This dilemma, presented with reference to a case report is frequently seen in various aspects of medical practice. It is also seen in war situations where triage has to be clearly established so that the more deserving get a better chance to survive. The case outlined by Victor Kong is perhaps reflective of certain pre-decided parameters such as: a previous (anecdotal) yardstick of what constitutes salvageable burns and what does not; and a limited budget, covering X number of patients which cannot be augmented on a case-by-case or even a monthly basis.