The irony here is that Bill Gothard's teaching in hats for men my mind does have eternal consequences. The central doctrine he undermines in the unmerited favor of grace by faith through Christ Jesus and yet the heretic was able to fly under the radar for a long time. I take my hat off to you Don for sounding the alarm all those years ago but sadly most who knew Gothard simply turned a blind eye to his teachings.

Eating disorders have always played a central role in my life. For so many years, an eating disorder dominated my every thought and feeling. No matter what I did or where I went, it accompanied me like an unwanted shadow, turning every life event into a battle against food and my body. I longed for the day when my mind hat for men would be free from the struggle, when my relationship with food could be sustainably controlled, when my body would finally look like I always wanted it to and when I could be sure it would stay that way forever.

In such a setting, triage will be hat men unavoidable, in Pesik's view. "The objective of triage is to use the available resources as effectively and efficiently as possible," she said. In place of the usual goal of doing everything possible for each patient, "Modern triage uses the utilitarian principle of doing the greatest good for the greatest number. . . . I believe the resources need to be used for the patients that are going to have the best outcomes."

Lotteries may have a place in the rationing of care when the patients involved "have no major disparities in fedora hat medical utility," that is, when all have the same apparent prognosis or level of risk, Pesik said. An example might be a large group of patients who are all asymptomatic and awaiting antibiotic treatment or vaccination. Lotteries "allow people to be treated as absolute equals," she said. "They're random, and they surely provide a lot less stress for individuals who are involved in triage, because you're picking numbers out of a hat."

Pesik stressed that any rationing plan should be based on objective criteria that are developed in advance and open to public review. Individual physicians will not be able to make such decisions on their own, especially in the heat of an emergency, she asserted. "We need the support of our legislatures, our hospital legal staff, our ethicists, to give us the basis and the guidelines for triage and protocols in this type of situation." Moreover, she said, "I truly believe the public is going to have a great deal of mistrust in any kind of rationing or triage unless mens hats we explain the rationale behind it and why we believe it's going to occur."

John Hick, MD, said it is essential to have statutes protecting physicians from legal liability for decisions they might have to make in a bioterrorism event. "The immunity and indemnity clauses for physicians that are applying these rules have to be in place or you won't have a single healthcare practitioner who's willing to go out on that limb to follow those principles," he said. Hick is a faculty physician at Hennepin County Medical Center and an associate professor of emergency medicine at the University of Minnesota.