Children with disabilities <a href=" http://www.clearofclouds.ch/guess-paper-intermediate-part-1/ ">longest essay in the world</a> "There are likely large numbers of patients currently existing in U.S. ICUs right now who are too well to benefit from ICU care," Wagner says. "To withhold critical care when it is not needed isn't rationing - it's more a reflection of efficiency - which is one of the Institute of Medicine's pillars of high-quality care."