Many years ago now as part of my degree I took a course with the title "Executive Decision Making". It centred around NHS life evaluation techniques and measures called QUALIES or value of the quality of life that you could expect if you received a certain treatment. At the time, I think a QUALI was worth about £30,000, so depending how a clinician decided would be your quality of life would be after treatment would be the amount of money they were allowed to spend on you. Naturally as you got older both your quality of life and its length would be less so the number of 'QUALIES' awarded to you would be less.
I could go on talking about Gold Standard treatment assessment etc, but it gets even more boring and I am surprised I remember as much as I do. I had expected to be instructed in techniques for assessing risk and maybe evaluation methodologies, but this system struck me as horrifyingly stilted and missing judgement on the part of clinicians. Life or death is more likely to be judged by computer algorithms with little human input.
As far as the Russian vaccine is concerned, I think of Concordski, the Russian rip off of Concorde that was rushed into production without sufficient testing with dreadful results. As I understand it, this vaccine has been tested on only 34 people before being rushed into production simply to beat the west to the draw, hardly a basis for confidence, but I don't imagine a few more deaths and disablements is a worry in a totalitarian state.
Mike.X