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Read the case study presented at the end of Chapter 11, You Be the Judge, which begins, "During an unexpected heat wave,..." (Guido, p. 195):
1. What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be?
2. Is the nursing home insurance company correct in saying that this is a professional judgment issue?
3. Which insurance company (the nursing home's or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment?
4. How would you decide the case?
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Problem Identification and Agenda Setting
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