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I think your final line says it all. Nuance takes time, investment and concerted effort. Most of all it facilitates the unique reality of the patient, person centred care as well as clinical safety and effectiveness. I support public health measures in general but hospitals and theatres are controlled environments, therfore several alternatives are available to manage the benefit cost risk in order to continue to deliver care. The goal of public health policy is to protect the population. This includes those for who individual reasons are at risk of unintentional harm from the rigid uninformed application of the policy.

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