This book is a sequel to 'Tragic Choices in Health Care: the case of Child B', and continues the examination of ethical questions and conflicts of interest arising from priority setting and treatment decisions. Discussing five cases where funding of a treatment was refused or questioned, it assesses whether lessons have been learned since the Jaymee Bowen case and both reinforces and modifies the conclusions of the earlier study, that health authorities and professionals must adopt rigorous decision-making processes to demonstrate accountability for their actions. Consensus must be sought, with all parties involved being urged to work together.