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Now an index disallowing examples.
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* AnAesop: Bad things happen when systems of medical care prioritize economic considerations over people's lives.
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* TheAllegedExpert: Chellick is ultimately this. He was specifically hired to administrate the planet's bureaucracy to relieve a crippling lack of resources. Only the algorithmic system Chellick set up is terrible and full of obvious holes.
** In response to there being only limited supplies of a critical drug, that drug is ''withheld'' from critical patients and diverted to ''non-''critical patients for what's essentially off-label use (as part of a long-term wellness program only for those deemed "most useful" to society).
** Doctors who manage to operate efficiently with a minimal amount of medications are judged to be able to do more with less and their resources are diverted elsewhere until they're not left with enough to perform their duties (essentially punishing them for doing well). One doctor learns to game the system by ordering an overstock of medication (when, remember, limited resources are the entire issue) entirely so he can fool the algorithm and increase his prestige.
** In response to there being only limited supplies of a critical drug, that drug is ''withheld'' from critical patients and diverted to ''non-''critical patients for what's essentially off-label use (as part of a long-term wellness program only for those deemed "most useful" to society).
** Doctors who manage to operate efficiently with a minimal amount of medications are judged to be able to do more with less and their resources are diverted elsewhere until they're not left with enough to perform their duties (essentially punishing them for doing well). One doctor learns to game the system by ordering an overstock of medication (when, remember, limited resources are the entire issue) entirely so he can fool the algorithm and increase his prestige.
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* TheAllegedExpert: Chellick is ultimately this. He was specifically hired to administrate the planet's bureaucracy to relieve a crippling lack of resources. Only He does this by setting up an algorithm to allocate medical care which is obviously wildly inadequate to the algorithmic system Chellick set up is terrible and full of obvious holes.
task.
** In response to there being only limited supplies of a critical drug, that drug is ''withheld'' from critical patients and diverted to ''non-''critical patients for what's essentially off-label use(as part of a long-term wellness program only for those deemed "most useful" to society).
** Doctors who manage to operate efficiently with a minimal amount of medications are judged to be able to do more with less and their resources are diverted elsewhere until they're not left with enough to perform their duties (essentially punishing them for doing well). One doctor learns to game the system by ordering an overstock of medication (when, remember, limited resources are the entire issue) entirely so he can foolbased on the algorithm valuing those individuals more highly.
** Quite aside from the horrifying humanitarian implications, the system promotes all kinds of perverse incentives. For instance, doctors who use fewer resources risk having their rations cut, making them less effective at their jobs, andincrease his prestige. risking their positions and careers. It's therefore in their best interest to requisition more supplies than they actually need (remember, the system is supposed to address a ''lack'' of resources).
** In response to there being only limited supplies of a critical drug, that drug is ''withheld'' from critical patients and diverted to ''non-''critical patients for what's essentially off-label use
** Doctors who manage to operate efficiently with a minimal amount of medications are judged to be able to do more with less and their resources are diverted elsewhere until they're not left with enough to perform their duties (essentially punishing them for doing well). One doctor learns to game the system by ordering an overstock of medication (when, remember, limited resources are the entire issue) entirely so he can fool
** Quite aside from the horrifying humanitarian implications, the system promotes all kinds of perverse incentives. For instance, doctors who use fewer resources risk having their rations cut, making them less effective at their jobs, and
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* DoctorJerk: Chellick follows strict treatment protocols that determine who is worthy of better treatment and who's not, and is willing to let Level Red patients like the terminally ill Tebbis die. He never wastes an opportunity to make the Doctor remember this. [[LaserGuidedKarma Chellick eventually gets his comeuppance when the Doctor decides to poison him with Tebbis's illness, putting Chellick in the Level Red and forcing him to change his thinking]].
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* DoctorJerk: Chellick follows strict treatment protocols that determine is a medical administrator, rather than a doctor, but otherwise fulfills this trope. His entire job is denying medical care to those who is worthy he deems unworthy of better treatment it, and who's not, and is willing to let Level Red patients like the terminally ill Tebbis die. He never wastes an opportunity to make the Doctor remember this.shows zero concern for how it impacts anyone. [[LaserGuidedKarma Chellick eventually gets his comeuppance when the Doctor decides to poison him with Tebbis's illness, putting Chellick in the Level Red and forcing him to change his thinking]].
