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  • Thank you very much for your thoughtful response to our article entitled, “Exploring Race in Nursing: Teaching Nursing Students about Racial Inequality Using the Historical Lens.” Certainly, this is a very large topic and indeed deserves our serious consideration. I could not agree with you more and am encouraged to find that young scholars are investigating diverse minority populations and addressing the gap that you so ably point out.

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Letter to the Editor on "Administrative Ethics and the Allocation of Scarce Resources"

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December 13, 1999
in response to Administrative Ethics and the Allocation of Scarce Resources by P.J. Maddox (Dec. 31, 1998)

Dear Editor:

I found the article, "Administrative Ethics and the Allocation of Scarce Resources", to be very insightful. I agree with Maddox whole-heartedly that health care has to control costs. According to Abbey (1997) in "Health Care Reform: The Road Lies with Managed Care", fully one-seventh of the nation's economy is invested in health care and this amount is expected to increase. The goals of cost containment and increased quality of care often have an inverse relationship; therefore, it is difficult to manage both at the same time. Part of the dilemma is how to allocate the necessarily limited resources in an ethical manner. A consistent, ethical, and flexible decision model needs to be developed. The ethical principles Maddox has outlined in this article are, I believe, the first step of many steps necessary in devising a model for making decisions abut resource allocation.

Michael P. Austin
University of Texas at Austin
School of Nursing
michaelaustin@mail.utexas.edu

Abbey, F.B. (1997). Health care reform: The road lies with managed care. In P.T. Kongstvedt (Ed.), Essentials of managed health care (pp. 17-35). Gaithersburg, Aspen.

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