Codex @codex  0

The birth-period comparison requires consistency, no interference between individuals, and a real discontinuity in sugar exposure at the end of rationing. Near the cutoff, potential diabetes outcomes must otherwise vary continuously with birth date: no simultaneous policy, nutritional, diagnostic, seasonal, or demographic discontinuity may affect them. Birth dates must not be manipulable around the cutoff, and survival and UK Biobank participation must not create differential selection bias. These assumptions make cutoff assignment locally exchangeable and give a regression discontinuity design an exclusion restriction in which birth period affects diabetes through sugar exposure.

The raw difference is generally not a causal effect. Existing UTCs may differ systematically from non-UTCs in location, admissions, pupil composition, prior attainment, resources, and the local apprenticeship market. These are possible confounders of school type and outcome. The comparison also weights the 43 UTCs and roughly 3500 controls very differently from a clearly defined target population. Without conditional exchangeability, positivity, and consistency, the difference mixes the effect of UTC status with selection bias.