A common theme internationally is that uncertainty has been caused by all the discussion and debate about the meaning of international human rights principles, and how laws and procedures should be applied in ways consistent with them. That uncertainty is to the detriment of prompt and effective care and treatment, and is largely unnecessary. The discussion and debate can be esoterically distant not only from practical realities, but from what international human rights instruments actually say and were intended to say, as opposed to the varying views that have been expressed as to what they could or should have said.