Ethical boundaries and health maintenance organization (HMO) expectations: who draws the line?

Observes that although HMO expectations continue to expand with an increase of responsibilities for the pastoral counselor, the benefits have not maintained pace with the responsibilities. Asks, "Where and how does the pastoral counselor draw the line of personal limits? When limitations are set, how does the pastoral counselor represent the ethical values of the profession and the religious community?" Argues that there are subjective and objective considerations and judgements needed to test the ethics of where and how such limitations are established.