Explores the ethical issues that arise in the context of health care management. Among the topics discussed are: health care rationing, including an exposition and defence of the Qaly criterion of health care rationing and an examination of the contribution that ethical theory can make to the rationing debate; an analysis of how managers can be preoccupied with the goals of management and the values of doctors simultaneously; an outline of potential guidelines towards formulating a cohesion of health care management; and ethical management and a reassessment of the role of health care professionals.