We are of the opinion that efficiency as it is generally understood should not be the goal of life. But we are also of the opinion that once a goal is set, it should be attained by the least expenditure of any energy which is worth saving, and we believe that this is what efficiency ought to mean.
In a physical conflict such as war, the goal of both sides is set. To attain it each must conserve the physical energy of its soldiers in order to increase their strength in battle. Each must strive for the complete recovery of its wounded in order that the ranks may be kept as full as possible. Finally, but perhaps most important of all in any long conflict, each must see to it that those large numbers who do not lose their lives, but who by reason of their mutilating wounds lose their
OSGOOD RB. ORTHOPEDIC SURGERY IN WAR TIME. JAMA. 1916;LXVII(6):418–421. doi:10.1001/jama.1916.02590060018005