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Abstract

This case-one of the series of nursing/health care management cases- sketches a boom and bust cycle for psychiatric hospitals in Houston during the 1980s. It follows a single nurse as he gains increased responsibilities, at the same time the hospital for which he works encounters difficulties holding on to its share of the market. Ultimately, he faces questions as to how to balance the medical needs of patients and the financial needs of an institution for which he cares deeply. In that way, this is a personal ethics case. At the same time, the case details the relationship betwen one hospital''s changing financial picture and key changes in health care regulation passed by the Texas state legislature. In that way, this is a case about business and government which can be used to explore regulatory issues.

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Abstract

This case-one of the series of nursing/health care management cases- sketches a boom and bust cycle for psychiatric hospitals in Houston during the 1980s. It follows a single nurse as he gains increased responsibilities, at the same time the hospital for which he works encounters difficulties holding on to its share of the market. Ultimately, he faces questions as to how to balance the medical needs of patients and the financial needs of an institution for which he cares deeply. In that way, this is a personal ethics case. At the same time, the case details the relationship betwen one hospital''s changing financial picture and key changes in health care regulation passed by the Texas state legislature. In that way, this is a case about business and government which can be used to explore regulatory issues.

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