"The authors have a broader and more comprehensive intent: namely to develop an account of the ethics of the entire health care organization, integrating business, clinical management, and professional ethics. It is an ambitious project that is generally well executed. The authors effectively meld ideas from disparate fields in order to develop their overall goal. The discussion nicely links the question of organization ethics in health care with the broaderand more developed field of business ethics. This connection is important....(continued below)(continued from above)The authors do not intend to provide a handbook, but they do see their work as establishing a practical framework for thinking about the challenges posed by organizations. Their goal is admirably met. One can only hope that chief operating officers, chief executives, and members of boards of directors and others in positions of leadership in health care organizations will read and seriously consider this work. Bioethicists, too, whohave long worked on public policy aspects of health care ethics and clinical ethics, would do well to think seriously about organization ethics."--Hastings Center Report