Abstract
There seems to be a consensus that rationing is ubiquitous in all healthcare systems, yet in no country is there a clear and publicly accepted set of principles that can determine who gets what health care and when. The NHS has a limited budget of over £40bn, and clinicians, purchasers, general practitioners, and providers are given discretion to “do their own thing,” rationing care by rules that differ and are incoherent and implicit.

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