a national framework to guide rationing decisions ... may "result in insensitivity to the complexity of clinical care, to the rapidly changing character of medical knowledge, to the uncertainties of the care process, and to the wide range of situations, needs and preferences of patients".
d.j.hunter, bmj 1995 sep 23; 311(7008): 811
with our strong pragmatic bent and deep fondness for algorithms and model answers we would do well to heed this in the little red dot. in healthcare in education in anything perhaps where our first response to a question is what's the guideline on this?
rationing, hunter says, will always be messy. hey, life too.
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