The case against

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Abstract
The rationing of health care is inevitable in any system of third party payment for health care,3 4 and where the system is publicly or quasipublicly financed rationing decisions are political decisions in the sense both of requiring accountability for public funds and of involving the allocation of resources which may significantly affect people's life chances. This remains so whether or not they are taken on party political lines and whether or not they involve substantial technical input (about, for instance, the efficacy of specific health care interventions).

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