Posted by: Witch Doctor | February 11, 2011

The “Rule of Rescue” and seven spoons

witchround

Do you suppose, My Black Cat, that The Humankind reading this blog have digested the content of the paper from the USA that we put up on our last post?

No?

Neither do I. They are always too busy or too lazy to bother clicking.

You are about to vaporise yourself if they don’t click?

For pities sake, don’t do that My Black Cat, there are multitudes of rats around here that you still need to catch!

We’ll have to spoon-feed The Humankind.

FIRST SPOON-FEED:
Notice that the paper referred to above, originated far away from the UK. It is from the “National Centre for Policy Analysis” in the USA, and highlights the activities of an outfit in the UK : NICE, The National Institute of Clinical Effectiveness.

SECOND SPOON-FEED:
Notice the document introduces the term “Rule of Rescue.”

THIRD SPOON-FEED:
Pause a while and contemplate the meaning of “The Rule of Rescue”

FOURTH SPOON-FEED:
Just in case you have no time to pause or contemplate “The Rule of Rescue,” here is something to help you.

“The presumption that saving the life of someone in imminent danger of dying is more important than improving the quality of life of someone else whose life is not in immediate danger, or of saving hypothetical future lives through prevention efforts.”

FIFTH SPOON-FEED:
Ask yourself, “is this not what is expected of an ethical doctor?

Then ask yourself, “what kind of doctor would practice medicine differently?”

SIXTH SPOON-FEED
Have you ever heard of the NICE Citizens Council?

SEVENTH SPOON-FEED
What do you suppose is the function of the NICE Citizens Council?

Her are details of some of their activities.

NICE Citizens Council Report – Rule of Rescue – January 2006

We witches never spoon-feed more than seven mouthfuls at a time to The Humankind. Just in case they choke.

Furthermore, Seven is The Witching Number and has exceedingly magical properties.

LINK TO MY BLACK CAT’S INTERTWINGLEMENT BLOG

LINK TO WITCH DOCTOR’S INTERTWINGLEMENT BLOG

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Responses

  1. ‘I’ve got a vapouriser and I’m not afraid to use it!’

    That’s a new line in blackmail, WD. I did actually read the QUALY doc from America the other day and I found the NICE one positively alarming. Take a group of people who don’t know very much about drug regulation and the drug market, throw in a few soundbite phrases that they pick up unconsciously without questioning like ‘financial suicide’, change ‘rule of rescue’ to ‘exceptional case’ and you can steer them the way you want.

    I am constantly amazed at how much words matter and how they can completely change the tenor of a debate. Did noone ask why ‘rule of rescue’ which is a general ethic, got changed to something specific and out of the ordinary ‘exceptional case’? Did noone ask why preventative medicine and reactive medicine have to be seen as mutually exclusive? Did anyone ask how effective health drives are? We had at one point a phone advice line for healthy eating; five a day and all that. In the time that it ran (I think about a year) it received three calls. I can’t remember how much it cost to actually run the service, but I’m sure it woudl have provided a good few people with medical treatment. But it’s creepy stuff WD. I don’t know how influential NICE are going to be now that they’re not the regulator, but this is not good.

  2. Julie,

    I also found the fact that “The Rule of Rescue” was changed to “exceptional case” fascinating. Groups can be very easily swayed if there is a strong leader among them or a facilitator who subtly changes the direction of the discussion. However, in spite of this possibility the final recommendations of this group seem to have been rejected by NICE.

    Reading this reminded me a bit of the Citizen’s Juries that went around the country at the time Darzi centres were being introduced. That was a flop too.

    There’s an awful lot of public money wasted on activities such as the healthy eating phone line you mention. The administrators setting up these things are often very enthusiastic because after all it is their job. I often feel sorry for them because they don’t see the bigger political picture.

    Rationing of healthcare really shouldn’t be discussed until wastage is stopped.


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