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* JerkassHasAPoint: [[ObstructiveBureaucrat Chellick]] points out that he's making the decisions of letting sicker patients die while the patients with important roles in society live because [[ShootTheDog none of the locals are willing to do so]]. The Doctor forces him to learn some empathy, but it's not like the [[InherentInTheSystem circumstances on the planet are really going to change]]. On the other hand, hopefully the empathy lesson will at least lead to some reordering of priorities (like giving drugs to those with the most immediate need rather than using them for long-term wellness programs while people die without them).
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* JerkassHasAPoint: While [[ObstructiveBureaucrat Chellick]] Chellick]]'s system is deeply flawed, and his total lack of empathy is disturbing, he points out that he's making the decisions of letting sicker patients die while the patients with important roles in been hired to fill a difficult but necessary function. In a society live with insufficient medical resources, someone has to decide who gets treatment and who doesn't. He was hired to make those hard choices because [[ShootTheDog none of the locals are willing to do so]].so]]. Both Dysek and Voje tell the Doctor that conditions on their world improved significantly after Chellick’s people took over administrative functions. The Doctor forces him to learn some empathy, but it's not like the [[InherentInTheSystem circumstances on the planet are really going to change]]. On the other hand, hopefully the empathy lesson will at least lead to some reordering of priorities (like giving drugs to those with the most immediate need rather than using them for long-term wellness programs while people die without them).
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* VillainHasAPoint: The Dinaali homeworld is not a post-scarcity utopia like a Federation planet. Limited resources require rationing. While the Allocator's system is deeply flawed, prioritizing the health and well-being of those whose skills are necessary to maintain the lives and well-being of others is a reasonable approach. Both Dysek and Voje tell the Doctor that conditions on their world improved significantly after Chellick’s people took over administrative functions.
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* TheAllegedExpert: Chellick is ultimately this. He was specifically hired to administrate the planet's bureaucracy to relieve a crippling lack of resources. Only the algorithmic system Chellick set up is terrible and full of obvious holes.
** In response to there being only limited supplies of a critical drug, that drug is ''withheld'' from critical patients and diverted to ''non-''critical patients for what's essentially off-label use (as part of a long-term wellness program only for those deemed "most useful" to society).
** Doctors who manage to operate efficiently with a minimal amount of medications are judged to be able to do more with less and their resources are diverted elsewhere until they're not left with enough to perform their duties (essentially punishing them for doing well). One doctor learns to game the system by ordering an overstock of medication (when, remember, limited resources are the entire issue) entirely so he can fool the algorithm and increase his prestige.
** In response to there being only limited supplies of a critical drug, that drug is ''withheld'' from critical patients and diverted to ''non-''critical patients for what's essentially off-label use (as part of a long-term wellness program only for those deemed "most useful" to society).
** Doctors who manage to operate efficiently with a minimal amount of medications are judged to be able to do more with less and their resources are diverted elsewhere until they're not left with enough to perform their duties (essentially punishing them for doing well). One doctor learns to game the system by ordering an overstock of medication (when, remember, limited resources are the entire issue) entirely so he can fool the algorithm and increase his prestige.
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* BeleagueredBureaucrat: The doctors on the planet of the episode are forced to work in the unhelpful and obtrusive healthcare system put in place by Chellick. All important decisions about patient care, from who gets what medicine to what ward the patients are sent to, to where the doctors themselves will be working, is decided ''for'' them by a non-sentient artificial intelligence that decides everything by a vaguely defined algorithm. Interestingly, both doctors we see on the planet are less than happy with the bureaucratic system they're forced to operate in despite doing so at different levels, and both are very receptive when the EMH provides insight in how to exploit loopholes.
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** This is the flaw in the Allocator's system that convinces Dysek to turn. If a doctor is too efficient, the Allocator will give them fewer resources, and continue to do so until their cure rate goes down, at which point the Allocator will downgrade the doctor.
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* SwissCheeseSecurity: One of the most egregious examples in the series, as ''the Doctor'' is stolen from Sickbay.
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* SwissCheeseSecurity: One of the most egregious examples in the series, as ''the Doctor'' is stolen from Sickbay. Justified by the fact that the EMH was intended to act as a short-term emergency replacement, and since mobile emitters weren't invented yet, they could only function in a holographic environment. There was really no reason to design an EMH to be difficult to steal.
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* VillainHasAPoint: The Dinaali homeworld is not a post-scarcity utopia like a Federation planet. Limited resources require rationing. While the Allocator's system is deeply flawed, prioritizing the health and well-being of those whose skills are necessary to maintain the lives and well-being of others is a reasonable approach.
