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At 01:13 on 21/9/96, Helen Breslauer/Robert Frankford wrote: > What happens in any card based system when the patient is truly sick, > unconscious, demented, unable to obtain a card, had their house just burned > down etc, etc? It's a serious problem, which we have here in Ontario. > The bureaucrats who plan health systems assume that everyone is just like > them, planning appointment well in advance and presenting their cards as > they arrive well in advance for their appointment. > > If only life was so easy One of the many important things system-desigeners leave out is: The handling of Exceptions. People with no name, no birth-day, more names. funny names, more bithdays, no healthcard, a funny healthcard, an other healthcard, etc, etc The whole list can be very long. It is very likely that in acute situations information will be missing and whrer a system must be able to function well. Gerard Freriks,huisarts, MD C. Sterrenburgstr 54 3151JG Hoek van Holland the Netherlands (31) 174-384296/ Fax: -386249 ARS LONGA, VITA BREVIS %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%