WHAT TRULY COUNTS
Mdm T’s and Mdm X’s stories ended well, others may not.
But in every case, however, the goal of medicine remains the same: to act with integrity, compassion, and respect for the patient and those to whom he matters.
Success should not be measured by clinical metrics alone. Relational value, built through thoughtful conversations, must also be acknowledged. Crucially, the quality of decision-making itself must be recognised as part of value.
Perhaps the formula needs rethinking. Rather than judging value solely as outcomes divided by cost, the framework should also account for how and whether a rational decision was made – one that was appropriate based on evidence, guidelines and the patient’s context, one aligned with the patient’s care goals, and one in their best interest.