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* VillainHasAPoint: The Dinaali homeworld is not a post-scarcity utopia like a Federation planet. Limited resources require rationing. While the Allocator's system is deeply flawed, prioritizing the health and well-being of those whose skills are necessary to maintain the lives and well-being of others is a reasonable approach. Both Dysek and Voje tell the Doctor that conditions on their world improved significantly after Chellick’s people took over administrative functions.
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* BadassBureaucrat: Chellick is surprisingly astute. He catches on to the Doctor's attempts to subvert the system very quickly. This seems to be his [[PlanetOfHats species' hat]], as they are known for their talent in administration.
* ColdEquation: Chellick sees this as the essence of his job. He was hired to make the hard decisions others can't or won't.
* HoistByHisOwnPetard: After spending the entire episode trying to get the Doctor to follow the rules, Chellick is not happy when Dysek does exactly that.
--> '''Dysek''': [[RulesLawyer I don't want to break the rules]].
--> '''Chellick''': [[ScrewTheRulesIMakeThem I MAKE THE RULES]]!
--> '''Dysek''': [[NoSell Then you should be pleased I hold them in such high regard]].
--> '''Dysek''': [[RulesLawyer I don't want to break the rules]].
--> '''Chellick''': [[ScrewTheRulesIMakeThem I MAKE THE RULES]]!
--> '''Dysek''': [[NoSell Then you should be pleased I hold them in such high regard]].
* {{Hypocrite}}: When Tuvok tells Neelix that poisoning a prisoner is a violation of Starfleet rules regarding the treatment of prisoners, Neelix points out that Tuvok threatened to use the mind meld on Gar, which is also a violation of those same rules.
* MoralPragmatist: Dysek accepts a system that allows level red patients to die while the medicine that could save them is used to help level blue patients live slightly longer. The Doctor convinces him to rebel against the system by pointing out that the Allocator will "[[SarcasmMode reward]]" his efficiency by reducing his resources until he doesn't have enough, at which point his cure rate will go down and the Allocator will downgrade him.
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* SociallyScoredSociety: The Doctor has to deal with an alien world where each citizen receives a "T.C." or treatment coefficient from [[MasterComputer the Allocator]], which ruled how useful (i.e. wealthy) a person was to society. The higher the T.C., the better healthcare they get.
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* SociallyScoredSociety: The Doctor has to deal with an alien world where each citizen receives a "T.C." or treatment coefficient from [[MasterComputer the Allocator]], which ruled how useful (i.e. wealthy) a person was to society. The higher the T.C., the better healthcare they get.
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* VillainHasAPoint: The Dinaali homeworld is not a post-scarcity utopia like a Federation planet. Limited resources require rationing. While the Allocator's system is deeply flawed, prioritizing the health and well-being of those whose skills are necessary to maintain the lives and well-being of others is a reasonable approach.
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* ColourCodedForYourConvenience: Each level of the facility has a different color designation depending on T.C. score. In descending order: blue, green, yellow, red, white. The highest T.C. scores are at Level Blue with the best care, while the lowest T.C. scores get Level Red which is strapped for resources. White is the morgue.
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* {{Foreshadowing}}: The back of the elevator in the care facility shows the different levels by color. Given Level Blue with the best medical care is at the top and Level Red with the worst medical care is second from the bottom, it's easy to infer that Level White, the very bottom level, would be the morgue.
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* SociallyScoredSociety: The Doctor has to deal with an alien world where each citizen receives a "T.C." or treatment coefficient from [[MasterComputer the Allocator]], which ruled how useful (i.e. wealthy) a person was to society. The higher the T.C., the better healthcare they get.
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* BewareTheNiceOnes: The Doctor demonstrates what happens when you put a healer in a situation where he ''has'' to cause harm to save lives.
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--> '''Chellick:''' "We're healers, not killers."
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--> '''Chellick:''' "We're We're healers, not killers."
* MisappliedPhlebotinum: The treatment for a deadly disease is also effective as a more mundane wellness medication, and is being predominantly prescribed for the latter use. The Doctor finds this appalling, as they're letting a treatable disease run rampant just so already-healthy people can live a bit longer.
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* MyGodWhatHaveIDone: Afterwards, the Doctor is seriously disturbed that he deliberately infected someone with a deadly disease.
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* MyGodWhatHaveIDone: Afterwards, the Doctor is seriously disturbed that he deliberately infected someone with a deadly disease.disease, and can't simply blame it on a malfunction.
