The costs and effects of the two programs A and B over 5 years are compared in the table below:

A. Calculate the total expected costs and effects of each program assuming the annual discount rate is 3%.

B. If the cost-effectiveness threshold is $50,000 per QALY gained, which program is cost-effective?

\begin{tabular}{|l|l|l|l|l|} \hline & \multicolumn{2}{|c|}{ Program A } & \multicolumn{2}{c|}{ Program B } \\ \hline & Costs & QALYs & Costs & QALYs \\ \hline Year1 & $2,200 & 0.5 & $5,000 & 0.5 \\ \hline Year2 & $2,200 & 0.6 & $5,000 & 0.7 \\ \hline Year3 & $2,200 & 0.7 & $7,000 & 0.9 \\ \hline Year4 & $2,400 & 0.7 & $7,000 & 0.9 \\ \hline Year5 & $2,400 & 0.7 & $7,000 & 0.9 \\ \hline Total & ? & ? & ? & ? \\ \hline \end{tabular} \begin{tabular}{|l|l|l|l|l|} \hline & \multicolumn{2}{|c|}{ Program A } & \multicolumn{2}{c|}{ Program B } \\ \hline & Costs & QALYs & Costs & QALYs \\ \hline Year1 & $2,200 & 0.5 & $5,000 & 0.5 \\ \hline Year2 & $2,200 & 0.6 & $5,000 & 0.7 \\ \hline Year3 & $2,200 & 0.7 & $7,000 & 0.9 \\ \hline Year4 & $2,400 & 0.7 & $7,000 & 0.9 \\ \hline Year5 & $2,400 & 0.7 & $7,000 & 0.9 \\ \hline Total & ? & ? & ? & ? \\ \hline \end{tabular}