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The british national health service is often invoked in discussions of rationing hospital care, but we seem to know surprisingly little about how that system works. Specifically, how are allocation decisions made and how are they able to justify limitations that seem unacceptable to us? We spend a great deal more money than the British on health care, and only relatively recently have we begun seriously to discuss policies that would limit specific costly interventions. Now it seems we can no longer avoid at least some kinds of constraints on health care spending, but how can we do it? In
The Painful Prescription: Rationing Hospital Care.. Ann Intern Med. ;101:727–728. doi: 10.7326/0003-4819-101-5-727_3
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Published: Ann Intern Med. 1984;101(5):727-728.
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