Gives a response to the reactants of the authors' article (this issue), "Ethical Issues with Managed Care: Challenges Facing Counseling Psychology." Anticipates trends in the managed care movement and predicts numerous models of health care delivery as the current system of managed care diminishes. (Author/GCP)

Describes the evolution of managed care and reviews basic biomedical ethics and ethical decision-making models. Examines specific ethical issues and offers suggestions for practice, research, and education and training. Concludes with a research agenda, a review of projected general trends in health care delivery, and a discussion of counseling…