What would, in some types of society, be a straightforward mechanical and economic design problem (to design the number of types or bed, or of adaptations, which would satisfy all the users' needs at minimum cost) is complicated almost to the point of insolubilityby the large measure of local autonomy which British hospitals have in the purchasing of equipment. whether this autonomy is on balance a good or a bad thing is a matter for separate discussion; the present point is that in this context it prevents the community from receiving as much advantage as it might from the application of good engineering

독해할 엄두가 안나네요 ㅡ_ ㅡ;