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work, and despite these mcasures the number ot patients treated may often rise. It is lett to the doctors to ration services, which effectively means telling certain people that they cannot be treated or, as is more usual, not telling them that they can be treated. Doctors are not very good at this, and I hope that the purpose of training in management would not be to improve such skills. I Hill L. Fire walking. Br MedJ3 1936;i: 185. 2 Frazer JG. Balder the beautiful. 2nd vol. New York:doi:10.1136/bmj.297.6645.425-d fatcat:chiiblgugbb5zdankhbdgxeywm