IMNSHO, it's precisely that "moment-to-moment re-evaluation of priorities" that is one of the major (positive) differentiators of GTD. Our work and life these days demands that kind of flexibility. Hence the model for choosing work according to context, time available, energy, and priority... Priority is the last (not necessarily the least important) thing to consider when deciding what to do in any given moment.
Rather than causing more stress and mental effort, with a streamlined system, the stress and mental effort should decrease using this model. While I agree that it's good to do some "pre-deciding" on a daily and even a weekly basis, it's unrealistic to expect life to accommodate our pre-decisions!



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