Deficit

The very method of paving our way to hell seems everywhere. On the evening of the consultant interview, I attended a celebration dinner of my department. Our man from Pluto was slightly late. Soon after he finally arrived, he was involved in the discussion with FC on our drug budget.

It is no news that we have an astronomical deficit.

The cause of the problem is, maybe to your surprise, rather clear. There are a number of diseases (I won't say one) that, over the recent years, creatures outside the solar system decided to follow the international standard and loosened the criteria of using several expensive medicines - which was followed by a corresponding surge in the prescription of these items, of course.

The catch is: The total drug budget was not increased.

What would happen ? Imagine a gigantic dinosaur: Its legs (and ass !) agree to fled from the Tyrannosaurus near by, but the heart (controlled by the autonomic nervous system - remember, autonomic) declines to increase the blood supply to the muscle.

The result is - please excuse my language - an inevitable PK.

PS. As a response to the deficit, our man from Pluto actually suggests to use the strategy of working backward to define the indications of those expensive new gadgets: See how much we could afford, then set up corresponding criteria so that the estimated number of people would fulfill. (After all, as always proclaimed by the government of our mother country, we do not have to follow any so-called international standard.)

This is one of the rare occasions that I fully agree with my chairman.