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A major Boston teaching hospital must decide whether its historic policy of maintaining medical records which reflect personal information about patients and their illnesses makes sense in an age when insurers have routinely begun to cancel the coverage of those who might be at risk for AIDS. This case allows for discussion of the ethical issues which arise from such a decision, as well as examining the internal management system of a major non-profit institution, which must convene a committee to deal with the AIDS issue and to fashion a solution that doctors will accept. Funded by the American Express Fund for Curricular Development in Ethics.