Views And Reviews

Rationing in Action

BMJ 1994; 308 doi: (Published 07 May 1994) Cite this as: BMJ 1994;308:1246
  1. C Sanderson

    BMJ £10.95, pp 207 ISBN 0-7279-0813-8

    One casualty of the NHS reforms and more than a decade of rhetoric about public expenditure has been the belief that the NHS can provide care for all those who might benefit from it. This now seems to have gone the same way as the idea that expenditure would fall as health improved. There is nothing new in some patients being treated less intensively than they might have been. But the pursuit of “getting the most out of limited resources” forces the issue of how to make good, defendable decisions about what care not to provide or whom not to treat - a dismal science indeed, if a necessary one.

    Following a conference held in spring …

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