What evidence exists that appellant was involved in a conspiracy to establish a state-sponsored medical malpractice?

First, as is clear from our discussion in part I, there was substantial evidence that appellant was involved in the planning, direction, execution, and financing of the conspiracy. Furthermore, as appellant recognizes, " 'The California Constitution [art. I, 7], like the equal protection clause of the Fourteenth Amendment, requires that classifications of those to whom the state accords benefits and those on whom it imposes burdens must be reasonably related to a legitimate public purpose.' [Citation.]" (Sykes v. Superior Court (1973) 9 Cal.3d 83, 92, 106 Cal.Rptr. 786, 507 P.2d 90.)