Fourth Critique of Buchman and Chalfin’s Analysis

  • Richard Burrows


Science demands precise measurements with defined tolerances. Flight requires measurements of lift, drag, thrust and gravity without which one leaps off a tower with nothing more than blind faith and a more certain result than that afforded the Wright brothers. The social sciences also need measurements without which there can be no rational programmes to improve the lot of society. But these measurements cannot be made without a definition as to what one is measuring and while some definitions such as infant mortality, maternal mortality and longevity are precise, the social sciences also use abstract terms as “quality”, “equality”, “fairness” and “justice” that are often highly subjective and measured by “reasonable” consensus that makes the social sciences more Art than Science as illustrated in Dunstan’s words: … It is to be measured by the quality of lives preserved or restored; and by the quality of the dying of those in whose interest it is to die; and by the quality of human relationships involved in each death [1].


ICU resource allocation Future of health care Global medical village Analysis in perspective 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Private Practice - Bon Secours HospitalGalwayIreland

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