* NoGoodDeedGoesUnpunished: The Doctor manipulates the system to requisition medicine for Tebbis, but the system recognizes that Tebbis has been given said medication and thus refuses to approve treatment for a secondary infection he contracted, leading to his death.
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* WhatTheHellHero: Voje is appalled that the Doctor infected Chellick after having given Voje several lectures on medical ethics and where a doctor's duty lies.
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* WhatTheHellHero: Voje is appalled that the Doctor infected Chellick after having given Voje several lectures on medical ethics and where a doctor's duty lies. The Doctor isn't blind to the hypocrisy, but feels he's been backed into a corner and has no other option.
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* SurroundedByidiots:
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* SurroundedByidiots:SurroundedByIdiots:
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* SurroundedByidiots:
-->'''Tebbis:''' I've never met a doctor like you.\\
'''Doctor:''' Well, it's not hard to stand out when the general level of competence is so low.
-->'''Tebbis:''' I've never met a doctor like you.\\
'''Doctor:''' Well, it's not hard to stand out when the general level of competence is so low.
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!!This episode provides examples of
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!!This episode provides examples ofof:
* AnAesop: Bad things happen when systems of medical care prioritize economic considerations over people's lives.
* AnAesop: Bad things happen when systems of medical care prioritize economic considerations over people's lives.
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* CrisisPointHospital: Level Red, which is for the common rabble, fits the trope description — overcrowded, insufficient resources, people dying left and right.
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* CrisisPointHospital: Level Red, which is for the common rabble, fits the trope description — overcrowded, insufficient resources, people dying left and right. Level Green is implied to be even worse, and Level White is a euphemism for the morgue.
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The Doctor's program is stolen from ''Voyager'' and is taken to a world where all health care takes place within a facility that determines who gets the best care and who doesn't. Meanwhile, ''Voyager'' tracks down a thief named Gar and gets him to confess where he had taken The Doctor to.
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The Doctor's program is stolen from ''Voyager'' and is taken to a world where all health care takes place within a facility that determines who gets the best care and who doesn't. Meanwhile, ''Voyager'' tracks down his kidnapper, a thief shifty man named Gar and gets him to confess where he had taken The Doctor to.who has left a trail of victims throughout the area.
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* JerkassHasAPoint: [[ObstructiveBureaucrat Chellick]] points out that he's making the decisions of letting sicker patients die while the patients with important roles in society live because [[ShootTheDog none of the locals are willing to do so]]. The Doctor forces him to learn some empathy, but it's not like the [[InherentInTheSystem circumstances on the planet are really going to change]].
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* JerkassHasAPoint: [[ObstructiveBureaucrat Chellick]] points out that he's making the decisions of letting sicker patients die while the patients with important roles in society live because [[ShootTheDog none of the locals are willing to do so]]. The Doctor forces him to learn some empathy, but it's not like the [[InherentInTheSystem circumstances on the planet are really going to change]]. On the other hand, hopefully the empathy lesson will at least lead to some reordering of priorities (like giving drugs to those with the most immediate need rather than using them for long-term wellness programs while people die without them).
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* ReasonableAuthorityFigure: Dr. Dysek. It's hinted that he's no less unhappy with how the Level Red patients are callously treated, and aids the Doctor's efforts on several occasions, either by turning a blind eye and congratulating the Doctor on how he learns to game the system to benefit them both, and later refusing to treat Chellick while giving the Doc a "consult."
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* BorrowedBiometricBypass: The Doctor uses this in reverse on Chellick, poisoning him in such a way that the computer reads him as the deceased Tebbis, disease included. Stripped of his authority, Chellick has little choice but to comply with the Doctor's demands if he wants to be treated, much less have the Doctor undo his sabotage.
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* LaserGuidedKarma: After purposely letting Tebbis die for Chellick is injected with Tebbis's illness by the Doctor in a fit of desperation, and he is sent to Level Red, where he is left to die. This forces Chellick to reconsider his ethics and move all surviving Level Red patients to Level Blue so they can live.
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* LaserGuidedKarma: After purposely letting Tebbis die for die, Chellick is injected with Tebbis's illness by the Doctor in a fit of desperation, and he is sent to Level Red, where he is left to die. This forces Chellick to reconsider his ethics and move all surviving Level Red patients to Level Blue so they can live.
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* CrisisPointHospital: Level Red, which is for the common rabble, fits the trope description — overcrowded, insufficient resources, people dying left and right.
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* LethalChef: Neelix purposely poisons Gar's food with indigestible spices so that he could get his cooperation in retrieving the Doctor's program. He succeeds.
