It is really sad to see how difficult decisions can be. I am often reminded of the old Michael Heseltine quote from the 1980's when discussing decline in the coal mining industry - there are no good choices, just bad or worse.
Fast forward to today and we have a big over-spend on unproven cancer drugs. We all know people who have died or are dying of cancer and naturally want the very best for them. The cost is eye-watering and with a £100 million overspend a task force was put in place to review the situation.
It was decided then to reduce spending on expensive unproven drugs and divert the money to more spending on cheaper and proven drugs.
This not controversial in any way, except if you believe in the magic money tree that money is irrelevant and everything should always be done. But if you do that, then after all the reports I have seen on Sierra Leone and the awful situation there, clearly there are greater needs elsewhere. This is where morality and reality clash.
So onto the NHS, Labour - having more or less admitted to 'weaponising' the NHS as part of the election strategy are keen to paint this as Tory cuts. The Tories are keen to point to the independent task for asked to look at this and to the benefits of clinical outcomes.
What is so frustrating is the black and white picture painted at the moment around the NHS. Either it is our national treasure or evil Tories want to destroy it. We have either the UK or US system.
There is no room or political space given to the mixed approaches tried in other countries or analysis of where other countries provide better systems and better care. Just an old, worn out dialectic between the well meaning nanny state or the evil capitalist market.