Robert, a case manager, has decided to create a list on the LISTSERV from his own internet service at home for his various patients' illnesses. He establishes one list for each of the following chronic conditions: asthma, diabetes, and congestive heart failure (CHF). He automatically enrolls all of his patients that he has email addresses for into their appropriate list with the idea that they can share information and support one another and also make it easier for him to share information with his patients. Everything is going well for the first month of the LISTSERV exchange. However, a virus is introduced to the lists and everyone is contaminated. This virus has damaged the patients' hard drives on their home computers and some patients' work computers have been harmed.

The patients contact Robert's employer and demand to be reimbursed for all damages to their machines and are very upset that these lists were created in the first place. Robert's employer was unaware of the lists.

Consider the following:

1. How would you feel in Roberts situation? How would you feel as one of Roberts patients? How would you feel as Roberts employer?
2. What is the problem? (Clearly state the problem.)
3. What ethical principles would guide you in this case?
4. What are the alternatives for solving this dilemma?
5. What are the consequences for each alternative generated?
6. In your opinion, what is the first choice from the alternatives and why?
7. Does your choice take into consideration all of the persons involved and the consequences for each of them?
8. If the worst-case scenario occurred based on your choice, could you live with your decision?
9. Based on your choice, what is your plan of action?