Trade-offs and conflicts in evaluation of health system alternatives: methodology for analysis.

A selectable dual ratio connection between the rudder pedals and the control elements of an aircraft for steering the aircraft by means of the nose mounted landing gear wheel thereof. The connection includes a control arm and a control segment selectively related either by a link, walking beam and bungee or by means of a pivoting link mechanism. The arm and segment are rotatably mounted upon axes that coincide with the pivoting link mechanism which in one position locks the arm and the segment together while in another position enables differential motion therebetween.