Muddling through leaves matters to chance

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7006.686b (Published 09 September 1995) Cite this as: BMJ 1995;311:686
  1. Martin Wilkie
  1. Senior registrar Sheffield Kidney Institute, Northern General Hospital NHS Trust, Sheffield S5 7AU

    EDITOR,—David Mechanic concludes his article on rationing in health care services by saying that at the micro level this must be “left for doctors and patients to work out among themselves” and that “once the boundaries are set, more is gained by muddling through rather than by trying to establish all the rules beforehand.”1 …

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