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* LethalChef: Neelix purposely poisons Gar's food with indigestible spices [[JackBauerInterrogationTechnique so that he could get his cooperation in retrieving the Doctor's program.program]]. He succeeds.
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* NoTimeToExplain: The Doctor says this when asking Voje to smuggle him back to Level Red, as he's going to be deactivated in less than a minute.
* OhCrap: Gar gets pretty unnerved when Tuvok threatens him with a MindMeld, and again when the Talaxian spices in his meal start to wreak havoc with his digestive system.
* OhCrap: Gar gets pretty unnerved when Tuvok threatens him with a MindMeld, and again when the Talaxian spices in his meal start to wreak havoc with his digestive system.
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* HospitalParadiso: Level Blue. The Doctor rejects it in favor of Level Red, where he feels he's more needed.
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* FromACertainPointOfView: The Doctor assumes that Level Blue is the [[TitleDrop critical care]] unit. Dr. Dysek says that it's critical that ''these'' patients get the ''best'' care.
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* FromACertainPointOfView: The Doctor assumes that Level Blue is the [[TitleDrop critical care]] unit. Dr. Dysek Chellick says that it's critical that ''these'' patients get the ''best'' care.
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* HyperspeedAmbush: ''Voyager'' pulls one on Gar to keep him from escaping.
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* HyperspeedAmbush: ''Voyager'' pulls one on Gar to keep him from escaping.escaping, downwarping right above his ship and grabbing it with a TractorBeam.
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* JerkassHasAPoint: [[ObstructiveBureaucrat Chellick]] points out that he's making the decisions of letting sicker patients die while the patients with important roles in society live because none of the locals are willing to do so. The Doctor forces him to learn some empathy, but it's not like the circumstances on the planet are really going to change.
to:
* JerkassHasAPoint: [[ObstructiveBureaucrat Chellick]] points out that he's making the decisions of letting sicker patients die while the patients with important roles in society live because [[ShootTheDog none of the locals are willing to do so. so]]. The Doctor forces him to learn some empathy, but it's not like the [[InherentInTheSystem circumstances on the planet are really going to change.change]].
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* WhamLine: Voje telling the Doctor that Tebbis has been moved to Level White and what that means:
--> "It's the morgue."
--> "It's the morgue."
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* ConMan: Gar is a serial huckster. As ''Voyager'' tries to retrace his steps, each person they talk to gives a different tale of being swindled. His lover's request that they ask him to come home implies that he probably ran out on her too.
* DoesThisRemindYouOfAnything: People with treatable illnesses going without vital medicine because they aren't "valuable" to society. Dinaali society just makes the denial of care ''official'' rather than letting it happen by economic default.
* FromACertainPointOfView: The Doctor assumes that Level Blue is the [[TitleDrop critical care]] unit. Dr. Dysek says that it's critical that ''these'' patients get the ''best'' care.
* HumanAliens: The Dinaali have no alien makeup whatsoever. The only difference demonstrated between them and humans are internal scans.
* MoodWhiplash: The episode's A-plot is the Doctor's attempts to treat dying patients, culminating in the death of a boy he'd befriended and deciding to take drastic measures. The B-plot is ''Voyager'' trying to find him by giving a man indigestion, arguing with other outraged traders, and Janeway becoming hilariously more exasperated with each passing interview.
* MyGodWhatHaveIDone: Afterwards, the Doctor is seriously disturbed that he deliberately infected someone with a deadly disease.
* TheNeedsOfTheMany: Seven says that the Doctor was merely sacrificing an individual to help the collective. The Doctor doesn't find the Borg philosophy comforting, especially since that was close to the explanation that Chellick gave for denying patients life-saving care.
* MyGodWhatHaveIDone: Afterwards, the Doctor is seriously disturbed that he deliberately infected someone with a deadly disease.
* TheNeedsOfTheMany: Seven says that the Doctor was merely sacrificing an individual to help the collective. The Doctor doesn't find the Borg philosophy comforting, especially since that was close to the explanation that Chellick gave for denying patients life-saving care.
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* UglyGuyHotWife: The fat schlub and the MsFanservice wife who left him for Gar.
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* UglyGuyHotWife: The fat schlub and the MsFanservice wife who left him for Gar.Gar.
* WhatTheHellHero: Voje is appalled that the Doctor infected Chellick after having given Voje several lectures on medical ethics and where a doctor's duty lies.
* WhatTheHellHero: Voje is appalled that the Doctor infected Chellick after having given Voje several lectures on medical ethics and where a doctor's duty lies.
