Rationing in action

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6924.338 (Published 29 January 1994) Cite this as: BMJ 1994;308:338
  1. V Bottomley
  1. Department of Health, London SW1A 2NS.

    EDITOR, - The BMJ recently sent me a copy of Rationing in Action.1 At the conference that gave rise to the book I said that the health service is having to address the problems outlined in the book every day, as indeed it has had to since it was founded. We at the centre are helping to inform and when necessary steer the debate, and we welcome the continued input of academics, the medical profession, managers, and the public.

    As everyone is covered by a universal and freely available health service the problem is one of setting priorities rather than sharing out resources. The pressures on health care will bring many of the issues further to the fore in the next few years: demographic pressures, improved medical technology, …

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