The near-certain trader consensus against Jeffrey Epstein being confirmed alive before 2027 rests on the official 2019 ruling by the New York City medical examiner that his death was a suicide, backed by autopsy results, cellblock records, and subsequent federal reviews. No verified sightings, DNA matches, or institutional reversals have emerged in the years since, and ongoing document releases tied to related cases have not altered the established record. While late-breaking forensic re-examination, authenticated new evidence, or an official body identification could still change the outcome, the absence of such developments over nearly seven years underpins the current implied probability.