) — read the level and the country comparison, not year-to-year wiggles. Self-reported (EU-SILC); the 2023 survey redesign is documented in Eurostat metadata but not flagged on NL cells.",
 "methodology_notes": "Verified 9 Jul 2026: hlth_silc_08, unit PC (PC_POP variant is 2008-09 only), income-quintile dimension TOTAL, reason TXP_TFAR_WLIST (too expensive / too far / waiting list), age Y_GE16, sex T. NL 2008: 0.3% -> 2025: 0.5%. 29 Aug 2026: Eurostat renamed the dimension 'quantile' -> 'quant_inc' (codes and values unchanged); query updated.",
 "owner_review_required": false,
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   "licence": "CC BY 4.0 (Eurostat)"
  }
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 "derived": [],
 "trend": {
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  "method": "OLS over last 8 annual observations, 5% significance (MBW convention)",
  "window_start": "2018",
  "window_end": "2025",
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 },
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 "revisions_since": "2026-07-09",
 "generated_at": "2026-09-04T08:06:56+00:00"
}