Who shall live and who shall die? A case study of public engagement in health care planning

Rationing of National Health Service expenditure is inevitable, difficult, controversial, and it is unusual for the public to have a direct say in setting healthcare spending priorities at the local level.

Who shall live and who shall die? A case study of public engagement in health care planning

John MayMiddlesex University Business School


Who shall live and who shall die? Decision making doesn't get much tougher than this. Spend NHS funds on this treatment and save a handful of lives, or spend it on that treatment and improve quality of life for thousands. Given that rationing is inevitable, who decides? Should it depend on where you live (the postcode lottery) or on national guidelines laid down by the unelected National Institute for Clinical Excellence (the 'faceless bureaucrats')?...

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