I would like to thank Dr. Nelson for a comprehensive overlook to ethics specially when related to Healthcare Organization.

Dr. Nelson discussed in length the "Executive Ethics Dicision-Making Process" listing many points and steps that partake in decision-making process regardless of the ethical issue. This process is followed in every busisness decision: affected stakeholders, circumstances involved, different options, consequences of options...

Ethical dilemmas show up when the organization (or an individual) has to choose beteen what should be done and what could be done. It might not be ethical to close an outreach clinic but if it is a money loser then the whole organization will collapse and would prevent a bigger population from getting services.

Such dilemmas might not be that extreme and people might decide on them without thinking or the ethical connotation. How many times would an individual not donate $20 to feed 5 kids for th esake of paying for a vacation in Hawaii. Many times individuals try to justify their decision using lame analyses but the bottom line is what are the priorities. The mission statement of an organization is not inclusive of all priorities and the more important part, the organization has to be viable to implement the mission. ie. a money loser venture might fulfill the mission statement but with comulative losses the organization will collapse and there would not be a mission statement to worry about.