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For those who are familiar with the metaphysical world of Hegel-Engels-Marx , one recalls the mechanism of quantitative increase leads to qualitative changes . ‘Dialectical Materialism’ being used to explain social evolution is still an academic subject. That is demonstrated even in the simple example of raising the temperature (quantity) of water up to 100 degrees Celsius , changing it to steam (quality ). But the question , however, is ‘ Is steam always better than water?’ We have exactly the scenario of increasing quantity (more and more appointments/access as promised by politicians ) leading to changes in quality (continuity diminishing , for instance). Ultilitarianism ,pushed by economists, falls into the same trap of trying to solve all human disputes by increasing utilities in an economic model . The simple and ironic truth in health is : a better health of a nation will result in less input from doctors and nurses(hence, an increase in quality leads to less quantity , instead) ; the true National HEALTH Service .

Posted date

10 Apr 2018

Posted time