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It has been said of health services that they can be fast and cheap, but not good; good and cheap, but not fast; or good and fast, but not cheap.
The current administration has decided that a continuing policy of 'austerity' precludes a relative increased in spending on health, above what was necessary to maintain the previous level of activity. In other words budget becomes the defining or limiting independent variable.
The residual dependant variables: quality and speed, thus become the inevitable victims of this policy.
Laudable aims of improving overall mortality, which will inevitably divert money - even if we knew exactly what would work, which as this excellent editorial points out, we don't - are thus currently either aspirational and unachievable, or disingenuous.
Why can't our leaders be either realistic or honest (and ideally, both).
My professional probity as someone who will do what is needed (within reason) for any of my patients, irrespective of what my contract or job plan states, in in danger of being impugned by unprofessional and unwarranted claims by irresponsible use of (and unjustified inference from) the data presented.