To some extent, it is a matter of life or death, and, more pervasively, it determines whether we achieve fulfilment and satisfaction in life.
As reader or listener we accept the inevitability of this, not as argument, but as experience - whether as fulfilment or entrapment - vouched for by the human ear.
What is controversial is whether the fulfilment of someone's desire constitutes a benefit to that person apart from any effect that the fulfilment of the desire has on that person's felt satisfaction or frustration.
However, given that Daniels and Sabin originally set out to address what they refer to as the legitimacy and fairness problems of managed care organisations (MCOs) in the USA vis-à-vis their insured members, 1 the question of whether the fulfilment of A4R conditions influences the way affected individuals and groups view respective priority setting decisions deserves an empirical investigation.
Some questions concerned experiences during the previous week (number of patients under their care; night shift before survey fulfilment; whether off duty in the week/on the day before the survey; death of a patient; decision as to withholding/withdrawing treatments; conflicts with other professionals and/or with patients and families).
For computing MISs, CNA uses an almost brute-force approach, since it checks systematically all minimal combinations of interventions (first of size 1, then size 2 and so on) whether they lead to a fulfilment of the intervention goal when the network reaches the logical steady state.
But whether that money will lead to fulfilment is yet to be seen.
After all, propaganda is all about misdirection and wish-fulfilment: Whether you are Apple's advertising agency using integration propaganda to multiply desired patterns of what it means to be cool and different, or you are Isis using agit-prop to transform men from resentment to open rebellion, the target is the individual within the mass.
It is not clear whether Gramsci saw his notebooks as the fulfilment of those intentions, but it is certain he might never have persevered with anything had it not been for the efforts of Julka's sister Tania Schudt.
The saga has been followed by Japan's gossipy tabloid magazines, which have written of strife between Naruhito and Akishino over whether public duties take precedence over personal fulfilment and compared Masako, sometimes unfavourably, to the demure Kiko, who seems satisfied with a role as wife and mother.
