Some Not-so-NICE Realities about a National Healthcare System
This, like abortion, euthanasia, and capital punishment, becomes an issue of sanctity of life versus its commoditization. When NICE recommends availability of treatment under the pressure of mandated budget frontiers, life has been shorn of its fundamental sanctity. The decision of life or death for the patient balances on the steelyard of political feasibility versus budgetary affordability.
The Post-War Dream and the Great Society both are contingent upon the infinite bounties of a functioning market economy. Yet each paradoxically constrains the wellspring of wealth required to jet-fuel the colossal expenditures intrinsic to either. In the end the rationing boards run out of rations. Operations Research algorithms fail in the absence of feasible solutions within the walled-off regions under constraint.Read More »