Deserve or Need?

It has to be need. I can just imagine the judgemental systems that would be set up if not:

You smoked, no cancer care for you
You drank too much, no liver care for you
You ate too much, no diabetes care for you
You indulged in dangerous sports, no fracture clinic for you
You went out for a party in the snow and tripped over, you should have known better
You drove too fast, we're not treating you for your injuries
You insist on keeping a cat, no asthma care for you
You thought your garden was too important so we won't treat your bad back....

And so on, ad infinitum.

Who are we to judge?

The NHS has provided breast implants for purely cosmetic reasons yet declines to fund an operation, approved by NICE, that might improve the life of a little girl with cerebral palsy.

Figure that one out.

Need.

Got to be need.

Need. My ethics wouldn't allow anything else. Nor would the Declaration of Geneva I signed on graduated ( updated version of Hippocratic oath. Apparently I may now cut for the stone or molest a female slave in a house I'm visiting!)

It must be need, but then of course, who needs it the most? So difficult to turn one's back on need - breast implants not included, although I have no doubt that in some cases these might be needed, not sure.

Do the NHS still do cosmetic breast implants even if there has not been a mastectomy or such?

How about tattoo removals?

What happens if, for example, a patient who has not been able to give up alcohol but needs a liver transplant for the damage he has caused.

Can Drs ethically refuse to give such treatments where there might be medical contraindications? Particularly with transplants where donated organs etc. are scarce?

Part of this is me posing further questions and genuinely wanting to know.

I agree that the word 'deserve' has the wrong connotations, but since this has been posted in Pedants' Corner, I would like to suggest that the correct term is 'indicated'.
Treatment that is indicated is not necessarily the same as treatment that is needed. It implies that clinical judgement has been exercised in a decision-making process.
For example, it might be thought that someone 'needed' a particular treatment, say a hip replacement. But there might be other factors for that particular patient, which mean that the cost (in terms of pain, or poor prospect of a good outcome) outweighs the benefit, and another approach is indicated.