Ethical issues in case management from a political and systems perspective.

This article has been excerpted from a talk which provided a description of the systemic context in which case management operates in relation to other services and provides an overview of the political context in which the system of services for older people operates. The ethical issues of case management, which are discussed elsewhere in this issue, are imposed in part by the role of case managers in the system as a whole, which in turn reflects our society's political consensus on how older persons will be served and at what cost.