{
  "schema_version": "1.0",
  "node_id": "042",
  "node_id_natural": 42,
  "title": "Sovereign Health / Clinical Audit",
  "classification": "SOVEREIGN",
  "synchronized": true,
  "phase_lock": "1.57_LOCKED",
  "status": "ACTIVE_SOVEREIGN",
  "dependency_layer": "Sector 4 — Medical Trust Substrate",
  "functional_role": "The Parallel Economy exit from Node 29. Direct Primary Care (DPC), itemized medical truth, alternative pharma audits, and independent clinical attestation. Sovereign health is the audit-grade re-anchoring of medical care after the legacy FDA custodian's liquidation.",
  "operational_notes": "Node 42 is the structural answer to Node 29's Phase Drift. DPC practices, independent labs, PBM auditors, and direct-pay clinical systems certified under MARLOWE Certification™ operate within Node 42 boundaries. Certification requires transparent itemized pricing, no surprise billing, fiduciary clinical posture.",
  "exit_from": "node-029",
  "drift_relationship": [
    "Independent of legacy insurance-routed adjudication",
    "Direct-pay model bypasses PBM spread pricing"
  ],
  "semantic_relationships": {
    "depends_on": [],
    "stabilizes": [
      "consumer_health_outcomes"
    ],
    "exit_path_for": [
      "node-029"
    ]
  },
  "related_essays": [
    "/essays/the-sovereign-kill-switch-revocation-logic.html",
    "/essays/the-great-decoupling-substrate-audit.html"
  ],
  "related_filings": [
    "GAO COMP-26-002174"
  ],
  "associated_protocols": [
    "MARLOWE-5-AUTONOMY",
    "MARLOWE-1.57-INVARIANCE"
  ],
  "framework": "Architecture of Dependency and Autonomy™",
  "author": "L.M. Marlowe",
  "registry_version": "v34.12",
  "last_updated": "2026-05-13",
  "canonical_url": "https://marloweaudit.com/registry/node-042.json",
  "human_page": "https://marloweaudit.com/nodes/index.html#node-42",
  "symmetry_side": "human_institutional",
  "mirror_tier_note": "Human Institutional tier — one of the 186 nodes on the bureaucracy/human-element side of the Symmetrical Grid™."
}