TY - JOUR T1 - Eyewitness in Erewhon Academic Hospital JF - Journal of Medical Ethics JO - J Med Ethics SP - 720 LP - 721 DO - 10.1136/jme.2009.029637 VL - 35 IS - 12 AU - I de Beaufort AU - F Meulenberg Y1 - 2009/12/01 UR - http://jme.bmj.com/content/35/12/720.abstract N2 - Failure is not an option! (From Apollo 13)“That damned elevator … Just when you need it most, it’s stuck somewhere. It’s just like waiting for doctors, housewives returning from the sales, lovers-to-be, the approval of the financing of a project proposal, answers from Sven, that stunning young hunk to take you on his Harley-Davidson, alimony …”The volunteer worker is standing before the closed elevator doors with her cart full of hot coffee and tea. Angrily she kicks the once gleaming doors. It doesn’t help.At the other side of the department there are other worries than tea worries. An emergency patient has just been referred by the emergency room. Dr Van Tintelen looks, decides and acts, as usual, swift as an arrow. “A brain infarction, the man needs to be thrombolysed immediately. Hurry!”The nurse, Indian-born Ernestine Sumar, runs away immediately. Her place is taken, unexpectedly, by a somewhat round-faced man with early-onset balding and baggy cheeks. It is Adam Otherwood, a former undertaker, who gave up his job because he wanted to work with living people. The Erewhon hospital offered him a post in the department of financial administration, where he checks stamps, and even gets to provide stamps himself. He also checks the insurance status of every patient brought in. Still panting from running up the stairs—the elevators refused to be of service to him, too—he speaks: “Beware, this patient is not insured.”“Please, I’m busy.” Dr Van Tintelen, in her most offhand mood.“You have to stop, doctor, that’s all I want to say.”“Go away you, you hairsplitter, you nit-picker, you …”Nurse Ernestine reappears. “Here … ER -