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An interesting article with some good points. In particular the idea
of medicine as a complex inadequatly described task is obviously true.
It is the case that doctors must make choices, balencing aspects of
their lives, but if we do not 'make the care of our patient our first
concern' I wonder how our children and families are to judge us.
In terms of the argument revolving around multiple patients. At any
moment a doctor can only be involved with a single patient. That patient
is his first concern. The needs of that patient in that particular moment
are necesseraly to be delt with before the doctor moves his concern to
another. The rationing of time and equipment is soemthing outside of the
consultation which doctors are likely to be involved in. Such rationing
may alter the tools a doctor has in a particular situation, it does not
change the nature of their first concern.