[tqi]

"We could very easily save your life with a transplant, but we won't because you did not choose to be an organ donor" is not something I think people in this country have the stomach for. This would be like if we didn't treat people who opt not to carry health insurance. In theory that prevents moral hazard, but in practice no society would be willing to let people with treatable ailments die.

[pharmakom]

The NHS has budget constraints so they are making this kind of decision all the time. It’s unlikely to be made by the doctor treating the patient anyway.