Sir: Health-service rationing and accountability are here to stay (report, 21 June), but as a GP I am only too well aware that the same problem in different patients can produce dramatically different effects on their lives. I would like to plead for some discretionary powers of choice in allocation of resources. For instance, two patients may have similar problems with varicose veins; one may be very little troubled but the other may be constantly aware of the problem and feel that life is blighted. These two patients need a different approach.
Dr ANDY ROSE