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You are the health care administrator for a busy free rural medical clinic in the mountains of Western North Carolina. This clinic serves a large number of indigent clients. One particular client that comes to the clinic is Myrtle. Myrtle has a number of health care issues and she routinely sees the nurse practitioner. Myrtle is a smoker and has been told by the nurse practitioner and physician that she needs to stop smoking because it is making her condition worse. Given the limited funding of the clinic, staff come to you and asks to discontinue providing free care to Myrtle due to her lack of compliance to care. The staff is concerned that Myrtle is using resources other clients need and due to her non-compliance, they believe these resources should be directed to other more needy and compliant clients.
For this discussion, imagine that you are the health care administrator for this clinic
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